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Is an underlying condition causing your fuzzy thinking?

The top five causes you may be overlooking.


 Image: the-lightwriter/iStock

You know the feeling: you can't find a particular word, remember someone's name, or concentrate the way you once did. Is it just aging, or is something else to blame? "It's easy to underestimate how underlying conditions affect memory and thinking, and they are often overlooked," says Dr. Shreya Raj, a neuropsychiatrist with the Center for Brain/Mind Medicine at Harvard-affiliated Brigham and Women's Hospital.

Common causes

What you should do

When trouble with concentration or memory interferes with your day, it's probably time to talk to your primary care doctor. Report any additional symptoms you may be having, such as fatigue, muscle weakness, sadness, daytime sleepiness, or anxiety. You might need some blood tests to check your thyroid hormones or B12 levels (neither test is ordered routinely), or a sleep test if you have sleep apnea symptoms.

Often, treating an underlying condition can restore your clarity of thinking. "When we treat depression or sleep apnea, for example, we see a sudden improvement in memory and focus," says Dr. Raj. "And if a medication side effect is the problem, changing the dose or type of drug may resolve the problem."

If treating an underlying condition doesn't sharpen thinking skills, your doctor may refer you to a neuropsychologist for formal tests of your thinking ability, particularly signs of dementia. Most of the time, however, people with fuzzy thinking do not have dementia.

Fuzz busters

When you're struggling with fuzzy thinking, lifestyle changes like these can bring more clarity.

Get more sleep. Aim for seven to eight hours of sleep per night. "Older adults to tend to sleep less, but if you're getting too little sleep, you won't think as sharply as you could," says Dr. Shreya Raj. Boost your Z's by going to sleep and waking at the same time each day, and avoiding caffeine, particularly after noon.

Exercise more. Try to get 150 minutes of moderate-intensity activity per week, such as brisk walking. You'll get more sleep and boost blood flow to the brain. Many studies have shown that aerobic exercise in particular improves thinking skills.

Change your diet. "Not eating healthfully makes you more sluggish, even in thinking. Studies have shown the Mediterranean diet may improve cognitive function," says Dr. Raj. The diet includes fresh vegetables and fruits; whole grains; olive oil; nuts; legumes; fish; moderate amounts of poultry, eggs, and dairy; moderate amounts of red wine; and red meat only sparingly.

Image: JackF/Thinkstock

 

Try the hot trend in whole grains

Ancient grains have become the darlings of the culinary world, and they're healthy, too.


Image: marejuliasz/Thinkstock

In recent years, whole wheat has gotten all the glory when it comes to adding grains to your diet. But today's superstars are the staples used long before wheat took center stage. They're called ancient grains.

"Modern wheat, rice, and corn have been processed through hybridization or genetic modification. Ancient grains have not; they've been grown the same way for centuries," says Debbie Krivitsky, a registered dietitian at Harvard-affiliated Massachusetts General Hospital.

Botox injections get another nod for treating migraine headaches

In its 2016 guidelines, the American Academy of Neurology recommended the use of onabotulinumtoxin A (Botox) injections as a way to help reduce the frequency of chronic migraines.

Step lively with walking

With an emphasis on proper speed and form, a regular walking routine can make great strides toward improving your health.


A dedicated walking program can be your main source of exercise.
Image: iStock

Walking is the oldest exercise, but nowadays it tends to be recommended only for people who have trouble staying active, have mobility issues, or are recovering from an injury or surgery. Yet you should rethink the role walking can play in your overall fitness.

How much weight loss is cause for concern?

It is normal to lose some weight as a person ages. In fact, an estimated 10% to 20% of men older than age 65 lose 5% or more of their body weight over the rest of their lifetime. However, losing 5% of total weight in one year or 10% over two years warrants some medical testing.

Are there any advantages to human growth hormone?

The hype around human growth hormone (HGH) comes from a few studies that showed HGH injections can increase lean body mass and shrink body fat, which led to claims of HGH as an “anti-aging” hormone. Yet, the benefits of HGH supplementation for older adults are unproven, and there are concerns about potential side effects.

On the road with good health

Travel can keep you active and healthy, but to enjoy your journey, make sure you are well prepared.


Image: Jacob Ammentorp Lund/Thinkstock

Travel at any age is not only fun and exciting but also good medicine. "Experiencing new places often stimulates positive reactions," says Dr. Esteban Franco-Garcia, a geriatric physician with Harvard-affiliated Massachusetts General Hospital. "It helps you remain physically active and offers the brain new challenges."

In fact, a survey of American travelers reported by the Global Coalition on Aging found that 93% felt happier after time away, 77% believed their health improved afterward, and about 80% said travel increased their productivity, energy, and focus.

Loneliness has same risk as smoking for heart disease

Loneliness and social isolation raises your risk of heart attack, stroke, and even early death, says a new study. The risk was similar to light smoking or obesity. 

Getting protection from bug-borne illnesses

This summer, it's especially important to take precautions against mosquitoes and ticks.


 Image: Rene Drouyer/Thinkstock

You're no doubt aware that a mosquito bite can transmit the Zika virus and that pregnant women infected with the virus may have babies with microcephaly—incomplete brain development. Although Zika is getting the most attention this summer, mosquitoes and ticks carrying the pathogens responsible for other conditions, including West Nile fever, Lyme disease, encephalitis, and Rocky Mountain spotted fever, are still at large in areas of the United States.

While scientists work to develop vaccines against these illnesses, the best protection is still prevention. "One thing everyone can do is to reduce their risk of exposure," says Dr. Mary E. Wilson, adjunct associate professor of global health and population at the Harvard T.H. Chan School of Public Health. Getting the best protection depends on the type of bug you're protecting yourself against.

Going to the hospital? HELP is on the way

You can take measures to keep yourself or a loved one from becoming confused and disoriented during hospitalization.


Arranging for support from family and friends is one of the most important things you can do when planning a hospital stay.
Image: monkeybusinessimages/Thinkstock

During hospital stays, about half of people over 65 have episodes of delirium (a sudden change in mental status), according to several major studies. Those who do are at increased risk for developing cognitive impairment and dementia after their release.

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