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While you may experience the misery of hot flashes and mood swings as you enter menopause, one thing you can’t blame on the “change” is memory loss.

In the latest study that exonerates menopause as a cause of impairing the ability to recall, Taiwanese researchers compared the memory of hundreds of women before they had any menopausal symptoms to their memory as they entered menopause.

They found the women who were going through the menopausal process scored as well or nearly as well on five different cognitive function tests. Results of the study are to be presented Oct. 4 at the American Neurological Association annual meeting in Toronto.

“When women go into perimenopause, they don’t need to worry about cognitive decline,” said Dr. Jong-Ling Fuh, an attending physician at Taipei Veterans General Hospital and an associate professor of Yang-Ming University School of Medicine.

The researchers said the myth of memory loss during menopause is a perception some women have because as they went through menopause, they felt their memory wasn’t as sharp as it had been before. Studies suggesting that hormone replacement therapy might protect against dementia strengthened that belief. However, a large study later found that in older women, hormone replacement therapy not only didn’t help protect women from dementia, but could actually increase the risk.

To try to answer the question of whether menopause did have any effect on memory, Fuh and her colleagues studied nearly 700 premenopausal women living on a group of rural islands between Taiwan and China. The Taiwanese government restricted access to these islands until the 1990s, so the authors report that the study’s population was nearly homogeneous, which would help rule out other potentially causative factors of memory loss.

The women were between the ages of 40 and 54. None of them had had a hysterectomy, and none took hormone replacement therapy during the study.

All took five cognitive tests designed to assess their memory and cognitive skills at the start of the study, and then again 18 months later.

During the study period, 23 percent of the women began to have symptoms of menopause.

The researchers then compared the memory of the women who had entered menopause to those who had not, and found very little difference. In four of the five tests, there were no statistically significant differences in the two groups of women.

Only on one test was the difference statistically significant, and that difference, said Fuh, was very slight. This test was designed to assess verbal memory and involved showing the women 70 nonsensical figures. Some of the figures were repeated during the test, while most were not. The women were asked whether they had seen the figure earlier.

“For women, menopause does not mean you’ll develop memory loss,” said Dr. Raina Ernstoff, an attending neurologist at William Beaumont Hospital in Royal Oak, Mich. As you’re going through perimenopause and experiencing symptoms like hot flashes, she said, you may feel lousy and have trouble sleeping, which might temporarily affect your cognitive skills.

“I don’t think declining estrogen levels are what causes memory loss,” said Dr. Steven Goldstein, an obstetrician/gynecologist at New York University Medical Center in New York City. “It’s not like your memory is bopping along, doing fine and then takes this big dive during menopause, like bone density can.”

Both Ernstoff and Goldstein said they weren’t aware of many women who believed that menopause might cause significant memory loss. They also both felt that results from this group of women who were so homogeneous might not apply to different groups of women, such as those living in more industrialized society. And they both said that other factors that weren’t studied could play a role in memory loss, such as hypertension, which can contribute to vascular dementia.

Ernstoff also pointed out that the education backgrounds can play a large role in memory loss. Fuh acknowledged the researchers did attempt to control the data for educational differences.

SOURCES: Jong-Ling Fuh, M.D., attending physician, Taipei Veterans General Hospital, and associate professor, Yang-Ming University School of Medicine, Taipei, Taiwan; Steven Goldstein, M.D., obstetrician/gynecologist, New York University Medical Center, and professor, obstetrics/gynecology, New York University School of Medicine, New York City; Raina Ernstoff, M.D., attending neurologist, William Beaumont Hospital, Royal Oak, Mich., and member, Alzheimer’s Board of Detroit; Oct. 4, 2004, presentation, American Neurological Association, Toronto.

For more information visit: http://mhlnk.com/96973363

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Eating Your Way To Good Health

We’ve all heard the expression, “You are what you eat”… and many of us hope that just by upping our intake of broccoli or other green veggies will be enough to protect against devastating problems such as heart disease and cancer.

