Tuesday, 9 December 2014

How a free preventative can save our health care system

On Monday I made a special trip to the Ticketmaster office in Red Deer. I wanted to be certain we got a group of tickets to a play, as a Christmas present to the family. (No spoiler alert needed here: the family already knows about the plan, and besides, I'm not so sure they read my blog anyway).

I got there half an hour early, and had my info written down: the date and time of the performance (a matinee would be best). I even had time to talk about the play with a lady who was also waiting for ticket sales to open. She'd seen it in New York, and was eager to see it again when it comes to Edmonton in March.

So when the ticket booth opened, I was ready. Except, right at that moment, I couldn't recall the name of the play. The words disappeared.

My brain was racing in circles. You know, the funny play, the one that was such a hit in New York, the South Park one. Ah yes, to my relief, the words “The Book of Mormon” surfaced — hopefully without too much of a pause.

Not my first such moment, and I hope to be around long enough that it won't be my last.

Having words, or the names of people and things, just vanish en route between memory and speech is not uncommon as we get older. Nor its it reason to panic for fear that one is descending into Alzheimer's.

But it gives one an uncomfortable pause, and more than just an uncomfortable pause in conversation.

We're told that about 10 per cent of Canadians over 65 suffer from dementia, notably Alzheimer's. We're also told that in the coming decade or so, the number of cases diagnosed in Canada is expected to triple.

Outside of a particular gene that is responsible for about 25 per cent of cases, there is no known cause of Alzheimer's. There is no pill you can take for it. There's nothing much you can do about it once you have it, and nobody screens you for the risk of getting it.

Alzheimer's disease is the grey terror of the greying generation.

But there is one proven preventative, and one therapy that's been proven effective. It's free; no drug company can put a patent on it.

The preventative and the therapy is simple exercise — and the more the better.

This week, the culmination of 17 years of research on 150,000 volunteer study participants put some numbers around how much exercise prevents how much Alzheimer's.

It's 150 minutes a week, minimum, in doses as short at 10 minutes, for effective levels to be reached, says Dr. Paul Williams, author of a study titled National Runners' and Walkers' Health Study.

That's just the minimum effective dose. Double it, and Dr. Williams says his study subjects reduced their risk of dying of Alzheimer's disease by as much as 40 per cent.

Considering the size of our aging population, that's huge. If a similar number of people came down with the flu, for instance, we'd call it an epidemic. Yet if that number of cases could be prevented... we call it nothing at all.

Dr. Jordan Antflick, of the Ontario Brain Institute says his reading of some 800 similar studies suggests even the progress of Alzheimer's can be slowed, and even if you don't take your exercise medicine until after diagnosis.

This is big news. The collective wisdom on Alzheimer's has been that once it takes hold in your brain, it is inexorable, unstoppable. Resistance is futile.

Not anymore. We now realize we can indeed repair our brains — at least where memory and cognition are concerned.

As early as 2010, author Barbara Strauch reported in her book The Secret Life of the Grown-up Brain that neurologists had pinpointed a small portion of the hippocampus — called the dentate gyrus — that grows amazingly fast in people (and white lab mice) who exercise vigourously. The dentate gyrus is critical to memory formation and assimilation with older memories.

Dr. Antflick says simple exercise can prevent more than one in seven new cases of Alzheimer's. The minimum dose — 150 minutes per week of exercise vigorous enough to get your heart rate elevated — can also lessen the depression suffered by people who have the disease. Exercise lowers the incidence of people falling — often the last physical insult a senior's body takes before death. Exercise keeps people living independently at home longer.

A total population prescription of 150 minutes (or more) of heart-stimulating exercise per week can save our health care system hundreds of millions of dollars a year. With virtually zero up-front cost.

Walk, run, swim, ride a bike, anything at all. The more energy you expend, the better. (Example: you need to walk twice as long to get the same benefit as a short run, but the doctors say it all works out the same.)

It's the best medicine ever found for lifting depression, improving cognition and preventing a host of other ailments from mental illness to heart disease, diabetes, kidney failure and even some forms of cancer — all of which threaten to overwhelm our health care system.

And then, if you can't remember the name of a play you want to see, you can laugh about it. Sort of.

No comments:

Post a Comment