Acceptance

It is not my fault
that the ground I walked on
was already filled with trash.
yet I had turned my mind’s eye away
from the memory of having the walk
and lived on as nothing had happened.
I reached out my hand today
to the memory long neglected.
I accept who I was,
what I have seen, in spite of
what I had hope for
as I accept who I am now.

9.12.2023

Judge

instinctively,
my jaws tighten,
my fists clench,
my thoughts start racing.
as if to push a racing train to a halt,
I tell myself:
I am not the one to judge.
yet the screeching animosity does not stop,
rather slowly pressurize for an explosion.
if humans are not perfect,
why strive for such perfection?
I’d like to know I did the right thing
and live and love without regret.

9.2.2023

Beginning

staring into the dot,
I saw only the dot.
the more I stared at it though,
I started to see something else.
I started to appreciate how it stays here
when it could have been anywhere.
I appreciate how it encompasses opposite
of blankness.
I appreciate how we all are eventually
a dot, like itself, when seen from far, far away.
I started to see the world, the life, all encompassed.
I appreciated the dot.

8.3.2023

Alcohol: Negative Cognitive Health Effect

Drinking alcohol is prevalent in most cultures. Some claim that liquor is a social lubricant, allowing people to bond. But many would also attest to feeling they couldn’t walk straight, talk without slurred speech, or remember what happened the day after drinking alcohol. In this post, we will explore the potential long-term adverse effects of drinking liquor.

Please note depending on where you live, there may be an age limit (e.g., 21 years old if you live in the United States) on when you can legally purchase and drink alcohol.

What are Alcoholic Drinks?

Liquor is an alcoholic drink often produced by distilling fermented grains, fruits, or vegetables. Common types of liquor include beer, wine, and hard liquor, such as whiskey.

The United States Centers for Disease Control and Prevention (CDC) recommends 1 or fewer drinks in a day for women and 2 or fewer drinks in a day for men. A “drink” standard drinking size in the United States contains 14 grams (0.6 ounces or 1.2 tablespoons). This is equivalent to:

  • 12 ounces of 5% alcohol beer
  • 8 ounces of 7% wine
  • 1.5 ounces of 40%alcohol liquor.

The CDC defines binge drinking as drinking 4-5 or more drinks a day and heavy drinking as drinking 8-15 or more drinks per week. Binge drinking could lead to alcohol poisoning, a medical emergency from high blood alcohol levels because excessive drinking exceeds the body’s capacity to process alcohol.

Symptoms of alcohol intoxication include decreased judgment and control, slurred speech, reduced muscle coordination, vomiting, reduced consciousness and cognitive function, and coma.

What Are the Effects of Alcohol on Cognitive Health?

Heavy drinking was found to be associated with an increased risk of dementia. A 2018 longitudinal study in the United Kingdom following people’s alcohol consumption level for 23 years suggests that those who drank more than 14 drinks a week had an increased risk of dementia.

A 2019 systematic scoping review conducted on articles published between 2000 and 2017 suggests that heavy alcohol use was associated with changes in brain structures, cognitive impairments, and increased risk of dementia. A 2023 systematic review in Europe also found a similar effect: moderate to high alcohol consumption was associated with an increased risk of cognitive impairment, memory loss, and risk of dementia.

Another study conducted in 2019 with 785 individuals from the Jackson Heart Sleep Study suggests that evening drinking alcohol can impair sleep quality, which may lead to a high likelihood of memory impairment and other cognitive functions.

Other effects of drinking alcohol include:

  • Liver disease: fatty liver, cirrhosis, hepatitis, fibrosis, and liver cancer
  • Heart disease: arrhythmias, cardiomyopathy (enlarged heart), hypertension, stroke
  • Muscle loss: muscle waste (reduced muscle tissue)
  • Depression & Anxiety: higher likelihood of depression & anxiety
  • Obesity: increased likelihood of weight gain

Are There Benefits of Drinking Alcohol?

