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Constricted Living Space Associated with Dementia Risk

Senior citizens who spent their time restricted to their living quarters had a higher chance of developing dementia, a new study finds. Cynthia Graber reports














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Keeping the brain active and engaged appears to combat the cognitive decline associated with getting older. Now a study has found a new, but related, factor in maintaining a sharp mind—the space in which we live.

Researchers recruited almost 1,300 senior citizens, none of whom showed any signs of clinical dementia at the start of the study. The participants had their cognitive function tested annually for up to eight years. And they also described their living space. For example, maybe they mostly hung around their bedroom. Perhaps they spent time in the yard. Or frequently traveled.

By the end of the study, 180 people had Alzheimers. And those whose life-space narrowed in on their immediate home were almost twice as likely to develop the condition as those who ventured out. The homebound folks also had an increased risk of other cognitive impairments and a faster rate of cognitive decline. The research was published in the American Journal of Geriatric Psychiatry.
[Bryan James et al., "Life Space and Risk of Alzheimer Disease, Mild Cognitive Impairment, and Cognitive Decline in Old Age"]

The study’s lead investigator, Bryan James of the Rush University Medical Center in Chicago, suggests that, “Perhaps life space is an indicator of how much we are actively engaging and challenging our cognitive abilities.”

—Cynthia Graber

[The above text is an exact transcript of this podcast.]


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  1. 1. NicholsEG 03:48 PM 4/18/11

    I think that the relationship between mental decline and reducing one's space is more complicated than this brief summary indicates. If a person is experiencing some memory lapses and confusion, a familiar place is comforting, but someplace less familiar is scary. Thus, the causation goes both ways. It is more likely, in my view, to be accurate to say "as dementia developed, the participants were more likely to become homebodies."

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  2. 2. Bops in reply to NicholsEG 09:26 PM 4/18/11

    I agree totally. We work for an apartment complex and know most of the elderly residents. What you have said, we have found to be true..

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  3. 3. TEastman 11:32 PM 4/18/11

    I wonder how much economic status might be involved. Those who are financially secure are going to be more mobile and able to explore a larger world, whereas those who are financially troubled are not likely to travel any further than necessary.

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