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Integrative Approaches to Cognitive Decline 

Integrative Approaches to Cognitive Decline
Chapter:
Integrative Approaches to Cognitive Decline
Author(s):

Thomas J. Kelly

, and Mijail Serruya

DOI:
10.1093/med/9780190690557.003.0017
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date: 22 September 2020

The ability to remember, plan, communicate, and multitask changes with normal, healthy aging. These cognitive abilities decline more rapidly and with greater severity in the setting of neurodegenerative disease. The most common etiology of neurodegenerative cognitive decline is Alzheimer’s disease, and other processes, such as those triggered by stroke, dementia with Lewy bodies, and traumatic brain injury, also cause significant debility. The purpose of this chapter is to review evidence-based integrative medical interventions that may slow both normal and disease-related cognitive decline in order to improve day-to-day function. Aerobic exercise, healthy nutrition, daily social and cognitive engagement, good sleep hygiene, and neuromodulatory approaches including mindfulness meditation and yoga, when all followed together in a consistent manner, interact synergistically to become more than the sum of their parts as a potent, integrative intervention that can sustain healthy, thriving cognitive function.

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