A moderate amount of drinking (1-2 drinks) was associated with a lower risk of dementia. Some studies suggest light drinking (drinking low alcohol content) can help with rehydration after a workout, but some studies produced evidence suggesting that it may impair muscle recovery.

In the early 2000s, discoveries were made that resveratrol, a chemical found in red wine, has an antioxidant property that may have an anti-aging effect in mice. However, the researchers also found that you would have to consume about 1000 bottles of wine in order to find a similar effect in humans.

Summary

We explored the effects of alcohol on our mind, body, and overall health. Drinking above the recommended amount of alcohol (1-2 drinks) was associated with an increased risk of cognitive decline. We hope this post has helped you learn some of the consequences of excessive drinking and help you have a healthy drinking life. Please drink (if you are legally allowed to) responsibly!

If you have an alcohol disorder or any other health concerns related to alcohol, please contact your physician or the SAMHSA (Substance Abuse and Mental Health Services Administration).

Cognitive Benefits of Physical Exercise

Physical exercise has many benefits: losing weight, maintaining health, and preventing diseases from a sedentary lifestyle. Did you realize that you can also have cognitive benefits from regular physical exercise? In this post, we will explore ways physical exercise can improve cognition.

  1. What are the Benefits of Physical Exercise?
  2. How Does Physical Exercise Increase Cognitive Function?
  3. Other Benefits of Physical Exercise
  4. What are the Types of Physical Exercise?
  5. How to do Physical Exercise?
  6. Summary

What are the Benefits of Physical Exercise?

A 2018 systematic review cites studies that found improvement in cognitive functioning. Wait, but do you know what “cognitive functioning” means? The word “cognitive function” is used frequently in psychology literature when we talk about psychological benefits. So what is it? American Psychological Association defines it as “the performance of the mental processes of perception, learning, memory, understanding, awareness, reasoning, judgment, intuition, and language.” It’s the brain’s capacity to learn, memorize, do daily activities, and pay attention.

The cited studies in the systematic review found improvement in memory, decision-making, and paying attention. Among children, those who exercise were more likely to have better academic achievement, such as verbal and arithmetic tests, compared to those who do not regularly exercise. Children with ADHD who had regular exercise had improved decision-making ability than those who did not exercise. For older adults, incorporating regular physical exercise up to middle life provides the most protective effect against cognitive decline due to natural aging. A 2015 study suggests that older adults vulnerable to cognitive impairment may benefit from combining cognitive training and exercises. Regular physical exercise may reduce the risk of dementia and Alzheimer’s disease and improve quality of life.

How Does Physical Exercise Increase Cognitive Function?

So how does regularly going out to exercise improve the brain’s capacity to learn and remember? The 2018 systematic review shows that regular physical exercise led to neuroplasticity, the capacity of neurons in the brain to change their connections. Authors cited a number of studies showing physical exercise increasing gray matter volume and reducing damage in the gray matter in frontal and hippocampal regions.

Physical exercise also increases blood flow, brings more nutrition (such as oxygen and energy from glucose and triglyceride breakdowns) to the brain, and stimulates the release of peripheral brain-derived neurotrophic factor (BDNF), which regulates the creation of synapses (neuron connection) and synaptic plasticity underlying learning. Changes in neurotransmitters, such as serotonin and endorphins, are cited as contributors to improved cognitive function as well.

Other Benefits of Physical Exercise

Physical exercise can also improve the sense of self-competency, self-efficacy, and self-esteem. This could help create positive social interactions and opportunities, possibly preventing cognitive decline. A 2023 study points out that social isolation, loneliness, and depression may be associated with cognitive decline. According to the 2018 systematic review, regular physical exercise can reduce depression and anxiety compared to those who do not exercise regularly.

It can also reduce unhealthy behaviors like smoking cigarettes, drinking alcohol, and gambling. These beneficial effects may last to even the next generation. The systematic review cites studies investigating epigenetic changes due to regular exercise, in which gene expression is regulated to give lasting cognitive benefit through increasing gene expression that produces proteins associated with memory and learning.

