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Brain Boosters Part 1

ELEVEN TOOLS TO HEAL YOUR BRAIN

Open this page in case of any type of brain injury, mental health issues, or cognitive impairment.

Mental problems ARE caused by physical problems; don't let anyone tell you otherwise. Don't worry if you don't know exactly what is wrong with your brain. Yes, it is frustrating not to know exactly what is happening. However, you don't need to know why you are having problems to start helping yourself today.

How do you know if your brain needs help? Research shows that brain fog, depression, PTSD, dementia, anger control issues, attention deficit disorders, bipolar disorders, chronic stress, and similar issues are due to problems with body and brain metabolism, energy availability, communication between the brain and body, and/or brain inflammation. To make it worse, having some of these disorders can lead to more brain and body inflammation - which sets off a negative feedback loop.

Although many people think of the brain as separate from the body, your brain is an organ like the heart or liver. It can be damaged, it can get inflamed, and it can be diseased. Your brain becomes impaired when other parts of your body are inflamed. An impaired brain can lead to impaired thoughts, impaired thinking, and impaired emotional control. Like your body, your brain can be healed with exercise, training, and nutrition.

It is not in your imagination. You CAN HEAL your brain one small step at a time (or take a huge leap - it is up to you).


Eleven Tools to Boost Your Brain

Click on each heading or keep scrolling for more detailed information.

Part 1 includes:

1) Eat brain healthy food

2) Exercise your body for a healthier mind

3) Train your brain

4) Reduce brain inflammation

Part 2:

5) Sleep

6) Reduce stress

7) Spend time in nature

8) Increase social networks

9) Meditate or practice mindfulness

10) Use light to heal (sunlight and light therapy)

11) Turn off negative news


1) Eat brain healthy foods

Eat whole real foods like apples and avoid highly processed foods such as apple shaped and flavor infused sugar encrusted puffed cereal. For a list of brain healthy foods see Feed Your Brain and Anti-inflammatory Diets. Choose healthy foods that reduce brain inflammation and keep your thinking sharp.

Want a sharp brain? Limit junk food and sugar filled drinks

So called junk foods slow down your thinking skills (scientists like to call junk foods highly processed foods so they don't food shame). Natalia Goncalves reported on processed food consumption and brain health (9 year study with 8,160 women and men) at the 2022 Alzheimer’s Association International Conference. People who ate more than 20% of their daily calories from ultra-processed foods had 28% faster rate of decline in thinking skills and a 25% faster decrease in executive function than people who ate less than 20% of their daily calories from ultra-processed foods. Click here for a list of ultra-processed foods.

Drinking soda pop can shrink your brain! Sugary drinks, including soda and fruit juices, shrink your brain and mess with your episodic memory. Episodic memory is your memory of everyday events; like time, places, emotion and actions. Consuming more than one sugary beverage a day can decrease your brain volume and reduce performance on tests of episodic memory. Drinking fruit juice daily was also associated with lower total brain volume, decreased hippocampal volume, and poorer episodic memory (Pase et al. 2017). If you want something natural and sweet, skip the juice and eat a whole fruit instead. Don't drink your sugar.

If you are depressed cut the sweets (especially if you are a guy). Sugar can make mental health worse in men. Consuming more sugar in sweet foods and drinks is also associated with a higher incidence of mental disorders and depression in men. Men who ate the highest amount of sugar had a 23% increased incidence of common mental disorders over 5 years (Knuppel et al. 2017).


2) Exercise for your brain

You know I'm going to say this repetitively in this website: people who exercise have better mental health and less brain inflammation. Physical activity actually changes the activity of the brain's immune cells; this lowers inflammation in the brain (Casaletto et al. 2022). Exercise also promotes hippocampus growth in the brain while improving your memory.

The hippocampus is responsible for learning, memory, and learning/changing depending on the environment. This brain structure is highly neuroplastic; this means it can adapt and reorganize its structure and/or function on a cellular and network level based on internal or external stimuli and cues (Bartsch and Wulff 2015, Grey and Barnes 2015).

So what does this mean? If your hippocampus was a house it could reorganized based on what the homeowners need each day. Have a guest? Poof, it grows an extra bedroom. Need to cook three turkeys and eight pies for Thanksgiving? Suddenly your kitchen looks like it is straight from Gordon Ramsay's pad. Want to take up woodworking? You now have the woodshop from PBS's This Old House and a collection of rare wood to use.

