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What You Do Today Shapes Your Brain Tomorrow
Episode 1551st April 2026 • Truth, Lies & Alzheimer's • Lisa Skinner
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In this episode of Truth, Lies & Alzheimer’s, we explore a powerful truth: dementia doesn’t just happen overnight—it is often influenced by the daily choices we make years, even decades, earlier.

Lisa breaks down how brain health is built over time and what you can start doing today to protect your cognitive future. From movement and nutrition to sleep and stress, this episode offers practical, actionable steps that support long-term brain function.

You’ll learn:

  • Why blood flow and oxygen are critical for brain performance
  • How strength training supports cognitive resilience
  • The connection between walking and mental clarity
  • The impact of blood sugar on brain health
  • Why sleep is essential for clearing brain toxins
  • How chronic stress affects memory and focus

This episode is a reminder that small, consistent habits can make a significant difference. You don’t have to wait for symptoms to start caring for your brain—you can begin right now.

Bottom Line:

You don’t “catch” dementia—you move toward it or away from it through your daily habits.

Have a look at our updated website - https://www.mindingdementiasummit.com/

About the Host:

Author Lisa Skinner is a behavioral specialist with expertise in Alzheimer’s disease and related dementia. In her 30+year career working with family members and caregivers, Lisa has taught them how to successfully navigate the many challenges that accompany this heartbreaking disease. Lisa is both a Certified Dementia Practitioner and is also a certified dementia care trainer through the Alzheimer’s Association. She also holds a degree in Human Behavior.

Her latest book, “Truth, Lies & Alzheimer’s – Its Secret Faces” continues Lisa’s quest of working with dementia-related illnesses and teaching families and caregivers how to better understand the daunting challenges of brain disease. Her #1 Best-seller book “Not All Who Wander Need Be Lost,” was written at their urging. As someone who has had eight family members diagnosed with dementia, Lisa Skinner has found her calling in helping others through the struggle so they can have a better-quality relationship with their loved ones through education and through her workshops on counter-intuitive solutions and tools to help people effectively manage the symptoms of brain disease. Lisa Skinner has appeared on many national and regional media broadcasts. Lisa helps explain behaviors caused by dementia, encourages those who feel burdened, and gives practical advice for how to respond.

So many people today are heavily impacted by Alzheimer's disease and related dementia. The Alzheimer's Association and the World Health Organization have projected that the number of people who will develop Alzheimer's disease by the year 2050 worldwide will triple if a treatment or cure is not found. Society is not prepared to care for the projected increase of people who will develop this devastating disease. In her 30 years of working with family members and caregivers who suffer from dementia, Lisa has recognized how little people really understand the complexities of what living with this disease is really like. For Lisa, it starts with knowledge, education, and training.

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Transcripts

Lisa Skinner:

Hello everybody, and welcome back to another

Lisa Skinner:

brand new episode of the Truth, Lies and Alzheimer's show. I'm

Lisa Skinner:

Lisa Skinner, your host. Today, we're going to be talking about

Lisa Skinner:

something that is actually pretty compelling, that you

Lisa Skinner:

might want to pay close attention to, because did you

Lisa Skinner:

know that what you do at 40 decides your risk of dementia at

Lisa Skinner:

70? Yes, this is a true statement, because memory loss

Lisa Skinner:

is not random. It's built slowly through daily choices. It starts

Lisa Skinner:

with poor blood flow, inactivity, metabolic damage,

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long before any symptoms show up. So here's what we can do to

Lisa Skinner:

protect our brains. One cardio feeds our brains oxygen. Our

Lisa Skinner:

brain runs on oxygen and nutrients delivered through

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blood. Why that works? Regular cardio exercise boosts

Lisa Skinner:

circulation, supporting neurons and brain efficiency. So it's

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recommended to do this, zone two cardio, two to three times

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weekly, 30 to 45 minutes walk daily to keep your blood moving

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and add a 20 minute interval session Weekly. Strength

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training protects cognition. Lifting benefits more than

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muscles. It supports brain health. Why that works? Because

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exercise boosts brain derived neurotropic factor, which

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strengthens our neural connections. So to accomplish

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that, try this strength train three to four times per week.

