Medical Forum / General / Cardiology / March 2005
BOSTON UNIVERSITY TEAM FINDS LINK BETWEEN HIGH CHOLESTEROL AND BETTER COGNITIVE PERFORMANCE
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William Wagner - 23 Mar 2005 23:28 GMT http://www.bu.edu/phpbin/news/releases/display.php?id=883
Boston) ? What?s bad for your ticker may be good for your bean, according to research from a team of scientists at Boston University.
The team looked at 18 years of data from the long-running Framingham Heart Study and found an association between naturally high levels of blood cholesterol and better mental functioning. The results were recently published in the journal Psychosomatic Medicine.
The research team, led by BU Department of Mathematics and Statistics Research Assistant Professor Penelope Elias (now at University of Maine at Orono) and including Merrill Elias, research professor of epidemiology in BU?s Mathematics and Statistics Department, found a link between naturally occurring high cholesterol and modestly better mental function in areas such as visual organization, memory, attention, and concentration. Unlike previous studies, the current research isolated blood cholesterol from other well-known risk factors.
Along with high blood pressure, diabetes, and hypertension, high cholesterol has long been known as a risk factor for heart disease and stroke. However, the results of the new study showed that the higher the natural level of cholesterol, the better participants did on tests of mental ability. High cholesterol was defined as > 240 mg/dL as measured in blood samples.
Less than two percent of the participants were being treated with anti-cholesterol medication. Anti-cholesterol medications and diets as well as risk factors such as smoking and alcohol consumption were controlled for statistically.
Cholesterol is important for brain development in infants and plays a role in how neurons work in adults. High blood cholesterol level is still considered a risk factor for stroke and heart disease, however, and physicians may decide that those risks outweigh any modest benefits for cognitive function. Scientists have not yet determined whether lowering cholesterol with medication will influence mental functioning.
?The result of lowering cholesterol with current medications may be very different from naturally low cholesterol, said Merrill Elias. ?We certainly need to evaluate what effect lowering cholesterol with medication will have. We can?t yet generalize the results of our study to people treated with cholesterol-lowering drugs.
The authors emphasize that these findings do not provide a justification for people to disregard their physician?s recommendations with regard to medications for high cholesterol.
Researchers next must consider individual elements of total blood cholesterol, such as LDL (low-density lipoproteins, commonly referred to as ?bad cholesterol), HDL (high-density lipoproteins, or ?good cholesterol), and triglycerides, and whether one or more of these elements is responsible for the results.
The Framingham Heart Study began in 1955 and has followed three generations of participants, measuring the incidence of cardiovascular disease and stroke and determining the risk of various associated factors. The study, based in Framingham, Mass., started before cardiovascular risk factors for heart disease and stroke were well understood and before patients were routinely treated with cholesterol-lowering medications.
The Department of Mathematics and Statistics at Boston University offers a strong research environment in algebra, applied statistics, dynamical systems and their applications, geometry, mathematical neuroscience and biology, mathematical physics, number theory, partial differential equations, and probability. The department includes the Center for Biodynamics and the Statistics and Consulting Unit, which provides statistical support and consulting services for Framingham Heart Study investigators and for research projects and clinical trials in the United States and elsewhere.
Boston University, with an enrollment of more than 29,000 in its 17 schools and colleges, is the fourth-largest independent university in the United States
 Signature Zone 5 S Jersey USA Shade "oeuf t?t pique " Lover "Physics is like sex: sure, it may give some practical results, but that's not why we do it." -- Richard P. Feynman (Nobel Prize, Physics)
menu boy - 24 Mar 2005 00:19 GMT > http://www.bu.edu/phpbin/news/releases/display.php?id=883 > [quoted text clipped - 5 lines] > blood cholesterol and better mental functioning. The results were > recently published in the journal Psychosomatic Medicine. This article doesn't say what type of cholesterol, ratios, totals, etc.
William Wagner - 24 Mar 2005 00:33 GMT > > http://www.bu.edu/phpbin/news/releases/display.php?id=883 > > [quoted text clipped - 7 lines] > > This article doesn't say what type of cholesterol, ratios, totals, etc. That may be true but Farmingham data is used to justify many heart risk assumptions. I?d go so far as say it is the best we have. Understanding it all maybe ongoing.
High vs. Low in a myriad of complex people designs ...Whew... no wonder it is an art.
