Do you often forget a meeting or misplace your keys? Many older adults jump to the conclusion that these are signs of Alzheimer's disease. However, Alzheimer’s is not the sole reason for memory issues. Forgetfulness can occur at any age and for various reasons, and thankfully, many of these factors are treatable once identified. Memory loss can be frustrating and often triggers fears of dementia or Alzheimer's. Yet, other contributors such as medications, depression, poor sleep, vitamin B12 deficiency, head injuries, strokes, alcohol abuse, brain tumors, thyroid disorders, stress, and anxiety can also lead to memory complaints. Recent studies have highlighted that depression is particularly prevalent among older adults, often co-occurring with cognitive decline, and can exacerbate memory issues, complicating the clinical picture of Alzheimer’s disease [1].
Let's dive into some of the more surprising causes of memory loss.
1. Depression
Stress, anxiety, and depression are frequently overlooked or misdiagnosed in older adults, often leading to memory problems. Depression can arise from various sources and manifest in different ways. Chronic pain, loss of loved ones, feelings of isolation, and even boredom can significantly alter brain chemistry, contributing to memory loss and mood swings. Importantly, research indicates that depressive symptoms can co-occur with Alzheimer's disease, making it challenging to differentiate between the two [4]. The silver lining? Depression is generally treatable, with a range of therapeutic and medical options available. Reducing stress and anxiety can also help enhance memory.
2. Vitamin B12 Deficiency
A deficiency in vitamin B12 can mimic symptoms similar to dementia, such as poor judgment and mood swings. This vitamin is crucial for maintaining healthy brain function. While foods like meat, poultry, milk, and eggs are rich in vitamin B12, factors such as excess stomach acid, certain medications, diabetes, and alcoholism can deplete its levels in your body. If untreated, this deficiency can lead to brain shrinkage, confusion, depression, and memory loss [2].
3. Medications
As people age, they often find themselves taking more medications, which can lead to cognitive issues. Drugs such as antidepressants, hypertension medications, painkillers, anti-epileptics, and antipsychotics can affect memory by causing confusion or sedation. Moreover, neuropsychological evaluations have shown that depressive symptoms can significantly impact test results, complicating the assessment of cognitive impairment [5]. If you suspect that your memory is impacted by a new medication, it's advisable to consult your doctor for alternatives.
4. Hypothyroidism
The thyroid gland plays a key role in regulating metabolism and organ function through hormone production. When it doesn't produce enough hormones, a condition known as hypothyroidism can cause memory problems, fatigue, and depression. A simple blood test can check your thyroid hormone levels, and if they're low, your doctor can prescribe hormone supplements to help [3].
5. Alcohol or Drug Abuse
Long-term abuse of alcohol or drugs can harm the brain, leading to both short- and long-term memory loss, psychosis, and other cognitive declines. Studies have shown that early intervention can sometimes reverse memory issues associated with addiction, emphasizing the importance of seeking help [2]. The best prevention is adhering to recommended drinking guidelines.
If memory concerns are on your mind, consider consulting a doctor online to identify and effectively address the underlying causes.
References:
- Qingyang Zhan, Fanyi Kong, Shuai Shao, Bo Zhang, Shuming Huang. Pathogenesis of Depression in Alzheimer's Disease.. PubMed. 2023.
- Kanika Mehta, Sathya Priya Thandavan, Mohammadreza Mohebbi, Julie A Pasco, Lana J Williams, Ken Walder, Boon Lung Ng, Veer Bala Gupta. Depression and bone loss as risk factors for cognitive decline: A systematic review and meta-analysis.. PubMed. 2022.
- A-I Gasser, V Salamin, S Zumbach. [Late life depression or prodromal Alzheimer's disease: Which tools for the differential diagnosis?]. PubMed. 2018.
- Felix Menne, Carola Gertrud Schipke, Arne Klostermann, Manuel Fuentes-Casañ, Silka Dawn Freiesleben, Chris Bauer, Oliver Peters. Value of Neuropsychological Tests to Identify Patients with Depressive Symptoms on the Alzheimer's Disease Continuum.. PubMed. 2020.
- Claudia Lanza, Karolina Sejunaite, Charlotte Steindel, Ingo Scholz, Matthias W Riepe. Cognitive profiles in persons with depressive disorder and Alzheimer's disease.. PubMed. 2020.