Insights
High fat diet may keep brain young, study suggests

A ketogenic diet rich in fish, berries and nuts could help improve brain health in people at higher risk of developing Alzheimer’s disease, new research suggests.
The high-fat, low-carbohydrate diet — also known as a ketogenic diet — showed particular promise for women with the APOE4 gene, the strongest known genetic risk factor for late-onset Alzheimer’s disease.
Researchers found that switching to this diet altered gut bacteria and improved brain energy levels in female mice carrying the APOE4 gene, suggesting a potential way to intervene before symptoms begin.
Scientists from the University of Missouri-Columbia discovered that the diet helped the brain use alternative fuel sources when glucose processing becomes impaired, a common problem in APOE4 carriers that can lead to cognitive decline.
“When we eat carbs, our brains convert the glucose into fuel for our brains, but those with the APOE4 gene – particularly females – struggle to convert the glucose into brain energy, and this can lead to cognitive decline down the road,” study co-author Kira Ivanich explained.
The ketogenic diet works by prompting the body to produce chemicals called ketones as an alternative energy source.
These ketones may help preserve brain cell health and reduce the likelihood of developing Alzheimer’s disease.
A previous study found that female mice carrying the APOE4 gene developed healthier gut bacteria and showed higher brain energy levels when fed a ketogenic diet compared with those eating more carbohydrates.
The latest research built on this work, revealing specific bacterial changes that could explain the brain benefits. The diet increased beneficial bacteria species while reducing potentially harmful ones.
“Ketogenic diet increased beneficial species such as Lactobacillus johnsonii and Lactobacillus reuteri while reducing pathogenic Bacteroides intestinalis,” the study noted.
These gut bacteria shifts were found to support key brain functions, enhancing mitochondrial activity — the cell’s energy producer — as well as fat metabolism and the balance of important brain chemicals called neurotransmitters.
These findings highlight the ketogenic diet’s potential to reprogram the gut–brain axis,” scientists said, referring to the communication network between the gut and the brain that influences mood, cognition and overall brain health.
The researchers said dietary interventions should be tailored to those who would benefit most, rather than applying a one-size-fits-all approach.
Instead of expecting one solution to work for everyone, it might be better to consider a variety of factors, including someone’s genotype, gut microbiome, gender, and age,” said Ai-Ling Lin, another author of the study.
The timing of intervention also appears crucial. Alzheimer’s symptoms typically emerge after age 65 and tend to be irreversible once they begin, making prevention especially important for high-risk individuals.
“Since the symptoms of Alzheimer’s – which tend to be irreversible once they start – usually appear after age 65, the time to be thinking about preserving brain health is well before then, so hopefully our research can offer hope to many people through early interventions,” Lin added.
News
Roundup: Atlas maps molecular fingerprints of health, disease and ageing

Age Tech World explores the latest research developments in the world of ageing and longevity.
Pan-disease atlas maps molecular fingerprints of health, disease and ageing
A new study has mapped the distinct molecular “fingerprints” that 59 diseases leave in an individual’s blood protein, which would enable blood tests to discern troubling signs from those that are more common.
An international team of researchers mapped how thousands of proteins in human blood shift as a result of ageing and serious diseases, such as cancer and cardiovascular and autoimmune diseases.
The Human Disease Blood Atlas also reveals that each individual’s blood profile has a unique molecular fingerprint, which changes through childhood and stabilises in adulthood.
This provides a baseline for comparison that healthcare providers could one day use to flag early deviations.
The study used machine learning that enables information critical for building blood panels that would not misclassify patients in real world settings.
The mapping of molecular fingerprints of disease is a crucial step for building blood tests that work in the clinic, the researchers say.
For example, many proteins that rise in cancer or autoimmunity also rise in infections, reflecting shared inflammatory pathways, while other patterns such as liver-related conditions are clustered by organ systems.
The Disease Blood Atlas offers a path to solve the problem of identifying reliable, reproducible biomarkers for diseases – a process that to date has typically involved comparing new protein markers against a control, that is, a healthy profile.
The researchers point to the study’s success in identifying common biomarkers that are consistently altered in various conditions.
These shared molecular features could serve as universal diagnostic, prognostic or therapeutic targets.
