Cicilline Moves to Re-Establish the House Permanent Select Committee on Aging

Published in RINewsToday on April 30, 2021

Congressman David Cicilline is poised to offer a resolution to re-establish the House Permanent Select Committee on Aging, whose work came to an end in early January 1993, at the conclusion of the 102nd Congress.

The Washington, DC-based Leadership Council of Aging Organizations (LCAO), a coalition of 69 aging organization, has recently called on the House to support Cicilline’s measure when introduced, “which focuses on the well-being of America’s older population and is committed to representing their interests in the policy-making arena”.

“Now is the opportune time to reestablish the House Aging Committee,” says LCAO Chair, Max Richtman, who serves as President and CEO of the National Committee to Protect Social Security and Medicare (NCPSSM), in an endorsement letter sent to the Rhode Island Congressman on March 30, 2021, detailing the graying of America. 

“Every day, 12,000 Americans turn 60. By 2030, nearly 75 million people in the U.S.—or 20 percent of the country—will be age 65 or older. As America grows older, the need for support and services provided under programs like Social Security, SSI, Medicare, Medicaid and the Older Americans Act also increases,” he said, stressing the importance of this select committee.

The resolution to approve the House Aging Committee was passed on October 8, 1974, by a 299–44 margin in the House. Its legislative duties expired during the 103rd Congress, as the House leadership was under pressure to reduce its internal costs and to streamline the legislative process. Initially, the House panel had 35 members, but would later grow to 65 members.

Those opposing reauthorizing the House Aging Committee would say that its elimination would slash wasteful spending, after all, the chamber already had 12 standing committees with jurisdiction over aging issues. On the other hand, advocates warned that the staff of these committees did not have time to broadly examine aging issues as the select committee did.

In a March 31, 1993 article published in the St. Petersburg Times, reporter Rebecca H. Patterson reported that Staff Director Brian Lutz, of the Committee’s Subcommittee on Retirement Income and Employment, stated that “during its 18 years of existence the House Aging Committee had been responsible for about 1,000 hearings and reports.”

The Fourth Time “Hopefully” is the Charm…

Over 28 years after the House Democratic Leadership’s belt-tightening efforts to save $1.5 million resulted in the termination of the House Aging Committee, Rhode Island Congressman David Cicilline is poised to reintroduce legislation to reestablish the House Aging panel, active from 1974 until 1993.

More than five years ago, Cicilline had introduced H. Res. 758 during the 114th Congress to reestablish the House Aging Committee. Rhode Island Congressman Langevin and 27 Democratic lawmakers out of 435 House members became cosponsors. But it caught the eye of the co-chairs of the Seniors Task Force (later renamed the House Democratic Caucus Task Force on Aging & Families), Congresswomen Doris Matsui (D-CA) and Jan Schakowsky (D-IL). The lawmakers also signed onto supporting this resolution.

Correspondence penned by Cicilline urged House Speaker Paul Ryan (R-WI) and House GOP leadership to support House Res. 758. Ultimately, Ryan blocked the resolution from being considered and no legislative action was taken in the GOP-controlled House chamber. 

With House Speaker Ryan still retaining the control of the House during the 115th Congress, Cicilline’s H. Res.160 would not gain traction. At that time only 27 Democratic lawmakers stepped forward to become cosponsors, the resolution attracting no support from House GOP lawmakers.  

For the third time, during the 116th Congress, Cicilline would again introduce H. Res. 821 to reestablish the House Aging Committee. Even with the Democrats retaking the House and House Speaker Nancy Pelosi taking control of the chamber’s legislative agenda, the resolution would not get a committee vote, again blocking it from reaching the floor for a vote.

During the 117th Congress, Cicilline is not taking “no” for an answer, and continues his push to bring back the House Aging Committee.  Once his resolution is thrown into the legislative hopper, it will be referred to the House Committee on Rules for mark-up and if passed will be considered by the full House. It’s expected to be just 245 words like the previous ones introduced during the last three Congresses.  