Exercise increases or maintains hippocampus size. Older adults (120 women and men, 60-70 years old) attended either a 3 day-a-week 40 minute moderately intense aerobics walking group or a mild stretching and toning group. Those in the aerobics walking group increased their hippocampus size by 2% in a year while those in the stretching and toning group had around a 1.4% decrease in hippocampus volume (Erickson et al. 2011). Other research suggests that aerobic exercise slows down hippocampus shrinkage in humans due to age (Firth et al. 2018). When challenged, the hippocampus can create 700 to 1,500 new neurons each day (Spalding et al. 2013).

Exercise reduces depression by reshaping brain structure. It activates related brain area function while promoting behavior adaptive changes. Exercise also maintain hippocampal and white matter volume. All of these exercise induced changes improve brain neuroprocessing and delay cognitive degradation in people who are depressed (see discussion Zhao et al. 2020).

One hour of exercise per week is all it takes to reduce depression by 12% (study had 33,908 women and men, average age 45 years) (Harvey et al. 2018). Yes, getting up and moving for less than 10 minutes a day can reduce your chance of depression.

For more on how moving your body reduces brain and body inflammation see Exercise to Reduce Inflammation.

Woman playing with large ball by Susan Fluegel


3) Train your brain: use mental stimulation along with touch, light and sound.

Keep your brain active by doing activities that activate, enrich or stimulate your mind and senses (remember they are interconnected and need to work well together). You may need to train your senses to work with your brain.

Multisensory brain stimulation

Sensory and Multisensory brain stimulation include music therapy, rhythmic (either visual or acoustic) stimulation, light therapy, multisensory stimulation - including touch, aromatherapy, and virtual reality assisted therapy. These types of sensory activities can improve memory, enhance cognitive abilities, increase brain flexibility, regulate brain blood flow and improve behavior in people with Alzheimer's disease (Yang et al. 2021). Although multisensory brain stimulation has mostly been studied in people with dementia; it could help with many brain dysfunctions.

Flickering light or sounds at specific frequencies can influence brainwaves and may help prevent Alzheimer's disease (AD) related cognitive decline. High frequency gamma light and/or sound rhythms using oscillations (bet3een 30-40 Hz) play a key role in sensory and high-order cognitive functions. Sound waves were broadcast using speakers to provide complete body exposure.

Chan et al. 2022 reported that people with mild AD dementia (16 people) exposed to one hour of sound and light daily therapy for 3 months showed cognitive improvement compared to similar people receiving a placebo treatment.

Try multisensory brain stimulation for yourself:

Look up (on YouTube or other websites) and play 40 Hz sound, light therapy 30-40 Hz, OR 40 Hz Binaural Beats videos to see how you feel. Warning: not all headphones or speakers will play 40 Hz. A full discussion of different sound and light therapy is in Manippa et al. 2022.

If you are prone to seizures or are epileptic, do not try videos with flickering lights unless under medical supervision. They can provoke seizures or migraines. Some people also found their tinnitus flares up with 30-40 Hz sound.

Brain training combined with exercise helps improve TBI symptoms

Brain training that included exercise and virtual reality games helped people with traumatic brain injuries (TMI). A small group of veterans with TBI and alcohol abuse disorder participated in a 8 week randomized study study that included: 1) First, four weeks of EITHER exercise on a stationary recumbent bicycle or virtual reality (VR) games 2) Second, four weeks of exercise on a stationary recumbent bicycle while playing a VR game (Pennington et al. 2022).

People who exercised for the first four weeks had less craving for alcohol and drank less. They had significant improvements in cognitive inhibition and cognitive flexibility. Cognitive inhibition helps with memory retention and focus. It allows people to suppress or block irrelevant information and processes in working memory. Cognitive flexibility is when a person can change the way they think and behave due to new or changing circumstances or environment.

People who played virtual reality games for four weeks improved cognitive flexibility and visuospatial immediate recall (short term memory related to vision). The VR games without exercise were competitive racing games.