What are the Types of Physical Exercise?

Now that you may be interested in applying regular physical exercise to your daily life, you may wonder, “What type of physical exercise is good for me?” Factors to consider when choosing a physical exercise are intensity, frequency, duration, and whether you do it alone or in a group.

  • Aerobic exercises (exercises with intense oxygen usage) usually last long, with adjustable intensity. Typical aerobic exercises include jogging, running, cycling, and swimming.
    • Acute aerobic exercise: enhances mood and cognitive function (usually small effect)
    • Chronic aerobic exercise: increases neuroplasticity, and cognitive function (memory/decision-making), prevents neurodegeneration, and decreases anxiety and depression.
  • Anaerobic exercises (exercises with less oxygen usage) usually have high intensity and short duration. It does not use the energy created by the breathing system but instead uses energy stored in your muscles.
    • While some studies suggest improvement of mood with anaerobic exercises, a limited amount of studies suggest improvement of cognitive function with anaerobic exercises.
    • A 2017 study comparing anaerobic exercise against aerobic exercise among college-aged students found that there are no significant benefits found with anaerobic exercise but modest improvement with aerobic exercises.

How to do Physical Exercise?

So what kind of physical exercise should we do to improve our cognitive function level? Harvard Health Blog of Harvard Medical School recommends aerobic exercises such as running and cycling that can increase oxygen transported to the brain through the blood system. Other recommended forms of exercise include yoga and tai chi, although there is less evidence of improving cognitive functions. It cites the CDC’s recommendation of targeting at least 30 minutes of daily exercise five days a week.

American College of Cardiology 3 steps of planning exercise for those wanting to exercise.

  1. Plan your 3 “E”s
    • Energy: you should start exercising when you feel you have enough energy. If you just ate a meal, wait at least 1 hour before your exercise starts.
    • Environment: if you exercise outside, extreme temperatures should be avoided (>85’F or <32’F). Wear supportive footwear!
    • Effort: try starting with a comfortable level where you can carry on a conversation.
  2. Plan your exercise Type, Frequency, Intensity, and Duration.
    • Type: start with a warm-up with slow pace walking/biking and end with a cool-down with similar intensity. Stretch major muscle groups (hamstrings, calves, and Achilles tendons) for 20-30 seconds.
    • Frequency: you can exercise as short as 5 minutes daily and increase it to 5 times per week of 30-minute exercises.
    • Intensity: start with fairly light intensity and increase to a more intense level, then cool down to fairly light intensity again.
    • Duration: you can start with as short as 5 minutes, then increase to 30 minutes daily.
  3. Keeping your Motivation
    • Doing exercise in groups could help you keep accountable for your exercise goals. You can visualize the end result of your exercise. Try to recall all the benefits we discussed in this post!

Summary

Physical exercise can help improve mood, learning and prevent unhealthy behaviors. Simple steps can be taken to gain the advantage of these exercises, especially aerobic exercises. We also explore how exercise leads to biological changes that improve our cognitive function. We hope that this has helped you motivate exercise more!

Disclaimer: This web post is for information purposes. If you have medical needs, please contact your primary care physician.

How to Improve Cognitive Level

While many people resign to the fact that cognitive function level declines with age, there are small changes in daily life we can do to reduce its effect. These lifestyle changes will not only improve your cognitive function level but also reduce the likelihood of dementia and Alzheimer’s disease. This post will pinpoint small changes we can embrace to improve our cognitive level.

  1. Why Do We Forget As We Age?
  2. What Is The Difference Between Normal Aging And Neurodegenerative Disease?
  3. What Is My Chance Of Dementia?
  4. What Can I Do To Improve My Cognition?
  5. Summary

Why Do We Forget As We Age?

Anyone who has looked for where they had put their keys will be familiar with how easily we can forget things. Older people tend to experience this forgetfulness much more frequently. So why do we forget as we age?

