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Why indigenous people in Amazon rainforests least likely to get Alzheimer’s

Only about 1 percent of indigenous people in the Amazon get Alzheimer's, fewer than anywhere else on Earth.

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Foliage of the Amazon rainforest bathed in golden light at sunset in Madidi National Park in Bolivia
Foliage of the Amazon rainforest bathed in golden light at sunset in Bolivia. (Photo by Structured Vision via Shutterstock)

By Mark Waghorn via SWNS

Hardly any Indigenous people in the Amazon rainforest get Alzheimer's and the reasons might help protect us, according to new research.

Only about 1 percent of older individuals are affected - fewer than anywhere else on Earth.

Rates are up to eleven times higher in western countries such as the United States and the United Kingdom.

It adds to evidence healthier pre-industrial lifestyles are protective, say scientists.

Just six cases were identified among 604 Tsimane and Moseten Indians aged 60 and over. They live in the Bolivian Amazon.

Lead author Professor Margaret Gatz, of University of Southern California, said: "Something about the pre-industrial subsistence lifestyle appears to protect older Tsimane and Moseten from dementia."

The number of people living with dementia globally is set to triple to more than 150 million in the next three decades.

With no cure in sight, there is an increasing focus on reducing the risk of developing it.

An international team - including trained translators and Bolivian doctors - diagnosed dementia and cognitive impairment among the two tribes.

They used CT (computed tomography) brain scans, cognitive and neurological assessments and culturally appropriate questionnaires.

Only five cases of dementia were found among the 435 Tsimanes and one among the 169 Mosetens.

The roughly 17,000 Tsimane remain physically very active throughout their lifespans as they fish, hunt and farm with hand tools and gather food from the forest.

The 3,000 Moseten also reside in rural villages and engage in subsistence agricultural work.

Unlike the more isolated Tsimane, they live closer to towns and have schools, access to clean water and medical services, and are more likely to be literate.

The study authors compared their results to a systematic review of 15 studies of indigenous populations in Australia, North America, Guam and Brazil.

That found dementia prevalence ranging from 0.5% to 20% among indigenous older adults.

The fact that indigenous populations in other parts of the world have high rates of dementia may be due to a higher amount of contact with non-indigenous neighbours.

They adoption their lifestyles - and also face greater risks of diabetes, hypertension, alcohol abuse, obesity and cardiovascular disease.

These dementia risk factors are extremely low among the Tsimane and Moseten populations.

Previous research has found the Tsimane people have extraordinarily healthy hearts in older age.

They have the lowest prevalence of hardening of the arteries known to science.

Known medically as coronary atherosclerosis, it is caused by a build-up of blood fats that can lead to clots - and a stroke or heart attack.

Another recent study showed the Tsimane experience less loss of the brain's grey matter than their American and European peers.

In contrast, lifestyle factors in higher-income countries - including lack of physical activity and diets rich in sugars and fats - contribute to heart disease and may also accelerate brain ageing.

Ageing is the most important known risk factor for dementia. But others are modifiable, say the researchers.

They include low formal education, midlife hypertension and diabetes, cardiovascular diseases, physical inactivity and air pollution .

Co-author Professor Hillard Kaplan, of Chapman University in orange, California, has studied the Tsimane for two decades.

He said: "We're in a race for solutions to the growing prevalence of Alzheimer's disease and related dementias.

"Looking at these diverse populations augments and accelerates our understanding of these diseases and generate new insights."

The Amazon is the largest tropical rainforest on Earth. It covers some 40% of the South American continent.

It includes parts of eight countries - Brazil, Bolivia, Peru, Ecuador, Colombia, Venezuela, Guyana, and Suriname.

It is home to 20 million people, who use the wood, cut down trees for farms and for cattle.

Co-author Prof Benjamin Trumble, of Arizona State University, said: "By working with populations like the Tsimane and the Moseten, we can get a better understanding of global human variation and what human health was like in different environments before industrialisation.

"What we do know is the sedentary, urban, industrial life is quite novel when compared with how our ancestors lived for more than 99% of humanity's existence."

Alzheimer's and other forms of dementia affect more than 920,000 Britons - a figure that will rise to 2 million by 2050.

The study is in Alzheimer's & Dementia: The Journal of the Alzheimer's Association.

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