High Cholesterol Dementia

ByABC News
March 14, 2002, 4:42 PM

March 14 -- For many Americans, losing the ability to think and remember is the single biggest fear about growing older.

A new study published in the Archives of Neurology finds that women 65 and older who had high levels of cholesterol were more likely to have problems thinking clearly than those with healthy cholesterol levels.

Researchers now suggest that some women may have difficulty thinking clearly because what they eat causes high cholesterol.

"We found that indeed women with the higher cholesterol levels had significantly more problems with memory and thinking," says Dr. Elizabeth Barrett-Connor, lead author of the study and professor of family and preventive medicine at the University of California, San Diego.

Specifically, women with cholesterol levels of 235 or higher had difficulty with mental testing. A healthy cholesterol level is under 200.

The study also found that lowering total cholesterol was associated with a 50 percent reduction in the risk of "cognitive" or memory problems.

"Over the past several years, there's been increasing evidence that cholesterol is associated with alteration of thinking and functioning when you get older," says Dr. Steve DeKosky, director of Alzheimer's Disease Research Center of the University of Pittsburgh.

Some scientists suspect cholesterol damages the brain in much the same way it damages the heart: It collects on the walls of tiny blood vessels, making them narrower and reducing the flow of blood. And without enough blood, the brain can no longer function properly.

Researchers are now investigating not only the effect on the brain of high cholesterol, but also the impact of high blood pressure, diet and exercise in other words, the same risk factors normally associated with the heart.

Until they learn more, some researchers say that maintaining a healthy heart may be just what's needed for a healthy brain.

The ABC News Medical Unit asked three experts to answer some questions to help people understand the study.