The Howard County
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VOL.7, NO.6
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While it’s never too late to start, it’s clearly true that the earlier we do so, the better. According to the Alzheimer’s Association, our risk of developing the disease doubles every five years after the age of 65. It is estimated that one in nine Americans 65 and older currently has Alzheimer’s, as do nearly one-third of those 85-plus. Because they live longer, women constitute nearly twothirds of all victims. And the cost of dealing with dementia affects not just the patients and their families, but all of us. A 2013 study by RAND Corp. found that the cost of treating dementia diseases in the nation ranges from $157 billion to $217 billion annually — more than the cost for treating heart disease or cancer. That amount, which mostly goes for institutional or home-based care, could double by 2040, RAND found. “If we can lower the dementia risk simply by having the patient practice brain
JUNE 2017
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PHOTO BY CHRISTOPHER MYER
Don’t wait to start
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More than 30,000 readers throughout Howard County
His job is preventing dementia By Robert Friedman “We have to start in our 40s, at least, if we want to have any hope of lowering the overall personal risk for Alzheimer’s and other dementias.” That is the advice of Dr. William Mansbach, a geriatric neuropsychologist who lives and works in Columbia. Mansbach has a national reputation in the fight against the disease, and is a member of the Governor’s Alzheimer’s Council of Maryland. That we have any ways at all of lowering our risk of the disease is a good thing. And we owe thanks to Mansbach and his team of some 35 medical professionals and researchers for developing a new program aimed at helping to prevent — or at least postpone — the occurrence of dementias, including Alzheimer’s Disease. The new program is called ENRICH, and its acronym espouses six “brainhealthy habits”: Exercise daily; No smoking; Routinely add cognitive stimulation that is challenging; Improve mood; Control hypertension and heart rate, and maintain Healthy weight and body fat.
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ARTS & STYLE Dr. William Mansbach has developed a screening tool to help professionals assess a person’s risk for dementia. He advises people to start improving six main areas of their health — from stopping smoking to engaging in brain games — which he believes reduces the risk of Alzheimer’s and other dementias.
healthy behavior years before — if we can delay the onset even by five years — that would mean tremendously lower health costs,” Mansbach said. He strongly recommends that people start practicing this behavior when they reach their 40s, because that is the age when “the game changes” health-wise. “Blood pressure problems, for instance, begin for many people in their 40s,” he said. He also noted that findings show that those who have reached their 80s dementiafree will probably not develop Alzheimer’s disease. “That form of dementia usually starts in the 70s,” he said. “Most people can function with a mild memory deficit or forgetfulness. It’s part of getting on,” said the 58-year-old genetics specialist, who has spent exactly half
his life treating patients and “now more than ever” doing research in this field.
Assessing the risk In 2006, Mansbach developed the BCAT (Brief Cognitive Assessment Tool), which is now reportedly the most widely used method that geriatric physicians and others use to decide whether the brains of their patients 50 and older may have “crossed over” into dementia. The test takes under 15 minutes. The results are followed, if needed, by a rehabilitation program that includes a brain rehabilitation program and exercise memory books. In an accompanying exercise book, for See BRAIN-HEALTHY, page 7
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THE 50+ CONNECTION 15 k Newsletter from Howard County Office on Aging and Independence LAW & MONEY 19 k Negotiate bills to save hundreds k Fighting financial abuse ADVERTISER DIRECTORY
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