People who exercised and played games for the last four weeks had significant improvement in inhibition-switching and visual scanning (Pennington et al. 2022). Inhibition-switching is switching back and fourth between two tasks or doing two things at the same time. One example is a bilingual person switching between two languages. The VR game attached to the exercise bike was a path-based adventure game that involved photographing animals, capturing poachers and obtaining rewards.

People with diabetes who used a novel smartphone story telling type game had an increase in physical activity (Höchsmann et al. 2020). The game incorporated individualized exercises that promoted strength, endurance, balance, and flexibility. It integrated exercise tests, like a Six Minute Walk Test, into scoring and story telling. The phone was able to track the in-game activities by using accelerometer/pedometer, camera, and audio sensors.

Try low cost brain training with exercise for yourself

Play a game on your phone or tablet while riding a stationary bike or using other aerobic equipment like a elliptical or treadmill machine (or marching in place if you have no machine available). Most modern equipment even has a handy spot to put your phone while you exercise. Some aerobic machines even have games already installed.

If you use VR fitness make sure to do it in a safe area so you do not hurt yourself or buy a training machine designed for VR use. Injuries from VR are rising since people tend to bump into furniture or trip down stairs while using it.

There is a growing eSport movement using exergames (games that promote physical activity). For more on this trend check out Let the Body'n'Brain Games Begin: Toward Innovative Training Approaches in eSports Athletes.

Tree growing sideways in rock by Susan Fluegel

Brain Training with vision therapy

If you, or your child, has a problem with reading, focus, or attention deficient disorders in school or work, you may benefit from vision therapy. Some autistic people also benefit. You will be tested to see if vision therapy can help.

I am a huge supporter of vision therapy. For 1.5 years during COVID I attended vision therapy to support a teenager undergoing the treatment and watched it totally change their life. They went from reading and communicating at a 2nd-3rd grade level to reading, writing and communicating at a high school level in two years. More importantly, the person themselves and their parents have expressed how much this therapy changed them.

Vision therapy is being explored as a viable tool to treat concussions, brain trauma and other TBI. More research needs to be done in this area.

Train your brain with vision therapy

Vision therapy is a viable tool to:

✽ Improve tracking and focusing; enhance ability to catch a ball or other object

✽ Enhance hand-eye coordination; improve poor balance

✽ Improve visual memory and processing speed

✽ Enhance vision clarity and sharpness

✽ Help with problems interpreting or processing visual information

✽ Reduce eye strain, headaches and blurred vision

✽ May help with communication

*Names and some minor identifying details in all stories in this website are changed to protect people's privacy.

This information is for informational purposes only and does not constitute medical advice, diagnosis, or treatment.


4) Reduce brain inflammation (see Brain Regeneration Starter Kit for more on reducing inflammation)

How to reduce brain inflammation:

➤ Follow an anti-inflammatory diet. The more inflammatory foods you eat, the greater your risk of brain inflammation and dementia.

Peoples' diets (1,059 women and men, average age 73 years) were rated according to their potential to cause inflammation in the body. The inflammatory potential of each diet was determined using a score that considers the associations of 45 food parameters (foods, nutrients, spices and bioactive components) with amounts of proinflammatory and anti-inflammatory cytokines in the blood; higher score values indicated a more proinflammatory diet. To check out the food parameters used in this study, look at Table 2 in Shivappa et al. 2014.

For each additional unit in the score, there was a 21% increase in the risk of dementia. People eating the diet with the highest inflammatory score were 3 times more likely to develop dementia (Charisis et al. 2021)!

Go to Feed Your Brain to learn more about what foods to eat and which foods to reduce or avoid. Spoiler: in general less processed and less sugary foods are less inflammatory.

➤ Control mast cell activation by reducing inflammation. Over-stimulated mast cells can make brain injuries and PTSD worse.

Mast cells are immune cells that regulate innate and adaptive immunity, regulate blood vessels and even detoxify venom. Mast cells may play a critical role in stress, traumatic brain injuries (TBI), post-traumatic stress disorder (PTSD), neuropsychiatric disorders, neuroinflammation, and neurodegeneration (Krystel-Whittemore et al. 2016, Kempuraj et al. 2017).

➤ Vitamin D stops mast cell activation.

