How to Prevent Alzheimer's: Physical Activity and Cognitive Decline- FORD BREWER MD MPH

3,439 views · Published 26 December 2017 · 18:39 · Indexed 6 November 2026

Channel: Dr. Ford Brewer MD MPH · 2017 · Science & Technology

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ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor.  After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine.  While there, he went on the run the post-graduate training program (residency) in Preventive Medicine.  From there, he made a career of practicing and managing preventive medicine and primary care clinics.  His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics.  He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline.  We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event.  Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area.  We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance.  Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
On Dec 17, 2017 the Annals of Internal Medicine published a series of meta-analyses on prevention of cognitive decline/ Alzheimer'shttp://www.dssimon.com/MM/ACP-dementia/Physical_Activity_to_Prevent_Cognitive_Decline.pdf

These reviews were greeted and hailed with the editorial quote, "Finally someone had the guts to admit we don't know how to prevent Alzheimer's."  I'd say, "not so fast". 
Review of the details of this study make it clear. There is hope. But there needs to be an entire lifestyle, for decades, including exercise, diet, control of bp and diabetes, etc. It's not entirely clear what all needs to be included, but it's clear that: 
1. this is long-term - not 6 months
2. this is multi-system - not a "silver bullet" approach;
3. More work needs to be done. Things like IR have not been clearly defined yet.

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