Published October 21, 2023

Paul Hetzler
The Advocate

There is good news about treating cognitive decline – and it’s tasty. 

In North America, nearly one in 10 adults over the age of 65 has some form of dementia, including Alzheimer’s, while another 20 or so per cent have mild cognitive impairment. With treatment costs rising and our senior cohort expanding faster than the population at large, dementia is a topic that won’t  get old any time soon.

Though Alzheimer’s disease was first described in 1906, it seems to have been mostly forgotten until the mid-1970s, when real research began. Historically, those with dementia were locked in asylums and subjected to brutal “cures,” like lobotomies and electric shocks, practices that continued through the 1950s. Later, anti-psychotics, like haloperidol, came into vogue for calming aggressive patients ­– until it was found these drugs made dementia worse.

Donepezil and other cholinesterase inhibitors, which tweak brain chemistry to aid memory, came on the scene in the late 1990s. And now, there’s a drug called lecanimab, which was just approved this year, that slows or even prevents the formation of brain plaques thought to cause Alzheimer’s and certain other dementias. 

More than drugs to treat dementia

But treatment goes beyond medication. Proven techniques for mild dementia include what’s known as cognitive stimulation therapy. In a group setting, patients discuss world events, collaborate on novel tasks and play word and math games. For those with advanced brain disease, reminiscence therapy is a one-on-one talk about times past, using beloved objects or favourite songs to help spark memories.

We know smell and recall are closely linked. But until a few years ago, aromatherapy for dementia patients was relegated to non-medical use by family and friends of loved ones, since there was little science to support its value. Fortunately, that has all changed.

The reason smells can evoke deep emotions and rich memories is because other sensory inputs go through the thalamus, a “sorting hat” that routes data for processing elsewhere in our brains. But aromas zip from our olfactory bulb directly to our hippocampus, without passing “GO” or collecting $200. The hippocampus is involved in memory formation, and has been shown to be more strongly connected to smell than to any other sense. Aroma is likely how Santa, who’s hundreds of years old, still keeps track of all those kids and presents. He’s got fragrant evergreen boughs, a tang of reindeer dung and smoky chimneys to jog his memory.

Mice respond well to mint

In a report that came out in April, researchers from the University of Navarra in Pamplona, Spain, detailed how a mere whiff of menthol, an essential oil extracted from mint leaves, improved cognitive function in mice. I’m not sure if we need or want our mice to be any smarter, but that’s what happened to every test animal. However, this is not the most intriguing part of the study.

In addition to normal mice, the research team got their hands on a strain of transgenic mice that were modified to have the kind of brain plaques that cause Alzheimer’s disease in people. These poor mice got dementia quite young. To the researchers’ surprise, brief daily exposure to mint oil for six months was enough to completely halt cognitive decline in mice with Alzheimer’s.

The cool thing about mint is that it’s easy to grow. In fact, the hard part might be keeping it in check. It prefers moist, rich soils, but seems to thrive just about anywhere. Place a fresh mint sprig in water, and it will begin to root in a week or so. Once the roots are fairly well developed, transfer it to a corner of your property where it won’t be a nuisance if it spreads. Dried mint can be kept in glass jars for use in winter.

Essential oils improve brain function

A topically related study at the University of California at Irvine this year took aromatherapy one step further. Published in July, the report states that diffusing trace amounts of essential oils into the air during sleep improved brain function 226 per cent in adults age 60-65. The odorants used in the six-month trial were not specified, but it’s a safe bet mint oil works as well, if not better, than other scents. I’ve already begun doing this at night. I’ll let you know when I feel 226 per-cent smarter.

Study looked at effects of maple syrup

In 2016, scientists from the University of Toronto went public with findings – which they admitted were preliminary – that maple syrup helps prevent Alzheimer’s. Natural phenolic compounds in maple syrup seem to keep tangles and plaques from forming in the brain. It’s only right that this research took place in the maple capital of the world. Since that time, studies in the U.S. continue to affirm the results from the earlier work at the University if Toronto.

Exercise, good sleep habits, a balanced diet and plenty of social interaction will help protect brain function. It’s best to avoid smoking and limit alcohol as well.

Given this new information on the benefits of eating syrup and sniffing menthol, I think we should all add mint ice cream topped with maple syrup to our diets. Just to give our brains a leg up. There’s no sense taking chances.

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