The Resolution: Short and Sweet

Cicilline’s resolution would reestablish a House Aging Committee without having legislative jurisdiction, this being no different than when the select committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts impacted legislation taken up by standing committees.

According to the Congressional Research Service, it is relatively simple to create an ad hoc (temporary) select committee by approving a simple resolution that contains language establishing the committee—giving a purpose, defining membership, and detailing other issues that need to be address.  Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

This resolution would also authorize the House Aging Committee to study the use of all practicable means and methods of encouraging the development of public and private programs and policies which will assist seniors in taking a full part in national life and which will encourage the utilization of the knowledge, skills, special aptitudes, and abilities of seniors to contribute to a better quality of life for all Americans.

It would also allow the House Aging Committee to develop policies that would encourage the coordination of both governmental and private programs designed to deal with problems of aging and to review any recommendations made by the President or by the White House Conference on Aging in relation to programs or policies affecting seniors.

“After a lifetime of working hard and playing by the rules, Rhode Island seniors should be able to enjoy their retirement years with dignity and peace of mind. Re-establishing the House Aging Committee will help make this goal a reality. From protecting Social Security and Medicare to lower the costs of housing and prescription drugs, this Committee will help ensure we can deliver better results for seniors here in Rhode Island and across America,” says Cicilline.

Looking Back

According to NCPSSM’s Richtman, who served as staff director for the Senate Special Committee on Aging from 1987 to 1989, the House Aging Committee historically served as a select committee that fostered bipartisan debate from various political and philosophical viewpoints to promote political consensus that, in turn, impacted the legislation that was taken up in authorizing committees. This select committee would have an opportunity to more fully explore a range of aging issues and innovations that cross Committee jurisdiction, while holding field hearings, convening remote hearings, engaging communities and promoting understanding and dialogue.

While seeing the value of the House Aging Committee, Richtman speculates that regardless of which party is in the majority, the challenge of re-establishing the select committee is that the Legislative Branch appropriation would require that existing House standing committees forgo some funding and staff to create a budget and staff for the Aging Committee. Given that the Aging Committee could have no legislative jurisdiction; the authorizing committees would not lose legislative power.

Robert Blancato, president of Matz, Blancato, and Associates, who was the longest-serving staff person on the original House Aging Committee, from 1977 to 1993, sees the need to bring back the House Aging Committee. “It provided a deeper examination of issues affecting older adults through hearings, investigations, and reports. Every member of the committee was also a member of a standing committee and could take their expertise to into that work,” he noted.

Blancato, who served with three chairs — Will Randall (D-MO), Claude Pepper (D-FL) and Edward Roybal (D-CA), warns that a “floodgate problem” may well derail Cicilline’s efforts to get his resolution passed. “You create one and there will be pressure to create more,” says Blancato. But, bringing back the House Aging Committee is extremely important because there is no “stated expertise in any current standing committee [to investigate] on aging issues,” he adds.

America’s aging population warrants reestablishing the House Aging Committee, says Professor Fernando Torres-Gil, M.S.W., Ph.D., Social Welfare and Public Policy Director, Center for Policy Research on Aging at the UCLA Luskin School of Public Affairs. “By 2029, all 80-plus individuals born between l946 and l964 will be 65 years of age and over. These so-called “aging baby boomers” will create challenges and opportunities that the Congress must examine, understand and respond to with legislation, oversight and partnerships with government, stakeholders and advocates,” says Torres Gill, who served as the select committee’s staff director from 1985 to 1987.

Under the Chairmanship of Congressmen Roybal and the partnership with the ranking minority member, Congressman Rinaldi (R-TX), Torres-Gil saw first-hand the tremendous influence that this select committee had on influencing and motivating House members to promote thoughtful responses to the needs of older Americans, “It served as one of the few venues for bi-partisanship and long-term planning on complex issues facing older persons,” he stated.

