June 30, 2008

Low HDL Linked To Memory Loss

High Levels Of Good Cholesterol May Lower Risk Of Dementia, Study Suggests

  • Low levels of high-density lipoprotein (HDL), or good cholesterol, in middle age may increase the risk for developing dementia later in life, new research suggests.

    Low levels of high-density lipoprotein (HDL), or good cholesterol, in middle age may increase the risk for developing dementia later in life, new research suggests.  (CBS)

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(WebMD)  Low levels of high-density lipoprotein (HDL), or "good" cholesterol, in middle age could increase the risk of developing dementia later in life, new research suggests.

Falling HDL cholesterol levels among study participants in their mid 50s to early 60s predicted memory declines during the same period.

Although poor memory in middle age has not been directly linked to Alzheimer's disease and other forms of dementia in old age, memory decline is key to the diagnosis of these conditions, lead researcher Archana Singh-Manoux, PhD, tells WebMD.

"Our research does not show a link between HDL and dementia," she says. "We looked at cognitive decline in midlife, but it may turn out that this decline is a risk factor for dementia."

HDL, LDL and Memory

Researchers have attempted to study HDL and other lipids like low-density lipoprotein (LDL), total cholesterol, and triglycerides in patients with Alzheimer's and other age-related dementias, but these studies have proven problematic, Singh-Manoux says.

"By the time people are diagnosed they have usually had the disease for many years, and the disease itself may have modified these lipid profiles," she says.

As a result, more and more researchers are focusing on potential risk factors for dementia that present long before the disease is identified.

This was the approach used by Singh-Manoux and colleagues from the University College London.

Their study included 3,673 civil servants enrolled in a British health trial, which included periodic analysis of blood lipid levels and testing for memory declines.

The data analyzed by the researchers were collected at two time periods - when the average age of the participants was 55 and again when they were 61.

Low HDL cholesterol was defined as less than 40 mg/dL, and an HDL level of 60 mg/dL or more was considered high.

During the observation period, declines in HDL were found to be associated with corresponding declines in memory.

At age 61, study participants with low levels of "good" cholesterol had a 53% increased risk of memory loss compared to participants with high HDL levels.

Statins Didn't Help Memory

Total cholesterol and triglyceride levels were not linked with memory declines, and the use of statin drugs did not seem to affect memory loss.

Statins lower LDL but are not very effective for raising HDL. Clinical trials of other drugs that specifically target HDL have so far proven disappointing.

Following a healthy lifestyle - including regular exercise, maintaining a healthy weight , and not smoking - is the best way to raise HDL levels, American Heart Association (AHA) spokeswoman Martha Daviglus, MD, PhD, tells WebMD.

"A healthy lifestyle can make a huge difference for everyone," she says. "We know that lifestyle is key to lowering risk for a whole range of diseases and conditions."

The new findings suggest that making healthy lifestyle choices early on could benefit memory and cognitive function in middle age with the possibility of preventing dementia later in life.

The study appears in the August issue of the AHA journal Arteriosclerosis, Thrombosis and Vascular Biology.

"Total cholesterol and LDL are well established risk factors for heart disease," Singh-Manoux says. "Physicians monitor these levels regularly, but I don't think we pay enough attention to HDL cholesterol. Our results show HDL cholesterol to be important for memory, so physicians and patients should be encouraged to monitor HDL."



By Salynn Boyles
Reviewed by Elizabeth Klodas
©2005-2008 WebMD, LLC. All rights reserved.
Add a Comment
by sjw1253 July 2, 2008 6:01 PM EDT
talkingham

I don''t know where you get your information but there is a tremendous amount of research in medical fields (not supported by any vegetable oil companies) that support the research.

Italians have used Olive oil for centuries.

The interesting fact about the foundation that you are directing people to is that they support animal farming...

Can you say... Conflict of interest???

I will trust university medical research over a foundation that is trying to save animal farmers from losing their business in selling animal fat.

The only way to do legitimate research is to have an objective research that is not tied to the interests of any industry. I have been involved in medical research in the past and know that no industry money was used for our research and the facts proved that olive oil has a significant benefit to vascular ******* over that of animal fat.
Reply to this comment
by July 1, 2008 7:40 PM EDT
What a joke. Print anything and people run to have a test they don''t need and then they get talk into a drug they don''t need, but maybe their liver can take it. Can you say "Over Medicated Society"?
Reply to this comment
by talkingham July 1, 2008 2:11 PM EDT
Once again the anti animal fats lobby is shown to be completely wrong with their poly-unsaturated "low-fat" approach to health which primarily serves the vegetable oil industry. Most people don''t have a clue to how unstable virtually all vegetable oils are in terms of their storage and use as well as the fact that most of these oils were never consumed by people until the last 50 years, 50 years of incredibly bad health outcomes.

"Total cholesterol and LDL are well established risk factors for heart disease," Singh-Manoux says-- established in the media by edible oils companies but not in science. Go to the Weston A. Price foundation for a real discussion of cholesterol not made bogus by the edible oils industry.

These are the same people who told you to eat trans fat laced magarines for the last 35 years!
Reply to this comment
by nssherlock1 July 1, 2008 12:49 PM EDT
What?
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by pollroller1 July 1, 2008 11:28 AM EDT
My HDL is low and I....... I forgot what I was going to say.
Reply to this comment
by closethippy1 July 1, 2008 7:45 AM EDT
Go HDL!!! I love you, man. I always have.
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