Research
Black Americans at greater Alzheimer’s risk

A new study examining older Black Americans’ perceptions of Alzheimer’s disease has found a lack of awareness of the devastating condition and has proposed strategies for supporting brain health in this population.
Absence of awareness of Alzheimer’s disease may undermine Black Americans’ ability to identify potential risk of the disease and its impact on their community, said Dr. Johanne Eliacin, PhD, Regenstrief Institute, U.S. Department of Veterans Affairs and the Indiana University School of Medicine research scientist and study leader.
Eliacin notes that the research team’s findings may contribute to the development of effective and culturally sensitive strategies to address racial disparities in Alzheimer’s disease.
“We asked study participants whether they agree, disagree or are unsure that Black Americans are at higher risk of developing Alzheimer’s disease compared to White Americans, and most were unsure. Yet Black Americans are at greater risk of developing Alzheimer’s disease than White Americans,” said Eliacin.
“And when Black Americans are diagnosed, they often have a greater burden because of the costs of managing the illness, lack of available support for patient and caregiver and all of the challenges of navigating the healthcare system for this very complex illness.
“Combined with socio-cultural determinants of health, many Black Americans are really disadvantaged when it comes to dealing with Alzheimer’s disease. We still have a lot of work to do.”
One study participant observed: “I think that there’s whispers about it…. But I don’t think it’s well-known and I don’t think it’s known as how truly dangerous it is. …the Black community doesn’t fully understand I think the implication. Not like cancer.”
To promote a healthy brain, 72% of female study participants versus 59% of male participants reported engaging in mental activity such as doing puzzles and 75% of all participants reported practicing a healthy lifestyle.
“The Black Americans we surveyed and interviewed see themselves as playing an important role in keeping themselves healthy and supporting healthy aging. They want to do more and they want to have the tools to do so,” said Eliacin.
“They are ready to play a role, but they need more education in terms of the breadth of activities that could help support a healthy brain. They also need additional support to facilitate access to resources so that they can engage in more activities for healthy brain support.
“They are eager to learn, but for messages on brain health to be well received and to have the biggest impact possible, we need to increase representation of minoritised groups in research and Black American community members have to be part of the decision-making process and the development of outreach programs.”
Based on study participants’ perceptions, the research team proposed strategies to promote brain health and to increase Alzheimer’s disease awareness among Black Americans, including:
- Invest in the Black community’s well-being throughout the lifespan.
- Proactively reach out to the Black community.
- Integrate information about Alzheimer’s disease and brain health into broader culturally appropriate wellness campaigns.
- Improve health, healthcare and research equity.
- The study is one of the first to provide insight into the views on brain health of lower socioeconomic status Black Americans living in a Midwest metropolitan area, a population often neglected or absent from clinical trials for Alzheimer’s and other diseases.
Dr. Eliacin notes that while there are many insights that can be drawn from this work that could be applicable to others, there is need for a large national study.
“Our study underscores the importance of developing culturally sensitive approaches that provide meaningful learning experiences about Alzheimer’s disease and brain health for Black Americans,” said study author Sophia Wang, M.D., of the Indiana University School of Medicine.
“The self-reported differences in Black women and men participating in healthy lifestyles also highlight other sociodemographic factors, such as gender, that should be considered as well as we develop and test approaches.”
The study has been published in the peer reviewed journal PEC Innovation.
News
Study reveals link between cheese and dementia

A 25-year Swedish study links higher cheese intake to lower Alzheimer’s risk in people without known genetic risk, with cream also tied to lower dementia risk.
However, researchers emphasise that the results should be interpreted with caution.
The study tracked 27,670 people over 25 years.
During that time, 3,208 participants were diagnosed with dementia.
Among individuals without a known genetic risk for Alzheimer’s disease, those who consumed more than 50 grams of full-fat cheese per day showed a 13 to 17 per cent lower risk of developing Alzheimer’s.
This association did not appear in participants who carried genetic risk factors for the disease.
People who consumed more than 20 grams of full-fat cream per day also showed a lower risk of dementia overall, ranging from 16 to 24 per cent.
No meaningful links were found for low-fat or high-fat milk, fermented or non-fermented milk, or low-fat cream.
The results stand out because public health guidance has long encouraged people to choose low-fat dairy to protect heart health.
This connection matters because cardiovascular disease (conditions affecting the heart and blood vessels) and dementia share many underlying risk factors, including high blood pressure, diabetes and obesity.
When evidence from previous studies is combined, analyses suggest that cheese consumption may also be linked to a lower risk of heart disease, and that full-fat dairy does not necessarily increase cardiovascular risk.
Several other studies have explored whether similar patterns apply to brain health, but the results are mixed.