According to Torres-Gil, the complexities of an aging society will increase given the pandemic, the growing voices of immigrants, ethnic and minority groups and the challenges for ensuring the financial viability of legacy entitlement programs: Social Security, Medicare, Medicaid, the Older Americans Act.  “Now is the time to bring back this vital congressional “thought leader” on legislative action for the aging and diversity of the United States,” he says.

To illustrate the importance of the House Aging Committee, Bill Benson, Staff Director of the Committee’s Subcommittee on Housing and Consumer Interests from 1987 to 1990, (chaired by Congressmen Don Bonker (D-WA) and later James Florio (D-NJ), points to his subcommittee’s work on housing issues. “Both before, during, and after my tenure with the subcommittee, we were able to dig deeply into a multitude of significant housing-related programs and problems facing older Americans. During my tenure alone we conducted at least a dozen hearings just on housing, addressing affordability, quality and appropriateness, contributing significantly to legislative action,” he said.

“I am certain that in just that over two-year period we held far more hearings on housing and aging than have been conducted, in total, in the nearly three decades since. During this interum, there has been almost no congressional attention to housing for the elderly. It is no surprise that today we see homelessness among older adults increasing rapidly, among many other housing problems facing older Americans,” adds Benson, stressing that resurrecting the House Aging Committee is crucial to housing policy for the elderly, along with so many other crucial issues.

The Amazing Legacy of Fiery Senior Advocate Claude Pepper

Kathleen Gardner served as Claude Pepper’s staff director of the Subcommittee on Health and Long-Term Care, from 1984 until his death in 1989, and continued to serve Pepper’s successor, Edward Roybal, until the House Aging Committee was abolished.  She was the last surviving member of the Subcommittee, boxing up and archiving its papers for delivery to the Tallahassee, Florida-based Claude Pepper Foundation.   

According to Gardner, few know that it was Pepper who was largely responsible for sponsoring or cosponsoring legislation to establish the majority of the Institutes of Health (including the National Heart and Cancer Institutes, the Deafness and Arthritis Institutes, the National Institute of Mental Health and six other Institutes). “One of his last legislative improvements to the National Institutes of Health was the establishment of the National Center for Biotechnology Information at the National Library of Medicine – without which the mapping of the human genome – which will unlock so many of the mysteries of disease — would not have been possible, she adds. 

Between 1982 to 1990, Melanie Modlin served as a Professional Staff Member for the full Committee and ultimately became Gardner’s Deputy Director for the Subcommittee on Health and Long-Term Care.  She remembered how the House Aging Committee investigated “Diploma mills,” by setting up its own diploma mill, then a phony accreditation to give the investigators credence.  The select committee also held one of the first hearings on Alzheimer’s disease, which was just beginning to become a household word. 

Modlin recalled that her Subcommittee was tasked with creating a universal health care bill. “Once more, Pepper and the House Aging Committee was a step ahead of the curve,” she says, noting that this debate has come back to Congress.

As newspapers in communities across the nation curtail or jettison their investigative teams, the House Aging Committee has a proven track record and reputation of investigating aging issues is a sound reason as to why the Select committee should be reactivated, says Modlin, especially with the rapid growth of America’s aging population.  

Robert S. Weiner, President, Robert Weiner Associates News, who was a close friend and confidant of Pepper, clearly knew the importance and impact of Pepper’s House Aging Committee on the daily quality of life of seniors. Weiner, who served as Staff Director for the Subcommittee on Health and Long-term care from 1975 to 1977 and Chief of Staff of the full Aging Committee, from 1976 to 1980, remembered, “I was thunderbolt struck when [GOP House Speaker] Newt Gingrich abolished the Aging Committee – the Senate wisely kept theirs.”

“Congressman Claude Pepper used the House Aging Committee as a force for the elderly. Bringing it back would be of immeasurable help regardless of which party has the White House in assuring the best health care programs possible, stopping any raiding of the Social Security Trust Fund, and protecting seniors,” says Weiner.