Vitamin D, which is actually an endocrine hormone, influences local innate and adaptive immune responses. This reduces inflammation, regulates maturation of immune cells, decreases mast cell activation, reduces eosinophil production and decreases IgE synthesis. Vitamin D helps stabilize mast cells and reduce degranulation. It increases IL-10-generating regulatory T cells which help protect the skin from sun damage (discussion in Murdaca et al. 2022 and Cutolo et al. 2023).

Women may benefit more from vitamin D. Vitamin D coordinates with estrogen to influence autoimmune disorders. Estrogen helps vitamin D accumulate and increases vitamin D receptors. This means women have a stronger anti-inflammatory response to vitamin D supplementation than men (Dupuis et al. 2021).

Vitamin D can be made by your body if you get sun exposure in the summer. Ask yourself: am I getting tanner? If you can't get a tan from sun exposure your body is not making vitamin D. Nobody, not even a pasty pale person, makes vitamin D in the winter. If you wear sunscreen you are not making vitamin D either.

If you have darker skin and live in the north or don't go outside you NEED vitamin D supplementation. Black people and people with dark skin have the highest risk of vitamin D deficiency. You may even need to take vitamin D year round. Please protect yourself and look into supplements or vitamin D rich foods.

Vitamin D is found in vitamin D fortified milk and milk products, fatty fish, egg yolks, liver, mushrooms, and fortified cereals.

Two people walking in park by Susan Fluegel

Exercise

Yes, I am going to shamelessly plug exercise again. Exercise reduces brain inflammation by increasing anti-inflammatory microglia (discussion in Wang et al. 2023). Click on our exercise segment to learn more.

Stop smoking.

The World Health Organization estimated in 2014 that 14% of Alzheimer's disease cases may be cased by smoking (McKenzie et al. 2014).

You have heard this before. Stop smoking. Stop smoking everything: cigars, cigarettes, roaches, oregano, incense sticks or whatever. Smoking increases your risk of brain inflammation and negatively affects the blood brain barrier (see discussion in Mazzone et al. 2010). If you cannot stop smoking cut down as much as possible.

A study in Korea followed 789,532 people (over 40 years old, mostly men) for a little over 6 years. All people were smoking at the start of study. People who quit smoking had a significantly lower incidence of developing dementia: 8% decrease for all dementia, 6% decrease for Alzheimer disease, and a 16% decrease in vascular dementia (Jeong et al. 2023).

Pro tip: Can't quit smoking?

Hire an annoying child to follow you around nagging you about the nasty side effects of smoking. Some civic minded children will do this for free (especially if they are related to you).

Look at pictures of smoke filled lungs, people with throat cancer, or older people with smoker wrinkles around the lips.

Smoking causes dementia

Cigarette smoking increased at-risk biomarkers for Alzheimer disease in the cerebrospinal fluid (CSF), the liquid that surrounds your brain. Active smokers had higher β-amyloid 42 levels; a potent neurotoxin protein that plays a role in neurodegeneration (brain neuron death and loss of function), excessive oxidative stress, neuroinflammation (brain inflammation), and impaired neuroprotection compared to nonsmokers (Liu et al. 2020).

Vascular cognitive impairment (VCI), caused by impaired blood flow to the brain, accounts for 20-40% cases of dementia (Rundek et al. 2022). VCI can show as a mild cognitive impairment or more advanced vascular dementia. Four risk factors for vascular dementia are hypertension, high cholesterol, diabetes, and smoking at middle age. Each of these are associated with a 20 to 40% increased risk of dementia and your risk increases if you have more than one of these risk factors (discussion in Rundek et al. 2022).

Smoking may be linked to Long COVID

Some symptoms of Long COVID, such as cardiovascular symptoms, shortness of breath (dyspnea), and brain (cognitive) and/or mental-health impairments, may be strongly associated with smoking. Current research links smoking to an increased risk of developing Long COVID (Trofor et al. 2024).

Below: James Dean smoking back when it was cool.

James Dean smoking

Reduce stress.

Easier said than done, check out our section on stress reduction.

Stress impedes brain recovery and contributes to neurological dysfunction. It activates oxidative stress, endoplasmic reticulum stress (ERS), prevents blood vessel growth (angiogenesis), causes cellular death (apoptosis), inhibits glia cells, decreases brain-derived neurotrophic factor (BDNF), and contributes to excitatory/inhibitory neuron imbalance. In addition, stress can cause behavioral and cognitive deficits (Guo et al. 2022).

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