Evidence overall suggests that studies conducted in Asian populations are more likely to report benefits of dairy consumption for cognitive health (the ability to think, remember and reason), while many European studies do not.
One possible explanation is that average dairy intake tends to be much lower in Asian countries, meaning modest consumption may have different effects than higher intakes.
For example, one Japanese study reported a reduced dementia risk among people who ate cheese, but overall consumption levels were very low and the research was sponsored by a cheese producer.
In contrast, another Japanese study funded by government grants found no protective effect of cheese.
Some long-term European studies have also reported benefits.
In a Finnish study of 2,497 middle-aged men followed for 22 years, cheese was the only food associated with a lower dementia risk, reduced by 28 per cent.
Other dietary factors also appear to matter.
Higher consumption of milk and processed red meat was associated with worse performance on cognitive tests, while fish intake was linked to better results.
A large study in the UK that followed nearly 250,000 people found lower dementia risk among those who ate fish two to four times a week, fruit daily and cheese once a week.
However, these studies have important limitations.
What people eat is usually self-reported, and changes in memory can affect both eating habits and how accurately people remember what they have eaten. To deal with this, the Swedish researchers took two extra steps.
First, they excluded anyone who already had dementia when the study began.
Then they repeated the same calculations after removing people who went on to develop dementia within the first ten years of the study.
This did not mean starting the study again or recruiting new participants. It simply meant re-checking the results using a smaller group of people who remained dementia-free for longer.
The reason for doing this is that the early stages of dementia can subtly change behaviour long before diagnosis.
People may eat differently, lose appetite or struggle to recall their usual diet. By focusing on participants who stayed cognitively healthy for many years, the researchers reduced the chance that these early changes were influencing the results.
Another important question is whether substitution played a role.
Some of the apparent benefits may reflect replacing red or processed meat with cheese or cream, rather than an effect of dairy itself.
Supporting this idea, the Swedish study found no association between full-fat dairy and dementia risk among participants whose diets remained stable over five years.
Most importantly, foods should not be considered in isolation.
Dietary patterns matter more than individual ingredients. Diets such as the Mediterranean diet, which is consistently associated with lower risks of both dementia and heart disease, include cheese alongside vegetables, fish, whole grains and fruit.
In the Swedish study, people who consumed more full-fat cheese and cream were also more educated, less likely to be overweight and had lower rates of conditions linked to dementia, including heart disease, stroke, high blood pressure and diabetes.
All of these factors independently reduce dementia risk.
This suggests that higher cheese intake tended to occur within healthier overall lifestyles, rather than alongside excess calorie consumption or poor metabolic health.
Overall, the evidence does not support the idea that full-fat dairy causes dementia, nor that fermented milk products reliably protect against it.
Full-fat cheese contains several nutrients relevant to brain health, including fat-soluble vitamins A, D and K2, as well as vitamin B12, folate, iodine, zinc and selenium.
These nutrients play roles in neurological function and may help support cognitive health.
That said, the data do not justify eating large amounts of cheese or cream as protective foods against dementia or heart disease.
The most consistent message remains that balanced diets, moderation and overall lifestyle matter far more than any single item on the cheese board.
News
New study links Alzheimer’s memory loss to disrupted brain “replay” during rest

Memory problems in Alzheimer’s may be linked to disrupted brain replay during rest, new research suggests.
The study, conducted in mice, points to a disrupted brain process that normally helps strengthen and preserve memories.
Researchers say the findings could inform future drugs that target this malfunctioning process and guide tools for earlier detection.
Scientists at University College London (UCL) found that replay events occurred as often in mice with amyloid plaques (protein deposits linked to Alzheimer’s) as in healthy mice, but the underlying patterns were no longer organised.
Instead of reinforcing memories, the coordinated activity of place cells became scrambled.
Dr Sarah Shipley, co-lead author from UCL Cell and Developmental Biology, said: “Alzheimer’s disease is caused by the build-up of harmful proteins and plaques in the brain, leading to symptoms such as memory loss and impaired navigation, but it’s not well understood exactly how these plaques disrupt normal brain processes.
“We wanted to understand how the function of brain cells changes as the disease develops, to identify what’s driving these symptoms.
“When we rest, our brains normally replay recent experiences, this is thought to be key to how memories are formed and maintained.
“We found this replay process is disrupted in mice engineered to develop the amyloid plaques characteristic of Alzheimer’s, and this disruption is associated with how badly animals perform on memory tasks.”
This replay activity takes place in the hippocampus, a region essential for learning and memory. During rest, specific neurons known as place cells activate in rapid sequences that mirror recent experiences.
Place cells, discovered by Nobel Prize-winning UCL neuroscientist Professor John O’Keefe, are neurons that correspond to particular locations.