The House Aging Committee prodded Congress to act in abolishing forced retirement, investigating nursing home abuses, monitoring breast screening for older women, improving elderly housing, and bringing attention to elder abuse by publishing a number of reports, including “Elder Abuse: An Examination of a Hidden Problem and Elder Abuse: A National Disgrace,” and “Elder Abuse: A Decade of Shame and Inaction.” The Committee’s work would also lead to increased home care benefits for the aging and establishing research and care centers for Alzheimer’s Disease.

“One of the best known aging accomplishments of Claude Pepper was to end mandatory retirement by amending the Age Discrimination provision in the Employment Act, remembered Weiner, noting that this would get him the cover of Time Magazine with the tag line the “Spokesman for the Elderly.” 

Kentucky Fried Chicken King makes his mark

It was Pepper’s idea to bring in Col. Harland Sanders as a witness. Many still remember the 81-year-old Kentucky Fried Chicken King, wearing his trademark spotless white suit and black string tie, and testifying against mandatory retirement in federal jobs,” said Weiner, noting that a few years later it would end up also in the private sector, and the bill would pass 359 to 2 in the House and 89 to 10 in the Senate, with President Carter signing the bill despite strong opposition of the Business Roundtable and big labor, he said.

Weiner also noted that among the House Aging Committee’s other accomplishments under Pepper’s Chairmanship was legislation creating standards for supplemental insurance and holding hearings to expose cancer insurance duplication. “Witnesses were literally forced to wear paper bags over their heads to avoid harassment by the insurance companies. That legislation became law,” he said.

As a long-time Washington insider, Weiner sees the best avenue of bringing the House Aging Committee back from the dead is to get House Speaker Nancy Pelosi (D-CA) and her leadership team, Congressmen Steny Hoyer (D-MD and James E. Clyburn (D-SC), to support Cicilline’s resolution.  “It’s not just a matter of ‘getting them to say ok – it’s using the right way to do it that works. While you can get groups to support your efforts to bring back the House Aging Committee, you must verbally make the case to House leadership,” says Weiner.  Looking back, “that’s how Pepper always did it – he’d pull people to a place on the floor and talk with them.”

“If he gets those three, or even one or two, and they tell the other two – done deal – it goes to the floor of the caucus for a vote,” notes Weiner.

In Summary…

Over thirty years after the death of Claude Pepper (D-FL) in 1989, no national advocate has emerged to take the place of the former Chairman of the House Aging Committee, who served as its chair for six years. As a result, House Democratic lawmakers and aging advocates are forced every new session of Congress to fend off proposals to cut aging programs, Social Security, and Medicare. 

Gardner believes that Cicilline’s efforts to reestablish this needed Select Committee would be a salute to Pepper, the nation’s most visible spokesperson for seniors, and more importantly to his desire to establish a “legislative voice” for our nation’s most vulnerable population – our senior citizens.”   

Hopefully House Speaker Nancy Pelosi will agree with Gardner’s assessment.  If only for the sake of the nation’s seniors.

For details about the Claude Pepper Foundation, go to https://claudepepperfoundation.org/about/claude-pepper-center/

Cicilline Pushes for House Aging Committee

Published in Pawtucket Times on January 4, 2021

Yesterday, the 116th Congress came to an end, with the new Congressional session convening that day with the swearing in of lawmakers elected on Nov. 3, 2020.   Some political observers say that legislative gridlock during this Congress made it the least productive in the last fifty years.  GovTrack.us, reported that of 16,587 bills thrown into the legislative hopper, 252 became enacted laws, and 712 resolutions were passed.

During a Fox interview last February, Senate Majority Leader Mitch McConnell (R-Kentucky) candidly admitted he prevented the consideration of hundreds of bills passed by the House that were sent over to the Senate for consideration.   McConnell’s “Legislative Graveyard” created by his controlling the legislative agenda by blocking debate, markup and refusing to allow a vote on House proposed legislation, was widely reported by the media and documented in a 33-page report, “2020 Democracy Score Card,” released last September by Common Cause, a watch dog advocacy group.