Among the findings was that specific protein profiles can change substantially as individuals approach a cancer diagnosis, with some proteins showing higher concentrations prior to diagnosis.
These findings suggest more study should be devoted to investigating the potential of using proteomics for early cancer detection.
Aging Well with AI report explores AI and the healthcare workforce
The “Aging Well with AI: Empowering Care through Innovation” whitepaper has been published, the first in a two-part white paper series exploring how artificial intelligence (AI) can strengthen the U.S. healthcare workforce and improve access to care.
As the US confronts a historic shortage of healthcare workers alongside a rapidly ageing population, the report outlines specific ways AI can reduce strain on clinicians and improve outcomes for older adults, without eroding the human relationships that are essential to high‑quality medicine.
HealthFORCE, a national alliance of leaders dedicated to addressing the root causes of America’s healthcare workforce crisis, along with the American Academy of Physician Associates (AAPA) and West Health, published the report.
The paper highlights five opportunities for AI to extend the healthcare workforce and improve care for older adults and calls on policymakers, health systems and innovators to invest in geriatric-focused tech innovation and prioritise AI tools that serve older adults.
It also calls for incentives for cross-specialty training in ageing care and AI use for all frontline providers, the establishment of national standards for AI integration across state lines and care settings and the promotion of interoperability and support value-based payment models that reward continuity, efficiency, and prevention.
The upcoming second report will focus on how AI can augment care delivery across all patient populations and help address the projected shortfall of 3.2 million healthcare workers by 2026.
It is set to be released later this month.
Lifelong companionship protects ageing rat brains from cognitive decline
A new research paper shows that aged rats who lived in socially enriched environments throughout life retained better memory and cognitive flexibility than those housed alone.
This study highlights the importance of social interaction in protecting the ageing brain.
Cognitive decline, such as memory loss and reduced problem-solving ability, affects many people over the age of 65.
While many factors contribute to age-related cognitive decline, this study suggests that one key factor may be surprisingly simple: long-term social connection.
To explore how social interaction might influence memory performance and brain activity, the researchers designed a study using rats as a model for ageing in humans.
The team compared three groups of rats: young adults, aged rats housed alone, and aged rats housed socially in groups.
All groups had access to the same physical enrichment, such as exercise and stimulating objects, but only some experienced lifelong social companionship.
The team tested these animals on a complex memory challenge known as the biconditional association task, which requires animals to make context-based decisions, an ability that typically declines with age.
The results showed that aged rats living in social groups performed just as well as young adults on the memory task, while those housed alone showed significant impairments.
Socially housed rats also made fewer working memory errors and required less effort to complete cognitive tasks, suggesting not only better performance but more efficient brain function.
These benefits were not observed in aged rats who received only environmental enrichment without social interaction.
Brain imaging revealed additional differences between the groups.
Socially housed aged rats showed increased activity in the hippocampus, particularly in the CA3 region, which plays a key role in forming and separating memories.
In contrast, aged rats that lived alone had lower activity in this region, which may explain their poorer performance.
Interestingly, socially housed rats also showed reduced overactivity in the anterior cingulate cortex, a brain area involved in attention and decision-making, suggesting a more balanced and efficient neural response.
This research provides new insight into how lifelong social experiences shape brain health during ageing.
While earlier studies have shown that physical activity and cognitive stimulation help preserve cognitive function, this study identifies social interaction as an independent and powerful protective factor.
The findings are consistent with human studies showing that older adults who remain socially active tend to experience slower cognitive decline and stronger brain function.
Overall, these results emphasise that brain ageing is not inevitable but may be influenced by our social environments.
This research suggests that fostering lifelong social connections could be a critical, low-cost strategy to protect memory and mental flexibility in older adults.
Service dogs slow cellular ageing in female veterans
New research has found that service dogs may help slow biological ageing in women.
This groundbreaking study, focused on female veterans in the United States, is among the first to examine the impact of working with service dogs on this often-overlooked population.
By measuring biological indicators of stress, the researchers have uncovered a key insight: the way stress is felt emotionally doesn’t always reflect how it affects the body at a cellular level.