Recent research isn’t supporting these hopes, casting doubt on the idea of cure all foods. Some experts are now suggesting significant change needs to come to how we approach diet and disease.

This comes as a result of a major new study that found that while vegetarians do seem to be diagnosed with fewer cancers than meat eaters, they weren’t protected from bowel cancer.

This type of cancer had been thought to be particularly influenced by how much red and processed meat a person eats.

“But the suggestion of a reduced risk with increased fruit and vegetable intake once you take out all the other factors is much harder to prove. We are pretty much drawing a blank,” says Tom Sanders, professor of nutrition and dietetics at King’s College, London. “One of the myths is that fruit is bursting with minerals - it’s not. It’s essentially vitamin C and potassium - and most of us really have enough of these without five-a-day.”

Somewhere along the way, the idea of eating healthy, without regard for calories seems to have taken hold. And as we all want to get the most for our money, portion sizes have increased dramatically.

Eating huge portions of healthy foods actually brings you a whole lot more calories than you may have realized. We’ve come to think of healthy foods, like fruits and veggies or other low-fat options, as free calories, and don’t decrease our intake of other foods.

At the end of the day we’ve taken in more calories (eating healthy to be sure) and sabotaged our equally worthy weight control goals.

Perhaps public health efforts need to focus less on healthy foods as a cure all, and instead on controlling portion sizes, as well as making other healthy choices in our life that are good for our bodies.

Even eating the best, most healthy foods possible isn’t going to be enough if you’re smoking or engaging in other high-risk behaviors, being inactive, overweight or indulging in drugs and alcohol.

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When it comes right down to it, there’s no magic formula or miracle cure to staying healthy and cut disease. The things you need to do are things we all can do…

1. Don’t smoke – if you do, try to quit

2. Get active – at least 3.5 hours a week

3. Stay away from junk food and follow a diet rich in fruits and veggies,

whole grain breads, with limited amount of lean meat.

4. Watch your weight – keep the BMI under 30

Not altogether surprising suggestions – public health officials have been saying these things for years.

The startling news is the benefit some recent research has found to doing all four things at the same time.

Living this way cuts your risk of developing some pretty serious chronic diseases by almost 80%. The result holds even after adjusting for things like age, sex, education and occupation status.

The recommendations come from a report in this month’s Archives of Internal Medicine that analyzed the lifestyle, diet and health of 23,513 German adults who were from 35 to 65 years old and part of the European Prospective Investigation Into Cancer and Nutrition-Potsdam study.

Begun in the mid 1990s and covering an eight year period, the work found that subjects with healthy habits were far less likely to be diagnosed with conditions like cancer, diabetes and heart disease.

The team analyzed each person’s body weight, height, disease history, food frequency and how well they stuck with the four healthy lifestyle tips.

Only 9% of the subjects followed all four recommendations, but most of the participants practiced from one to three of these good-for-you habits.

All in all, following all four healthy habits combined was linked to…

· 93% lower risk of type 2 diabetes

· 81% lower risk of heart attack

· 50% lower risk of stroke

· 36% lower risk of cancer

These findings reinforce the idea that making simple, everyday changes to a healthier lifestyle is worth the effort.

It’s clear that healthy habits can have a huge impact on your health over the long term. If you’re concerned about living well into your later years, this study points out things you can do today – stopping smoking, keeping your weight under control, being more active – to keep your body healthy.

Healthier, disease free living starts with you. All you have to do is commit yourself to these four totally natural lifestyle choices to keep your body in shape.

If you smoke, you probably know it’s time to stop. Luckily there’s help quitting from support groups, nicotine replacement therapy, hypnosis or with medication – talk with your doctor to see which option is right for you.

All it takes is a simple change, like cutting down on junk foods is a painless but practical first step. Before you know it you’ll have dropped a few pounds, maybe discovered some healthy foods you actually like.

Once you’re eating better you’ll be more inclined to get up and exercising, which will show rewards almost at once in how you feel.

Before you know it, you’re living better, you’ve cut disease risk, your feeling better, and on your way to a healthier, happier life.

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Halina R.

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