Keeping it low Keeping it high Wonder what really matters Sigh
Bill
 Signature Zone 5 S Jersey USA Shade "oeuf t?t pique " Lover "Physics is like sex: sure, it may give some practical results, but that's not why we do it." -- Richard P. Feynman (Nobel Prize, Physics)
menu boy - 24 Mar 2005 23:00 GMT > > > http://www.bu.edu/phpbin/news/releases/display.php?id=883 > > > [quoted text clipped - 11 lines] > risk assumptions. I?d go so far as say it is the best we have. > Understanding it all maybe ongoing. I have a copy of the abstract. If anyone is interested you can ask for it from the University or email me ilmobixNOSPAMMERS@hotmail.com
listener - 24 Mar 2005 01:25 GMT > http://www.bu.edu/phpbin/news/releases/display.php?id=883 > [quoted text clipped - 14 lines] > concentration. Unlike previous studies, the current research isolated > blood cholesterol from other well-known risk factors. Can't wait to read this one!
BYW, did you write the subject line? Why was the word "modestly" omitted? Just curious. I've noticed a similar technique from you, Sharon and zee: misstatement through omission.
L.
listener - 24 Mar 2005 01:27 GMT >> http://www.bu.edu/phpbin/news/releases/display.php?id=883 >> [quoted text clipped - 23 lines] > > L. (Should have been BTW....but I suppose if you've taken my suggestion and killfiled me it doesn't matter....I wish my newsreader had a chell specker.) L.
William Wagner - 24 Mar 2005 01:56 GMT > >> http://www.bu.edu/phpbin/news/releases/display.php?id=883 > >> [quoted text clipped - 31 lines] > killfiled me it doesn't matter....I wish my newsreader had a chell > specker.) L. Take it easy L.
I thought you kill filed me. Remember good by to the stench? I do.
Please get it right this time and Kill file me like you promised.
Check your body weight vs your meds. Read the post then complain.
Bill
 Signature Zone 5 S Jersey USA Shade "oeuf t?t pique " Lover "Physics is like sex: sure, it may give some practical results, but that's not why we do it." -- Richard P. Feynman (Nobel Prize, Physics)
listener - 24 Mar 2005 02:08 GMT >> >> http://www.bu.edu/phpbin/news/releases/display.php?id=883 >> >> [quoted text clipped - 45 lines] > > Bill Another annoying technique: they reply with a non sequitur or inanities rather than answer a question.
Yes you are correct about kf'ing you.. I travel and use different two computers and had not applied the filter on the other system....sorry.
Poof!
L.
L.
Jim Chinnis - 24 Mar 2005 01:45 GMT Here's the abstract:
Psychosom Med. 2005 Jan-Feb;67(1):24-30. Related Articles, Links
Serum cholesterol and cognitive performance in the Framingham Heart Study.
Elias PK, Elias MF, D'Agostino RB, Sullivan LM, Wolf PA.
Statistics and Consulting Unit, Department of Mathematics and Statistics, Boston University, 111 Cummington St., Boston, Massachusetts 02215, USA. pelias100@aol.com
OBJECTIVE: The objective of this study was to examine the relationship between total cholesterol (TC) and cognitive performance within the context of the Framingham Heart Study, a large, community-based, prospective investigation of cardiovascular risk factors. METHODS: Participants were 789 men and 1105 women from the Framingham Heart Study original cohort who were free of dementia and stroke and who received biennial TC determinations over a 16- to 18-year surveillance period. Cognitive tests were administered 4 to 6 years subsequent to the surveillance period and consisted of measures of learning, memory, attention/concentration, abstract reasoning, concept formation, and organizational abilities. Statistical models were adjusted for multiple demographic and biological covariates. RESULTS: There was a significant positive linear association between TC and measures of verbal fluency, attention/concentration, abstract reasoning, and a composite score measuring multiple cognitive domains. Performance levels for three clinically defined groups were examined. Participants with "desirable" TC levels (<200 mg/dL) performed less well than participants with borderline-high TC levels (200-239 mg/dL) and participants with high TC levels (there exists 240 mg/dL). CONCLUSIONS: Lower naturally occurring TC levels are associated with poorer performance on cognitive measures, which place high demands on abstract reasoning, attention/concentration, word fluency, and executive functioning.