Researchers conducted the study involving female veterans with post-traumatic stress disorder (PTSD), but instead of receiving service dogs, these women volunteered to train them for fellow veterans in need, offering support not just to others, but potentially to themselves.
The study examined whether this purposeful, mission-driven activity could reduce both biological and psychological stress, and whether previous combat exposure influenced those effects.
Until now, the emotional and therapeutic benefits of such unique relationships have been largely unexamined in female veterans.
To measure biological stress, researchers looked at telomere length (a marker of cellular ageing) using saliva samples, and heart rate variability (HRV), a sign of nervous system balance, using wearable monitors in participants in the service dog training program group or a comparison group that watched dog training videos.
Psychological stress was assessed using validated questionnaires measuring PTSD symptoms, perceived stress, and anxiety at multiple points during the study.
Results evealed promising biological benefits associated with service dog training, particularly for veterans with combat experience, while improvements in psychological symptoms were seen across all participants, regardless of the intervention.
One of the most striking findings involved telomere length. Veterans who participated in the dog-training programme showed an increase in telomere length, suggesting a slowing of cellular ageing.
In contrast, those in the control group exhibited a decrease in telomere length, indicating accelerated ageing.
Combat experience significantly influenced these results: veterans with combat exposure who trained service dogs experienced the greatest gains in telomere length, whereas those with combat exposure in the control group saw the most pronounced declines.
On the psychological front, both groups, those who trained dogs and those in the control group, reported significant reductions in PTSD symptoms, anxiety and perceived stress over the eight-week period.
However, these mental health improvements were similar across groups, suggesting that simply participating in the study and receiving structured attention may have offered therapeutic value.
Unlike the biological findings, psychological outcomes did not appear to be affected by combat exposure.
The study also suggests that the skills learned during service dog training such as positive reinforcement and reading animal behavior may have strengthened participants’ bonds with their own pets at home, offering additional emotional support.
Unlike general volunteering, service dog training uniquely blends emotional healing with building a close relationship between veterans and their animals, providing therapeutic benefits that go beyond typical community engagement.
Female veterans aged 32 to 72 were randomly assigned to either the service dog training program group or a comparison group that watched dog training videos.
Both groups took part in one-hour sessions each week for eight weeks. Researchers measured outcomes before, during and after the programme.
These findings provide early evidence that non-pharmacological interventions – such as service dog training – may help reduce the physical toll of stress and slow cellular ageing in female veterans.
Research
Cholesterol-lowering drugs could reduce dementia risk

People with genetic variants that naturally lower cholesterol were found to have up to 80 per cent lower dementia risk in a study of more than one million participants.
The research analysed data from Denmark, England and Finland to assess how genes that mimic the effects of cholesterol-lowering drugs such as statins and ezetimibe influence dementia risk.
Scientists found that reducing blood cholesterol by one millimole per litre was linked to as much as an 80 per cent reduction in dementia risk for certain drug targets, suggesting possible benefits from cholesterol-lowering treatment.
The researchers used a method known as Mendelian randomisation, which allows scientists to study the effects of lowering cholesterol while avoiding confounding factors such as diet, weight and other lifestyle habits.
Dr Liv Tybjærg Nordestgaard led the research while at Bristol and now works at Copenhagen University Hospital–Bispebjerg and Frederiksberg hospital.
Dr Nordestgaard said: “What our study indicates is that if you have these variants that lower your cholesterol, it looks like you have a significantly lower risk of developing dementia.”
Some people are born with genetic variants that naturally affect the same proteins targeted by cholesterol-lowering drugs such as statins and ezetimibe.
By comparing these individuals with those without such variants, the researchers were able to measure differences in dementia risk.
Mendelian randomisation uses genetic variation as a natural experiment.
Because genes are inherited randomly at conception, this method can mimic randomised clinical trials and offer stronger evidence for cause-and-effect relationships than traditional observational research.
The findings suggest that having low cholesterol, whether due to genetics or medical treatment, could help reduce the risk of developing dementia. However, the study does not provide definitive evidence about the effects of the medicines themselves.
One of the main challenges in dementia research is that symptoms typically appear later in life, requiring decades of follow-up to detect meaningful changes. This makes long-term clinical trials difficult to conduct.