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Focus on compound full body lifts. Keep sessions under 60

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minutes. Remember we're doing this at 40 now. Walking also

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builds mental resilience. Movement keeps our body and mind

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sharp. Why does that work? Because walking reduces dementia

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risk and improves executive function. So what should you do

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to accomplish that 8000 to 10,000 steps, daily morning

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sunlight exposure during walks is hugely beneficial, and walk

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during calls or breaks, another thing blood sugar control

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absolutely matters elevated blood sugar damages brain tissue

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over time. Why? Because glucose spikes increase inflammation and

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accelerate cognitive decline. What should we do about that?

Lisa Skinner:

Well, try eating more protein and vegetables first in your

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meal. Avoid sugary snacks and drinks include healthy fats for

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steady energy. Next, sleep significantly clears waste that

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accumulates in our brains. Did you know that your brain cleans

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itself during deep sleep. Why? Because during deep rest,

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cerebral spinal fluid flushes out toxins that degrade

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cognition. So how do you accomplish that? By getting

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seven to nine hours of sleep per night, keep your bedroom dark,

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cool and quiet, create a consistent bedtime routine. Did

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you also know that stress shrinks our memory centers? Yes,

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long term stress shrinks key memory regions like the

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hippocampus. Why? Because chronic cortisol exposure harms

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focus and our recall. So try this practice, daily recovery,

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walks, journaling, stillness and set boundaries with work and

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devices. Try taking full rest days weekly. The bottom line

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here is you don't catch dementia. You build toward it or

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away from it. You. Daily habits. Decide, I wanted everybody to be

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aware that the air outside our windows might actually be the

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dementia risk factor that our doctors have never mentioned

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now, most people do associate air pollution with one disease,

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the brain connection is far less discussed, but much more

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alarming. Here is what the evidence now shows that fine

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particle matter crosses our blood brain barrier. It's called

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PM 2.5 and their particles are smaller than 2.5 microns. They

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enter the bloodstream through our lungs. They cross into brain

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tissue directly and trigger neuro inflammation. Now this is

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the same inflammatory pathway that drives neurodegeneration.

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The brain has no mechanism to expel them the way the lungs can

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partially clear larger particles. The numbers are

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significant. A study of 130,000 older adults found a 92%

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increased dementia risk with high PM 2.5 exposure over time.

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So living near a major roadway can increase dementia risk by

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approximately 12% even after controlling for other factors.

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The Lancet Commission now lists air pollution as one of the 14

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modifiable modifiable dementia risk factors, because it

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accounts for roughly 2% of global dementia cases, which, in

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absolute numbers, equates to millions of people. Also, indoor

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air is often worse than outdoor cooking with gas, using candles,

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certain cleaning products and poor ventilation concentrate

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pollutants indoors. Most people, interestingly enough, spend 90%

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of their time indoors. HEPA filtration in bedrooms is one of

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the most practical and underused interventions we have available

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to us today. This is a health equity issue. Living in

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communities near highways, industrial sites and ports face

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disproportionate exposure. Now the same communities often have

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less access to health care that could detect early cognitive

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changes. These studies show air quality and dementia risk are

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distributed unequally across zip codes in every major city. So

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what we can do to help protect ourselves? Here's a couple of

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suggestions. Monitor the air quality index before you

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exercise outdoors. There are free apps that you can load onto

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your phones or your devices that take 10 seconds, use HEPA air

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filters in your bedrooms, your brain clears amyloid during

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sleep, clean air during that window absolutely matters,

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reduce indoor pollutants by ventilating when you're cooking,

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reduce synthetic fragrances, exercise in green spaces when

Lisa Skinner:

possible, rather than traffic adjacent routes. Now this isn't

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a reason to stay indoors or live in fear. Please note that it's a

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reason to add air quality to the brain

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health conversation the same way we've added sleep, exercise and

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diet, but right now, it barely shows up there, so hopefully

Lisa Skinner:

this has been valuable information for everybody that

Lisa Skinner:

just had no idea that air pollution, both inside and

Lisa Skinner:

outside, can increase our risk of developing Alzheimer's

Lisa Skinner:

disease and dementia significantly. Thank you to Dr.

Lisa Skinner:

Risa GOMI for providing that very, very insightful

Lisa Skinner:

information. So that'll wrap up this episode for the truth lies

Lisa Skinner:

at Alzheimer's show. I'm Lisa Skinner, your host, and I, of

Lisa Skinner:

course, I will be back next week with another new episode for

Lisa Skinner:

you, and in the meantime, I wish you all a great rest of your

Lisa Skinner:

week, stay healthy and come back and see me for another new

Lisa Skinner:

episode next week, see you then, bye, bye.

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