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TUESDAY MARCH 06 2001

Dementia linked to an excess of idleness

BY MARK HENDERSON, SCIENCE CORRESPONDENT

PEOPLE who take part in few recreational activities during youth and middle
age appear more likely to develop Alzheimer’s disease than their more
energetic peers.
A comparison of almost 200 elderly Alzheimer’s patients with healthy friends
and neighbours in America revealed that those with the neurologicial
condition had tended to participate much less frequently in leisure pursuits,
ranging from basketball to theatre, between the ages of 20 and 60.

The discovery, by scientists at the University Hospitals of Cleveland in
Ohio, indicates for the first time that an inactive lifestyle may contribute
to an increased risk of dementia in old age. The results could also signify,
however, that an apparently idle lifestyle may be a reflection of the early
effects of Alzheimer’s disease before the symptoms can properly be diagnosed.

In the study, details of which are published today in the journal Proceedings
of the National Academy of Sciences, a research team led by Robert Friedman
analysed 193 patients with symptoms of Alzheimer’s, along with a control
group of 358 healthy people of the same age. To ensure a comparable social
and educational background, the control group was chosen from among friends
and neighbours of the patients.

Each participant from both groups — or a close relative — answered a
questionnaire about the way in which they used leisure time between the ages
of 20 and 60, which covered 26 common pursuits, including football, swimming,
gardening, theatre, watching television and roller-skating.The results showed
that people who went on to develop Alzheimer’s had, on average, taken part in
fewer types of recreational activity, for less time, and at a lesser
intensity.

While the control group had participated in 16 of the 26 activities at least
once, the Alzheimer’s patients had tried only 13. The healthy group also
devoted more hours per month to leisure pursuits, and were more likely to
favour “intellectual” or “physical” activity, such as theatre and sport,
over “passive” pastimes such as watching television.

The difference between the groups was greatest when it came to enjoying
intellectual pursuits between the ages of 40 and 60. This could indicate that
neurological changes are at work, the scientists said.

The scientists said the results could stem either from the idea that
intellectual or physical activity protected against the onset of Alzheimer’s,
or the prospect that inactive people could be suffering from early,
undiagnosed symptoms of the disease.

“We conclude that the diversity of activities and intensity of intellectual
activities were reduced in patients with Alzheimer’s disease compared with
the control group,” Dr Friedman said. “These findings may be because
inactivity is a risk factor for the disease, or because inactivity is a
reflection of very early subclinical effects of the disease, or both.”

If inactivity does raise the risk of contracting Alzheimer’s, it could
explain why the disease is more common in Western societies than in the
developing world.

Dr Friedman said: “A protective relationship between high activity levels and
Alzheimer’s disease may explain partially the low prevalence of the disease
in rural India or urban Nigeria. Activity levels in developing countries are
certainly very high.”






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