The results of tomorrow’s Georgia Senate runoff will determine if the GOP can maintain legislative control of the Senate. If Senate Democratic candidates win their seats, the Senate Democratic caucus will have the majority with 50 Senate seats, with Vice President Kamala Harris having a tie breaking vote. But if McConnell, called “the Grim Reaper” by his critics, continues to maintains political control of the upper chamber, Democratic legislative proposals introduced to improve the quality of life of America’s seniors and to help those struggling to financially make ends meet, would be rejected.  

Legislative Proposals to be Reconsidered by New Congress

During the116th Congress, Washington, DC-based aging advocacy groups, including the National Committee to Preserve Social Security and Medicare (NCPSSM) , AARP, Social Security Works, Leadership Council on Aging, and National Council on Aging, pushed for passage of legislative proposals to enhance the quality of life of America’s seniors and to strengthen and expand Social Security and Medicare, to keep these programs fiscally sound.  As the new Congress begins, lawmakers might consider bringing back legislative proposals that were not enacted in the previous Congressional session because of a Republican-controlled Senate.  Here are a few legislative proposals that have some merit and I hope to see reintroduced this year:

Congressman John Larson (D-Conn.) called on Congress to finally address the Social Security “Notch” issue. By ignoring this issue, workers born in 1960 and 1961, would likely see lower Social Security retirement benefits in the future, charged NCPSSM.  Last session, Larson, who chairs the House Ways and Means Social Security Subcommittee, introduced the “Social Security COVID Correction and Equity Act,” to increase benefits for those born in 1960 and 1961 without impacting the benefits for any other beneficiary. 

Larson also introduced the “Social Security 2100 Act” to strengthen and expand Social Security.  The landmark legislation would keep the program financially healthy for more than 75 years, while boosting benefits for all retirees. Congress must work during the 117th session to protect and expand the nation’s Social Security program.

The late Maryland Congressman Elijah E. Cummings, Chair of the House Oversight Committee, introduced the “Lower Drug Costs Now Act” which the House passed last session, would allow Medicare to negotiate prescription prices with Big Pharma, which would save the government and seniors nearly $350 billion in drug costs. The bill would also expand traditional Medicare by adding dental, vision, and hearing benefits. 

Additionally, a bipartisan crafted bill, the “Prescription Drug Pricing Reduction Act,” introduced by Senators Chuck Grassley (R-Iowa), and Ron Wyden (D-Ore.), was not allowed to be considered on the Senate floor by Senate Majority Leader McConnell.  According to the Congressional Budget Office, this legislation would save taxpayers $95 billion, reduce out-of-pocket spending by $72 billion and finally reduce premiums by $1 billion.

Almost three months ago, the Social Security Administration announced that approximately 70 million Americans would see a meager 1.3 percent cost of living adjustment (COLA) increase to Social Security benefits and Supplemental Security Income.  With retirees experiencing financial difficulties during the pandemic, a $20 increase in their monthly check might not help them to pay for spiraling health care and drug costs, along with the expenses of purchasing personal protective equipment and cleaning supplies to keep them safe. 

Following the announcing of the 2021 COLA, Congressman Peter DeFazio (D-Ore.), chair of the House Transportation Committee, introduced the “Emergency Social Security COLA for 2021 Act” to provide Social Security beneficiaries with a 3 percent increase (or a $250 per month flat increase) which would reduce the impact of the small 2021 COLA increase. 

With COVID-19 quickly spreading throughout the nation’s nursing homes and intermediate care facilities, U.S. Senators Bob Casey (D-Pa) and Sheldon Whitehouse (D-R.I.), “The Nursing Home COVID-19 Protection and Prevention Act,” to provide needed resources to facilities to protect frail residents and staff. Residents in these facilities are among the most vulnerable because of their age and underlying medical conditions.  Days after the introduction of the Senate bill, Congressman David N. Cicilline (D-R.I.), signed on as a cosponsor of the House version.  

