Optimize

Dr David Glass

This week, we will discuss the last letter in the mnemonic NEURO - Optimise.

It has been said that doctors will never have as much knowledge at their fingertips as the day they graduated.  Indeed, they accumulated a vast amount of knowledge over six years in Medical School.  What happened to all that knowledge, and don’t they continue to learn through reading and experience?  Yes, but much of that knowledge becomes inaccessible due to a lack of use.  That is why professional organisations insist on continuing professional development.  As we get older, it becomes more difficult to recall information.  Healthy connections between our neurons are necessary for information transfer.

How can we create sufficient healthy neuronal pathways to facilitate memory and recall?  Apart from the other four pillars  - nutrition, exercise, unwinding and rest - the fifth pillar incorporates optimisation of neuronal function through building memory and streamlining connectivity.  This happens when we do work that challenges our thinking and memory, learn a new language, develop new skills, start a new hobby, play puzzles or sudoku, engage in various crafts, learn to play a musical instrument or learn more demanding pieces, and volunteer our services in areas that challenge our minds.  It is not all work.  We can also play games that stretch our minds and memory, especially in the company of our family or friends.  Reading or writing, or signing up for an adult education class, can also contribute to the growth of neuronal connections.

Another important way to optimise our brain function is through relationships and connections with people.  At the beginning of this series on dementia, we discussed the role of isolation and loneliness.  Living with a sense of purpose is intimately connected to relationships.  When grandparents recognise that they are valued and can play an active role in the smooth running of their families, it gives them a reason to get up in the mornings.  If they have supportive friends or are active in community programmes, volunteering services, or caring for animals, their risk of dementia is significantly decreased.  A study mentioned in the references below states that for every one-point higher feeling of meaning, there was a 35% decreased risk of all-cause dementia.

Many elderly people feel their lives have lost purpose.  But the Psalmist recognised that seniors have an important role still.  “But I will hope continually, and will praise You yet more and more.  My mouth shall tell of Your righteousness and Your salvation all the day.  For I do not know their limits.  I will go in the strength of the Lord God; I will make mention of Your righteousness, of Yours only.  O God, You have taught me from my youth; and to this day I declare Your wondrous works.  Now also when I am old and grey-headed, O God, do not forsake me, until I declare Your strength to this generation, Your power to everyone who is to come.”  “Also with the lute I will praise You…My lips shall greatly rejoice when I sing to You…My tongue shall talk of Your righteousness all the day long.”  Ps 71:14-18; 22-24. NKJV.

As the nominating committee of Helderberg College Church deliberates on the new officers for the next two years, remember that volunteering and being willing to participate in the work of the church are ways to keep your mind active and prevent dementia!  Of course, we want the young people to be more involved in leadership roles, but even the seniors can also contribute.

Dr Dave Glass 

References:

https://www.webmd.com/alzheimers/preventing-dementia-brain-exercises

Gottlieb S. Mental activity may help prevent dementia. BMJ. 2003 Jun 28;326(7404):1418. PMCID: PMC1151037. https://pmc.ncbi.nlm.nih.gov/articles/PMC1151037/#:~:text=Scott%20Gottlieb,-Find%20articles%20by&text=But%20not%20all%20activities%20seem,in%20those%20activities%20only%20rarely.