WYOMING — Alzheimer’s disease is expected to impact nearly 13 million Americans by 2050, including 10,000 Wyomingites today, according to the Alzheimer’s Association. So, as you contemplate your New Year’s resolutions for 2024, consider steps you can take to maintain and improve your cognitive function. 
Research has shown lifestyle changes like improving diet and exercising regularly have helped drive down death rates from cancer, heart disease and other major diseases. These same lifestyle changes may also reduce or slow your risk of cognitive decline, which is often a precursor to Alzheimer’s and other forms of dementia. 
“There is increasing evidence to suggest that what is good for the heart is good for our brains,” says Debra Antista-Bianchi, executive director of the Alzheimer’s Association of Wyoming. “Keeping our brains healthy is not something we should worry about only as we get older. It should be a lifelong effort.” 
Healthy brain tips
Looking for tips on how to protect your cognitive health? Here are several ideas borne from research supported by the Alzheimer’s Association:
• Manage your blood pressure – People treated by FDA-approved medications to a top systolic blood pressure reading of 120 instead of 140 were 19 percent less likely to develop mild cognitive impairment, according to a study led by researchers at Wake Forest Baptist Medical Center. Those people also had fewer signs of damage on brain scans, and there was a possible trend toward fewer cases of dementia.
• Check your hearing – Hearing loss is present in 65 percent of adults over age 60, according to researchers. This study looked at a subgroup of older adults with hearing loss who were at higher risk for cognitive decline, making up about ¼ of the total study population. This study showed that those participants at highest risk for cognitive decline who utilized hearing aids and hearing counseling for three years cut their cognitive decline by 48 percent.

• Get vaccinated – Getting an annual flu vaccination was associated with a 40-percent decrease in the risk of developing Alzheimer’s disease over the next four years, according to researchers from The University of Texas’ McGovern Medical School, who found that even a single flu vaccination could reduce the risk of Alzheimer’s by 17 percent.
• Go with your gut – About 16 percent of the world’s population struggles with constipation – more among older adults due to fiber-deficient diets, lack of exercise and the use of certain medications. Researchers found that bowel movements of every three days or less was associated with 73-percent higher odds of subjective cognitive decline and long-term health issues like inflammation, hormonal imbalances and anxiety/depression.
• Cut back on ‘ultra-processed’ foods – People who consume the highest amount of ultra-processed foods have a 28 percent faster decline in global cognitive scores – including memory, verbal fluency, and executive function – compared to those with lower consumption, according to research involving half a million people living in the UK. High consumption was defined as more than 20 percent of daily caloric intake. Ultra-processed foods are those that go through significant industrial processes and contain large quantities of fats, sugar, salt, artificial flavors/colors, stabilizers and/or preservatives. Examples include sodas, breakfast cereals, white bread, potato chips and frozen foods, such as lasagna, pizza, ice cream, hamburgers and fries.
• Get vaccinated (part 2) – Getting a vaccination against pneumonia between the ages of 65 and 75 reduced Alzheimer’s risk by up to 40 percent, according to a Duke University’s Social Science Research Institute study.
• Be social – That’s right. Add “hang out with friends” and “have fun” to your New Year’s resolutions list. For example, enroll in a dance class with a friend. Alzheimer’s researchers are now looking into whether increased socialization, along with a “cocktail” of lifestyle interventions including improved diet, exercise, cognitive stimulation and self-monitoring of heart health risk can protect cognitive function. The Alzheimer’s Association’s U.S. study to protect brain health through lifestyle intervention to reduce risk (U.S. POINTER) is a two-year clinical trial that hopes to answer this question, and is the first such study to be conducted of a large group of Americans nationwide. 
“There’s currently no certain way to prevent Alzheimer’s and other dementias,” said Antista-Bianchi, “but there is much to be gained by living a healthy lifestyle and adopting brain health habits that you enjoy.”
For those with questions about memory loss or personality changes that may be associated with Alzheimer’s or other forms of dementia, the Alzheimer’s Association has a free helpline open 24/7 staffed by trained professionals; call 800-272-3900.

Alzheimer’s by the numbers
• More than 6.7 million people in the U.S. are living with Alzheimer’s or other forms of dementia in 2023 – 55 million people around the world.
• About 1 in 9 people, or 11.3 percent, in the U.S. age 65 and older has Alzheimer’s dementia.
• More than 10,000 Wyomingites are living with dementia.
• Approximately two-thirds of those living with Alzheimer’s are women.
• Black Americans are twice as likely as whites to develop Alzheimer’s while Latinx folks are 50 percent more likely than whites.