As a person or animal moves through a space, different place cells fire in sequence. Later, during rest, those same cells typically reactivate in the same order, helping the brain store the experience as a memory.
To study this process, researchers tested how mice performed in a simple maze while recording brain activity at the same time.
Using specialised electrodes, they monitored roughly 100 individual place cells simultaneously as the animals explored and then rested.
This approach allowed the team to compare normal replay patterns with those seen in mice that had developed amyloid pathology associated with Alzheimer’s disease.
The researchers also observed that place cells in affected mice grew less stable over time. Individual neurons stopped reliably representing the same locations, especially after rest periods, which are normally when replay should strengthen memory signals.
These changes had clear behavioural effects.
Mice with disrupted replay performed worse in the maze, frequently revisiting paths they had already explored and appearing unable to remember where they had been.
Professor Caswell Barry, co-lead author from UCL Cell and Developmental Biology, said: “We’ve uncovered a breakdown in how the brain consolidates memories, visible at the level of individual neurons.
“What’s striking is that replay events still occur, but they’ve lost their normal structure. It’s not that the brain stops trying to consolidate memories, the process itself has gone wrong.”
Professor Barry added that the findings may help researchers identify Alzheimer’s earlier or develop treatments that focus on restoring normal replay activity.
News
Blood test could spot pancreatic cancer earlier

Scientists have developed a pancreatic cancer blood test that could detect disease earlier, potentially improving survival if validated in larger studies.
Around 10,500 people are diagnosed with the disease in the UK each year, but it is hard to treat and diagnose.
Because it is often found late, only 10 per cent live longer than five years after diagnosis, with more than half dying within three months of diagnosis.
Researchers from the University of Pennsylvania and the Mayo Clinic say the test could detect pancreatic ductal adenocarcinoma, the most common and one of the most aggressive forms of the disease, in its earliest stages, giving doctors time to treat it and increase patients’ chance of survival.
The team tested stored blood samples from people with pancreatic cancer and from people without it.
They examined two markers already used in medicine, CA19-9 and THBS2.
On their own these are not accurate enough for screening, as CA19-9 can be high in non-cancer conditions such as pancreatitis (inflammation of the pancreas) or bile duct problems, and some people do not produce it because of their genes. THBS2 is a protein linked with tissue changes around tumours.
The researchers discovered two additional proteins in the blood, ANPEP and PIGR, that were higher in people with early pancreatic cancer than in healthy volunteers.
When the team combined all four markers into one test, it correctly identified pancreatic cancer about 92 per cent of the time, at a 5 per cent false-positive rate.
For early-stage cancer, it picked up nearly 8 per cent of cases.
The researchers say the test could be used to screen people at higher risk, such as those with a family history, certain genetic risks, pancreatic cysts or long-term pancreatitis. It also distinguished cancer from non-cancerous conditions like pancreatitis, a key limitation of previous models.
Kenneth Zaret, the study’s lead investigator from the University of Pennsylvania’s Perelman School of Medicine, said: “By adding ANPEP and PIGR to the existing markers, we’ve significantly improved our ability to detect this cancer when it’s most treatable.
“Our retrospective study findings warrant further testing in larger populations, particularly in people before they show symptoms.
“Such ‘prediagnostic’ studies would help determine if the test could be used as a screening tool for people at high risk of developing the disease based on family history, genetic screening results or personal history of pancreatic cysts or pancreatitis.”
However, it could take years before the new blood test has completed the trials and regulatory steps needed for mainstream use.
At present, pancreatic cancer is incurable, with life expectancy just five years from initial diagnosis.
It kills because it aggressively invades nearby organs, blocks the bile and intestinal ducts, and spreads via the blood and lymphatic system to the liver, lungs and abdomen, eventually triggering organ failure.
The pancreas aids digestion and produces hormones, such as insulin and glucagon, which help convert sugar from food into energy. Pancreatic cancer can reduce the gland’s ability to make these hormones, which can lead to unstable blood sugar levels.
Common symptoms include jaundice (yellowing of the skin and eyes), loss of appetite, weight loss, fatigue, a high temperature, feeling or being sick, diarrhoea and constipation.
Research published last year suggested that more than half of patients diagnosed with the six least curable cancers, including lung, liver, brain, oesophageal, stomach and pancreatic, die within a year of diagnosis.
More than 90,000 people are diagnosed with one of these cancers in the UK every year, accounting for nearly half of all common cancer deaths, according to Cancer Research UK.
There are currently no early detection tests and about 80 per cent of people are not diagnosed until the cancer has spread, meaning life-saving treatment is no longer possible.
Last week, Spanish researchers revealed a treatment plan that made pancreatic cancer cells shrink in laboratory mice. However, this requires much more robust testing, meaning it could be years before similar treatments are offered to human patients.
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