The biological link between high cholesterol and dementia is not yet fully understood. Dr Nordestgaard suggested that atherosclerosis — the build-up of cholesterol in blood vessels — may play a key role.
Dr Nordestgaard said: “Atherosclerosis is a result of the accumulation of cholesterol in your blood vessels.
“It can be in both the body and the brain and increases the risk of forming small blood clots—one of the causes of dementia.”
Blood clots can block small vessels in the brain, leading to vascular dementia — the second most common form of the condition after Alzheimer’s disease.
Even small clots can damage brain tissue over time and contribute to cognitive decline.
The study used data from large genetic research projects including the UK Biobank, the Copenhagen General Population Study, the Copenhagen City Heart Study, the FinnGen study and the Global Lipids Genetics Consortium.
These resources provide genetic and health information from diverse populations, improving the reliability of the findings across different ethnic and geographical groups.
The UK Biobank includes data from around 500,000 participants aged 40–69, while the Copenhagen studies have tracked Danish populations for several decades, providing detailed health records for long-term analysis.
“It would be a really good next step to carry out randomised clinical trials over 10 or 30 years, for example, where you give the participants cholesterol-lowering medication and then look at the risk of developing dementia,” Dr Nordestgaard added.
Such trials would provide direct evidence about whether cholesterol-lowering drugs can prevent dementia, rather than relying on genetic data.
However, their length and cost make them difficult to conduct.
News
Half of Brits fear dementia more than any other condition, research finds

Half of UK adults fear dementia more than any other health condition, with women and over-65s the most likely to share this concern, new research shows.
The figures come from the latest Dementia Attitudes Monitor, a biennial survey of more than 2,000 people that tracks how the public thinks and feels about dementia.
It explores what people believe raises their risk, how likely they are to seek a diagnosis, and their views on how effective treatments are.
Now in its fourth wave since launching in 2018, the survey was commissioned by Alzheimer’s Research UK and shows that fear remains high as dementia continues to be the UK’s leading cause of death.
Hilary Evans-Newton is chief executive of Alzheimer’s Research UK.
She said: “People fear dementia because there is still no cure. Dementia continues to rob people of their independence and place an immense strain on families and society.
“By 2040, 1.4 million people in the UK are expected to be living with dementia, making progress more urgent than ever.”
While 59 per cent of UK adults say they would feel comfortable discussing a diagnosis, stigma remains a major barrier, particularly among minority ethnic communities.
Among Black African, Black Caribbean and Black British adults, this drops to 46 per cent, with more than a third (35 per cent) saying they would not feel comfortable — compared with 23 per cent of white respondents.
Views also vary by age.
Nine in ten people aged 35–64 said they would likely seek a diagnosis if they were worried about early-stage Alzheimer’s or another form of dementia.
Among adults aged 65 and over, this falls slightly to eight in ten.
Older adults are twice as likely to say they wouldn’t seek a diagnosis: seven per cent of those aged 35–64 said they probably wouldn’t speak to a doctor, compared with 14 per cent of people aged 65 and over.
Alzheimer’s Research UK is tackling stigma through its Dementia Community Champions programme, which supports volunteers to start conversations about dementia, stigma and research within their own communities.
Emily Allen, a supporter of the charity whose mother was diagnosed with young-onset Alzheimer’s in 2010, shared her experience.
She said: “When mum was first diagnosed, I didn’t know much about dementia.
“I remember searching the internet for any information I could find about Alzheimer’s.
“I couldn’t comprehend the thought of mum not knowing my name, not knowing who I am. It was terrifying.
“When I discussed it with my sisters, we would call it the ‘Big A’ as we couldn’t bring ourselves to say the word.
“I think there is more understanding among the public about dementia now.
“But there is still so much fear because of how it affects people and their families, and because there are so few effective treatments available.”
When asked to choose the top priorities for dementia research from a list of eight, 43 per cent of respondents selected finding a cure as the most or second-most important goal, followed closely by prevention.
Since the previous wave of the monitor in 2023, two new treatments — lecanemab and donanemab — have been licensed in the UK (2024).
Although not yet available on the NHS, they mark a significant milestone in research and may explain why the public continues to prioritise a cure.
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