This legislative proposal would help states implement strategies to reduce the spread of COVID-19 in congregate settings, including through the purchase of personal protective equipment (PPE) and testing and to support nursing home workers with premium pay, overtime and other essential benefits.

New Push to Reestablish House Aging Committee

“After a lifetime of hard work, seniors should be able to enjoy their retirement years with dignity and peace of mind,” says Rhode Island’s Cicilline. “It’s the best way to secure the future of Medicare and Social Security, bring down the cost of prescription drugs, and find solutions for housing, transportation and long-term care issues that are especially important to Rhode Island seniors,” he says.

A long-time advocate for seniors, Cicilline announces in this weekly commentary his intentions of reintroducing a House resolution in the 117th Congress to reestablish the House Aging Committee

During the previous three Congressional sessions, Cicilline, representing the state’s first legislative district, introduced a House Resolution (just 245 words) to reestablish a House Permanent Select Committee on Aging. Two of the times a Republican-controlled House blocked consideration of the House Resolution. 

According to Cicilline, the House can easily create an ad hoc (temporary) select committee by just approving a simple resolution that contains language establishing the committee—giving a purpose, defining membership, and detailing other aspects.  Funding would be up to the Appropriations Committee. Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

The previous House Aging Committee was active from 1974 to 1993 (until it was disbanded because of budgetary issues) put the spot light on an array of senior issues including elder abuse, helped increase home care benefits for older adults and helped establish research and care centers for Alzheimer’s disease.  

Cicilline noted that a House Aging Committee would perform comprehensive studies on aging policy issues, funding priorities, and trends.  Like its predecessor, its efforts would not be limited by narrow jurisdictional boundaries of the standing committee but broadly at targeted aging policy issues, he notes.

“I look forward to working with my colleagues on both sides of the aisle to get the job done,” says Cicilline.

Herb Weiss, LRI’12, is a Pawtucket writer covering aging, health care and medical issues. To purchase Taking Charge: Collected Stories on Aging Boldly, a collection of 79 of his weekly commentaries, go to herbweiss.com.

Updated on Jan. 4, 2021

AAIC 2019 Concludes, Researchers Share Findings to Combat Alzheimer’s disease

Published in the Woonsocket Call on July 20, 2019

Thousands of the world’s leading professionals, involved in dementia care and neuroscience research, came at the Los Angeles Convention Center from July 13 to July 18, 2019, to attend the Alzheimer’s Association International Conference® to learn about the findings of the latest Alzheimer’s disease clinical trial and a government-driven public/private initiative to speed them up.

AAIC® is considered to be the largest and most influential international meeting with a mission to advancing dementia research. Every year, AAIC® brings together the world’s leading basic science and clinical researchers, next-generation investigators, clinicians and the care research community, to share research findings that’ll lead to methods of preventing, treating, and improving the diagnosis of Alzheimer’s disease.

“It is clear, and has been for some years that the (Alzheimer’s) field needs to explore other options, and diversify the portfolio of targets. A renewed energy has been brought about by a fivefold increase in Alzheimer’s research funding at the federal level. These gains will propel already-established efforts by the National Institute on Aging, Alzheimer’s Association and others to diversify (therapeutic) targets,” said Maria C. Carrillo, Ph.D., Alzheimer’s Association chief science officer, in a July 17 statement publicizing research findings from the international conference.

Hundreds of Findings of Clinical Trials Shared

According to the Chicago-based Alzheimer’s Association, “a record number of scientific abstracts – more than 3,400 – were submitted to AAIC this year, including 229 abstracts with results from or descriptions of Alzheimer’s clinical trials. AAIC 2019 also spotlighted three clinical trials using innovative methods and targets.”

