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Prevalence

Vascular dementia, as its name suggests, is caused by poor blood flow, produced by a single, localized stroke, or series of strokes.

It is the second most common dementia, accounting for perhaps 17% of dementias. It also co-occurs with Alzheimer's in 25-45% of cases. Although there are other types of dementia that also co-occur with Alzheimer's, mixed dementia generally refers to the co-occurrence of Alzheimer's and vascular dementia.

The two types of first-letter mnemonics

First-letter mnemonics are, as their name suggests, memory strategies that use the initial letters of words as aids to remembering. This can be an effective technique because initial letters are helpful retrieval cues, as anyone who has endeavored to remember something by mentally running through the letters of the alphabet can attest to.

There are two types of first-letter mnemonic:

I don't think anyone's going to try arguing that fruit and vegetables are not good for your health! We know they're good. But that's just general "oh, I know it's good for me" — do you know that the benefits are not only for your general health, your protection against obesity and diabetes, cancer and heart disease, but also for your brain. Actually, there's two aspects to this. An unhealthy diet (one rich in junk food, in saturated fat and sugar) is actively bad for your brain, and (the right) healthy diet is actively good for your brain.

Context is absolutely critical to successful communication. Think of the common experience of being a stranger at a family gathering or a meeting of close friends. Even familiar words and phrases may take on a different or additional meaning, among people who have a shared history. Many jokes and comments will be completely unintelligible, though you all speak the same language.

Creating a face-name association

  • Select a distinctive feature of the face (nose).
  • Select a word or phrase that sounds like the name (con rat for Conrad).
  • Create an interactive image linking the distinctive feature with the keyword(s) (a man in a prisoner’s uniform — con — rides a rat that slides down the nose).

To remember the name on seeing the face again, you must:

  • Identify the distinctive feature that you used when encoding (nose).

Genes

Several genes have been implicated in Alzheimer's, but the big one is the e4 allele of the ApoE gene (on chromosome 19). This variant is found in about a quarter of the population.

Having it doesn't mean you are foreordained to develop Alzheimer's, but it certainly increases the risk substantially. The risk goes up considerably more if both of your genes are the e4 variant (remember you inherit two: one from each parent).

We forget someone’s name, and our response might be: “Oh I’ve always been terrible at remembering names!” Or: “I’m getting old; I really can’t remember things anymore.” Or: nothing — we shrug it off without thought. What our response might be depends on our age and our personality, but that response has nothing to do with the reason we forgot.

I have spoken before, here on the website and in my books, about the importance of setting specific goals and articulating your specific needs. Improving your memory is not a single task, because memory is not a single thing. And as I have discussed when talking about the benefits of ‘brain games’ and ‘brain training’, which are so popular now, there is only a little evidence that we can achieve general across-the-board improvement in our cognitive abilities.

Have you ever been driving a car and suddenly you’re not sure what to do? You’re traveling along in usual automatic fashion and there comes a moment when you need to engage a new subroutine — say, you need to give way at an intersection, or you stall at the traffic lights, or you stop the car — and suddenly, you don’t know what to do. There’s a flash of panic, even while you’re thinking, “This is stupid, I’ve done this a thousand times”, and then, maybe it’s all right, maybe you have to take a moment to get your head in the right space, and ...

The effects of exercise on cognitive function in older adults

A number of studies in the past few years have provided evidence that physical exercise can ameliorate the effects of aging on the brain, in terms both of preventing or postponing dementia, and reducing the more normal age-related decline in cognitive function. The reasons for the effect are almost certainly multiple, for example: