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The Diary Of A CEO with Steven Bartlett

Most Replayed Moment: Alzheimer's Starts 20 Years Before Symptoms! How To Protect Your Brain Now

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Original episode
PodcastThe Diary Of A CEO with Steven Bartlett
Publisher/creatorDOAC
Published
Shortcast updated

About this episode

How do I best protect my brain from cognitive decline?
Louisa Nicola is a neurophysiologist and the founder of Neuro Athletics, specialising in brain health, human performance, and longevity.
In this Moment, Louisa Nicola reveals how the right kind of exercise can help protect the ageing brain, why one often-overlooked measure of physical strength may be a powerful marker of cognitive health, and the training approach linked to remarkable changes in the middle-aged heart.
Listen to the full episode here!
Spotify: https://g2ul0.app.link/FCjUBa95n5b
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Watch the Episodes On YouTube: ⁠⁠https://www.youtube.com/c/%20TheDiaryOfACEO/videos

Episode summary

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What’s the strongest evidence that exercise matters for Alzheimer’s prevention and the brain?

Strength work gives the biggest return. In SMART, people with mild cognitive impairment trained two or three times weekly, improved processing speed and fluid intelligence, and protected brain tissue. APOE4 raises risk, especially for women, but isn’t destiny.

Why are strong legs especially important?

Identical twins share genes, yet over ten years, the stronger twin had more gray matter and better cognition. Studies point to lifting around 80 percent of your one-rep max. Heavy.

Why would lifting something heavy make my brain bigger?

Muscle contraction releases myokines that support the hippocampus, memory and learning. They work with BDNF and calm inflammation. Drug companies are trying to bottle these signals and can’t. Heavy loads also demand more drive from the brain.

One movement forever for brain protection?

Deadlift, done properly: glutes, quads, spinal muscles, calves—the lot. Barbell squats are comparable.

I train, then sit all day. That Cleveland Clinic finding is annoying.

Sedentary behavior is a disease. Each hour, get up for ten air squats—eight times daily if you can. After eating, brief movement can bring the glucose spike down.

Is five kilometers outside better than hard intervals?

Outside is brilliant, but I’d choose a shorter, higher-threshold session. Zone five remodels the heart. Ben Levine’s work—about four hours weekly for two years, with intervals, aerobic work, and strength—made sedentary middle-aged hearts roughly 20 years younger. Midlife is the window.

Watch blood pressure: cheap, practical brain protection. Before Alzheimer’s, I’d exercise aggressively, manage diet and lipids, get omega-3s, stay social, go outside, and preserve every bit of function.

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