Exercise may prevent damaging
changes in the brain that are associated with Alzheimer's,
thereby lowering the risk of developing the disease, a
new study involving mice suggests.
Exercise also seemed to
increase the rate of learning among mice bred to have
Alzheimer's-like symptoms, the scientists said.
In the study, researchers
showed that long-term physical exercise decreased the
level of plaque-forming beta-amyloid protein particles,
which are characteristic of Alzheimer's.
The findings appear in
the April 27 issue of The Journal of Neuroscience.
"This is the first study
to show that exercise is sufficient to decrease the number
of plaques in the brain as well as increase the rate of
learning," said lead researcher Paul A. Adlard, a post-doctorate
fellow at the University of California, Irvine.
Adlard and his colleagues
worked with mice especially bred with the human gene that
produces the beta-amyloid protein. "The mice are similar
to Alzheimer's disease patients,"
he said.
When the mice were about
four to six weeks old, they were placed in cages with
or without exercise wheels. Those that had the wheels
were allowed to exercise for either one month or five
months, anytime they wanted. Those without wheels were
considered sedentary subjects.
Periodically, the animals'
ability to learn was tested by placing them in a water
maze. The animals that exercised mastered the maze faster,
the researchers report. Mice that used the running wheels
for five months took less time to learn the maze than
mice that didn't exercise. This finding may mean that
exercise can help to offset learning and cognitive problems
suffered by Alzheimer's patients, the researchers said.
After five months, Adlard's
team also examined tissues from the brains of mice that
had exercised. "These mice had almost 50 percent fewer
plaques than mice that did not exercise," he said.
Why exercise has this effect
remains a mystery, Adlard said. "However, the exciting
thing about this is it is giving scientific credence to
a lot of anecdotal evidence," he noted. "This study demonstrates
that a small change in lifestyle does have a scientific
basis for perhaps being able to prevent Alzheimer's disease."
Adlard added, however,
that it is not yet clear how this animal study might translate
to humans. The amount of exercise needed for people to
achieve the same benefits is unknown. Another unknown
-- how early in life exercise should be started, he said.
Dr. David A. Bennett, director
of the Rush Alzheimer's Disease Center in Chicago, called
the findings "fascinating."
Bennett said he is doing
studies with more than 1,000 healthy people to see how
lifestyle affects the development of Alzheimer's. "The
people in the study have agreed to brain donation, so
after they die, we can measure amyloid deposits," he said.
Bennett hopes to find that
lifestyle changes can reduce a person's risk of Alzheimer's.
"There is clearly something to these lifestyle changes,"
he said. "The question is whether or not it's affecting
disease pathology itself."
While lifestyle changes
may prevent Alzheimer's, it's doubtful they can help Alzheimer's
patients, Bennett said. "For example, cigarette smoking
increases your risk for lung cancer, but once you have
lung cancer, cigarette smoking really doesn't have much
effect," he added.
However, new hope for those
with Alzheimer's comes from research results just reported
in the April 24 online issue of the journal Nature
Medicine.
The study results suggest
that gene therapy could slow the progression of Alzheimer's
by stopping brain cells from dying.
Of the seven surviving
patients who had a protein known as nerve growth factor
implanted into their brains in 2001 and 2002, tests suggested
the procedures may have slowed their mental decline by
36 percent to 51 percent. In addition, PET scans revealed
that some of the patients' brains were using more glucose,
a possible sign of increased mental activity.
"Our hope is that these
findings mean people can remain more functional in their
home setting for a longer period of time and have an improved
quality of life," said Dr. Mark Tuszynski, a professor
of neurosciences at the University of California, San
Diego, and co-author of the study.
More information
To learn more, visit the
Alzheimer's
Association.