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How to take action once you know your risk for Alzheimer’s

June 9, 2017   /   by Buzz McClain

Grey haired man in gym lifting free weights

Exercise can help reduce the effects of Alzheimer's disease. Thinkstock photo.

A new genetic test has been shown to predict not only if a person is genetically predisposed to developing Alzheimer’s disease in old age, but also at what age.

The telling genetic marker is a protein known as APOE, and everyone inherits one of three versions of it—E2, E3 or E4.

“APOE-E2 is protective, we know that,” said psychology professor Jane Flinn, who researches cognitive and behavioral neuroscience at George Mason University’s College of Humanities and Social Sciences. “If you have two copies of APOE-E2, one from your mother and one from your father, you never develop Alzheimer’s. But that’s only 2 percent of the population.”

Those with one APOE-E3 gene and one APOE-E4 gene run a greater risk of developing late-onset Alzheimer’s, she said.

“That’s 20 percent of the population,” she added.

Carrying the E4 gene also increases the risk of developing the disease at an earlier age.

Those with two copies of APOE-E4, however, “are very, very likely to get Alzheimer’s,” she said. In fact, studies show it’s a 65 percent likelihood those with two copies of E4 will develop the disease.

“But again, that’s only 2 percent of the population,” said Flinn, who studies the effect of metals such as zinc and copper on behavior and physiology.

Those having their genetic makeup tested for these proteins might feel better knowing they have two copies of APOE-E2, but those learning they have two copies of E4 would likely feel differently. So why take the test?

Change your life

“You can make life choices,” Flinn said. And you can start treatment earlier, even before symptoms arise.

One step to take is committing or recommitting to exercise.

“Study after study in mice and people show that exercise is preventative,” Flinn said. “Just walking, staying active. Just moving helps.”

But not too much

Flinn also recommends avoiding drastic changes in light of test results.

“Obviously, you wouldn’t quit your job,” she said, adding that health care benefits and long-term insurance coverage could be crucial later on. “But you would want to think about where you wanted to live in the future.”

Be careful with money

“You shouldn’t do anything risky financially,” she said. “You have to really think about your finances and try to plan carefully.”

Revisit the bucket list

On the other hand, she said, “Start working on the bucket list. Start early, not late. If you always wanted to do an around-the-world tour, do it now, not later.”

Don’t stop learning

Reading seems to work to stave off symptoms, and having a college degree, or at least a high school education, appears to be preventative as well. It seems an active brain is a moving target for the disease, she said.

Keep and make friends

“Social contact is very important. And it’s a huge issue when people get older,” Flinn said. “They live alone, they can’t drive—but the more social support you have, the better for your brain.”

Eat well, enjoy life

Eat a balanced diet, get plenty of exercise and in short, “do anything that’s good for your heart,” Flinn said. “It’s also good for your brain.”