We forget with the reduction of neurons, a major type of brain cells. Although we form millions of neurons in the early years of life, it is said that we start to lose them in our 30s and 40s. A reason why the number of neurons decreases as we age could be because of reduced blood flow to the brain. This may lead to changes in chemicals in the brain, such as reduced epinephrine or blood glucose. Shrinkage of the hippocampus, a brain region that plays an important role in learning and memory, may lead to forgetfulness.

What Is The Difference Between Normal Aging And Neurodegenerative Disease?

Once we start noticing forgetfulness, we may begin to have this worrying thought: “What if I have dementia?”

Memory loss of normal aging involves infrequent forgetfulness. Perhaps once in a while, you will forget about a meeting, a bill payment, or a person’s name. But severe memory loss that makes it difficult to do everyday things like driving, being confused with time, people, and places, or finding your way home, might be a good indication for you to start planning a visit to your doctor.

If you suspect yourself of having a neurodegenerative disease, talk to your doctor. If you are aged over 65 years old and had Medicare Part B for longer than 12 months, you may be eligible for an Annual Wellness Visit to develop a free personalized plan to help prevent dementia. Your doctor may be able to assess your cognitive level with questionnaires like Mini-Mental State Examination.

Such memory-related questionnaires can help differentiate between different stages of dementia. Mild Cognitive Impairment is the stage between the expected decline in memory due to normal aging and the more serious decline due onset of dementia.

What Is My Chance Of Dementia?

Measuring the prevalence of dementia is difficult to measure, especially since the early onset of cognitive impairment is difficult to differentiate from memory loss from normal aging.

With increasing age, the chance of having dementia increases. In 2019, approximately 2% of those aged 70-75 years old had dementia, while 27.7% of individuals aged more than 90 years old had dementia.

There are conditions and activities that may lead to a higher chance of memory loss and neurodegenerative diseases. Excessive drinking of alcohol, smoking cigarettes, and having depression may lead to memory loss. Having chronic illnesses such as diabetes, hypertension, high cholesterol level, and depression may lead to an increased likelihood of dementia. Even hearing impairment could increase the likelihood of cognitive impairment.

What Can I Do To Improve My Cognition?

  • Getting enough daily sleep (7-8 hours) is recommended to improve your cognitive function level.
  • A healthy diet, such as eating fruits that have a lot of antioxidants and omega-3-rich foods such as fatty fish and walnuts can improve brain health.
  • Regular aerobic physical exercises, such as tai chi and walking, for 150 minutes each week is recommended.
  • Social engaging activities, such as volunteering or hobbies, that make you happy interacting with others can have protective effects by improving memory and self-esteem.
  • Journaling and creative writing have been shown to improve the quality of life and well-being of older adults.
  • Relaxation techniques, such as meditation or yoga, can help you reduce stress levels, blood pressure levels, and muscle tension, which can help improve your memory function.

Summary

There’s no worry if you are experiencing memory loss. If it is infrequent, it may be a temporary event. However, if you would like to proactively increase your cognitive level and also prevent the later chances of having neurodegenerative disease, consider taking the lifestyle change actions recommended above. With small incremental efforts each day, you can find tremendous improvement in your quality of life.

This post was inspired by Health Life Guru and Health Tips Now. Please feel free to pay a visit to them!

Disclaimer: This web post is for information purposes. If you have medical needs, please contact your primary care physician

Memory

I remember the four seasons in that house.
in the summer, I can see the dark blue sky
through a sun window tilted diagonally.
I’d lay on the bed, reading William Matthews.
in the fall, I can pick a dried brown leaf
of a chestnut tree & make a wish
for a magical season to begin.
in the winter, I can see the back yard,
now piling up with thick, soft snow,
through kitchen window
as I wash bowls that had dumpling soups.
in the spring, I would stare at sunset,
glistening in a silent glorious opera
through budding green tree leaves
as I finish packing boxes.
the squeaking sound of wooden floors,
the table of vynil record player,
and the bottle of wine.
I remember the scent of the moment.

5.12.2023