At AAIC 2019, attendees were updated about the activities of the Accelerating Medicine Partnership-Alzheimer’s Disease (AMP-AD), a partnership among government, industry, and nonprofit organizations (including the Alzheimer’s Association) that focuses on discovering, validating and accelerating new drug targets. The Alzheimer’s Association says that this $225 million research initiative is made possible through the highest-ever levels of U.S. federal funding for research on Alzheimer’s and other dementias, approved and allocated in the last five years.

“This is an example of how the government and private entities and researchers can work together [via AMP-AD funded studies] on providing the resources necessary to expand our abilities to test new drugs and find a treatment for Alzheimer’s disease, and, hopefully find a cure,” said Donna M. McGowan, Executive Director of the Alzheimer’s Association, Rhode Island Chapter. “Rhode Island has tremendous researchers, and they are at the forefront of this initiative. they need the tools to increase their scope of work.”

Adds Maria C. Carrillo, Ph.D., Alzheimer’s Association chief science officer, “It is clear, and has been for some years that the field needs to explore other options, other avenues, and diversify the portfolio of targets. A renewed energy has been brought about by a fivefold increase in Alzheimer’s research funding at the federal level, achieved largely due to efforts by the Alzheimer’s Association, the Alzheimer’s Impact Movement, and our ferocious advocates. These gains will propel already-established efforts by the National Institute on Aging, Alzheimer’s Association and others to diversify the portfolio of drug targets for the scientific community.”

The achievements of the AMP-AD Target Discovery Project were highlighted in a series of presentations by the leading AMP-AD investigators at AAIC 2019.

One study noted for the first time, 18-month results from an open-label extension of inhaled insulin in Mild Cognitive Impairment and Alzheimer’s including significant benefits for memory ad thinking, day to day functioning, and biological markers of Alzheimer’s.

Another described a newly-initiated 48-week Phase 2/3 clinical trial of a drug targeting toxic proteins released in the brain by the bacterium, P. gingivalis, generally associated with degenerative gum disease. Previous research findings identified the bacterium in brains of more than 90 percent of people with Alzheimer’s across multiple studies and demonstrated that infection may trigger Alzheimer’s pathology in the brain.

Can lifestyle Interventions Promote Brain Health?

There was also an update on the Alzheimer’s Association U.S. Study to Protect Brain health Through Lifestyle Intervention to Reduce Risk (U.S. POINTER) study, now up and running in multiple locations. The U.S. POINTER is a two-year clinical trial to evaluate whether intensive lifestyle interventions that target many risk factors for cognitive decline and dementia can protect cognitive function in older adults at increased risk for cognitive impairment and dementia. Researchers will compare the effects of two lifestyle interventions on brain health in older adults at risk for memory loss in the future. The U.S. POINTER is the first such study to be conducted in a large group of Americans across the United States.

The researchers say people age 60 to 79 will be randomly assigned to one of two lifestyle interventions. Both groups will be encouraged to include more physical and cognitive activity and a healthier diet into their lives and will receive regular monitoring of blood pressure and other health measurements. Participants in one intervention group will design a lifestyle program that best fits their own needs and schedules. Participants in the other intervention group will follow a specific program that includes weekly healthy lifestyle activities.

Laura Baker, Ph.D., associate professor of gerontology and geriatric medicine at Wake Forest School of Medicine, and one of the principal investigators of the U.S. POINTER study, said, “Lifestyle interventions focused on combining healthy diet, physical activity and social and intellectual challenges represent a promising therapeutic strategy to protect brain health.”

“U.S. POINTER provides an unprecedented opportunity to test whether intensive lifestyle modification can protect cognitive function in older Americans who are at increased risk of cognitive decline and dementia,” Baker added.

“We envision a future where we can treat and even prevent Alzheimer’s through a combination of brain-healthy lifestyle and targeted medicines, as we do now with heart disease,” Carrillo said. “We hope to prevent millions from dying with Alzheimer’s and reduce the terrible impact this disease has on families.”

For more details about research findings presented at AAIC 2019, http://www.alz.org/aaic