This will be interesting to read. The journal is not exactly first-tier, though, and I note that part of the abstract is garbled--never a good sign. -- Jim Chinnis Warrenton, Virginia, USA
listener - 24 Mar 2005 01:57 GMT > Here's the abstract: > [quoted text clipped - 40 lines] > -- > Jim Chinnis Warrenton, Virginia, USA I'd be curious to see what they mean by "less well". (!)
L.
Sharon Hope - 24 Mar 2005 04:18 GMT These findings correspond with Dr. Muldoon's repeated findings that cognitive abilities of people on statins are measurably lower than normal after only 6 months, as contrasted with the placebo group's normal learning abilities.
> http://www.bu.edu/phpbin/news/releases/display.php?id=883 > [quoted text clipped - 71 lines] > schools and colleges, is the fourth-largest independent university in > the United States listener - 24 Mar 2005 05:21 GMT Your misleading take on Muldoon's study was vetted by Bill back in January. See:
http://tinyurl.com/4rgae
Not doubt you've added this study (below) to your list as more "proof" of serious, severe cognitive impact from statins, which would, of course, be yet another distortion/misinterpretation/overreaching..
"High blood cholesterol level is still considered a risk factor for stroke and heart disease, however, and physicians may decide that those risks outweigh any *modest* benefits for cognitive function." (italics mine)
Again, that annoying risk/benefit tradeoff rears its ugly head, huh?
L.
> These findings correspond with Dr. Muldoon's repeated findings that > cognitive abilities of people on statins are measurably lower than [quoted text clipped - 78 lines] >> schools and colleges, is the fourth-largest independent university in >> the United States Sharon Hope - 25 Mar 2005 05:26 GMT The Muldoon published results correlate with the study that is in the subject line of this topical thread.
Per NIH website abstracts: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=15589485 Randomized trial of the effects of simvastatin on cognitive functioning in hypercholesterolemic adults. CONCLUSION: This study provides partial support for minor decrements in cognitive functioning with statins. Whether such effects have any long-term sequelae or occur with other cholesterol-lowering interventions is not known.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra ct&list_uids=10806282 Effects of lovastatin on cognitive function and psychological well-being. .CONCLUSION: Treatment of hypercholesterolemia with lovastatin did not cause psychological distress or substantially alter cognitive function. Treatment did result in small performance decrements on neuropsychological tests of attention and psychomotor speed, the clinical importance of which is uncertain.
Your reference is to a discussion between two opinionated non-doctors. Try looking at the data and making your own decisions. See, that's what's great about published peer-reviewed placebo-controlled studies. They stand on their own merit and are independent of discussions, differing opinions, and last wordsmanship. AND, it is OK for two people to interpret the findings and their importance differently. Doctors do, researchers do, it is ok for you, too.
> Your misleading take on Muldoon's study was vetted by Bill back in > January. See: [quoted text clipped - 96 lines] >>> schools and colleges, is the fourth-largest independent university in >>> the United States Frankie - 28 Mar 2005 06:26 GMT Re: Not doubt you've added this study (below) to your list as more "proof" of serious, severe cognitive impact from statins, which would, of course, be yet another - distortion - misinterpretation - overreaching
listener.....
How much "proof" do you need that statins cause severe cognitive impairment? My husband stopped statin July 2004. He experienced several episodes of TGA (transient global amnesia) while taking 20mg of Lipitor and following 8 years of cholesterol lowering medications.
His cognitive abilities are improving, but the process is very slow. MRI's & PET scans cannot find any evidence of Alzheimer's, but Neuropsychology testing indicates impaired cognitive function.
Cognitive impairment from statins is "real". My husband is not "a study". He is a real person that is adversely affected by statins.
Frankie
listener - 28 Mar 2005 15:52 GMT "Frankie" <birm47@gmail.com> wrote in news:1111987586.725819.31950 @o13g2000cwo.googlegroups.com:
> Re: Not doubt you've added this study (below) to your list as more > "proof" of serious, severe cognitive impact from statins, which would, [quoted text clipped - 19 lines] > > Frankie The discussion was specifically about the study in question and how, once again, Sharon Hope took liberties with interpreting it.
L.
elgoog - 25 Mar 2005 06:02 GMT Good news for Krispy Kreme, or I guess for BU it's good news for Dunkin Donuts.
I wonder if there isn't something else going on here, such as dietary habits and study habits?
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