Processed Red Meat Increases the Risk of Dementia

It’s not news that processed red meats such as bacon, sausage, hot dogs, jerky and cold cuts have a bad health rap. Studies have tied them to the risk of obesity, heart disease, stomach cancer and colorectal cancer. Some researchers suspect that processed red meat can affect cognitive health, even though study results have been inconsistent.

A recent study is pointing to another problem with processed red meat consumption: Eating hot dogs and sliced lunch meat may increase your risk for dementia, according to research presented at the 2024 Alzheimer’s Association International Conference in Philadelphia and online. 
 

Processed Red Meat and Dementia

Researchers working for the Channing Division of Network Medicine at Brigham and Women’s Hospital (Boston, MA) looked for a possible connection between processed red meat and decreased cognition by following more than 130,000 participants in the Nurses’ Health Study and Health Professionals Follow-Up Study for 43 years.

Every two to four years, researchers surveyed participants’ diets to track food frequency, such as how many servings of processed red meat they consumed. A serving of processed red meat is considered two slices of bacon, a hot dog, two links of sausage or kielbasa and one salami or bologna sandwich. During the study, 11,173 participants were diagnosed with dementia. After assessing the data, researchers found: 

  • Eating one-fourth of a serving or more of processed red meat each day raised the risk of developing dementia by 14 percent compared to participants who ate less than a tenth of a daily serving.
  • Swapping one serving of processed red meat with one serving of nuts and legumes each day lowered the risk of developing dementia by 20 percent.  

When researchers went deeper with 17,500 of the participants, they found an additional serving of processed red meat was linked to a hastening of cognitive aging by:

  • 1.61 years, primarily in the areas of overall cognitive function, language skills, executive function and cognitive processing.
  • 1.69 years primarily in the areas of verbal memory, i.e., recalling and understanding words and sentences.

Why are processed red meats unhealthy?

Processed red meats are convenient, affordable and a dietary staple for many Americans. In fact, food manufacturers estimate that Americans consume 800 million pounds of bologna, more than two billion pounds of bacon, 20 billion hot dogs and more than 250 million pounds of pepperoni every year. However, these meats have ties to health issues such as dementia, heart disease, type 2 diabetes and cancer because of the way they’re preserved.

  • Preserving meat prolongs shelf life, adds flavor and improves taste and color. There are two methods:   
    Smoking. Manufacturers cook the meat at a very high temperature. This triggers the formation of unhealthy chemicals, such as heterocyclic aminespolycyclic aminesacrylamide and acrolein. It also causes the pigment in hemoglobin – the protein inside red blood cells that carries oxygen around the body — to break down, forming N-nitroso, a compound that can damage DNA in cells. Furthermore, nitrates and nitrites are often added to help prolong shelf life, but nitrosamines can form when the meat is exposed to high heat.
  • Curing. Food companies add nitrite and sodium nitrite (salt) to meat to improve taste, create a pinkish color, reduce moisture from meat and slow bacterial growth.      

Researchers think the harmful nitrites/nitrates can harm the brain. Cured meats typically have a high salt content, which can elevate blood pressure and damage blood vessels that deliver oxygen and nutrients to the brain. Studies have linked high blood pressure with strokes and brain shrinkage. It’s also possible that high blood pressure plays a role in the development of brain plaques and tangles involved in Alzheimer’s disease.

Besides brain health, eating too much processed meat can affect your heart health. These meats are high in saturated fat, which can increase your bad cholesterol levels, raising your risk for a heart attack or stroke. Unhealthy blood fat levels also raise the risk for insulin resistance, a precursor to type 2 diabetes, which is another risk factor for heart disease.

Processed red meats also have a link to cancer. The chemicals in smoked meat can damage DNA, the root cause of cancer. A high heme intake has been linked to an increased risk of colorectal, pancreatic and lung cancer. Nitrosamines and excessive dietary salt both contribute to stomach cancer.

The study results did not find an association between meats that weren’t processed and dementia. Unprocessed meats, particularly lean meats, along with other components of the Mediterranean diet, such as nuts, seeds, legumes, fruits, vegetables, healthy fats, whole grains and less processed dairy have brain health benefits.


Tips for Controlling Sodium, Sodium Nitrites and Nitrates and Sodium in Your Diet


If you can’t do without your bacon and eggs at breakfast, you might be able to find a nitrate-free bacon that’s organic or from a local source like a farmer’s market. Make sure you cook the bacon at a lower heat and for a longer time without burning it. You can also replace bacon with grilled mushrooms or eggplant because of their savory flavor. Some stores even carry mushroom bacon and/or eggplant bacon. Of course, if you’re looking for a protein substitute, consider cheese.

For lunch, swap your deli meat sandwiches with canned tuna or salmon. Skinless barbecue chicken also might work. If you snack on processed meats like jerky, try cheese with healthy crackers, vegetables with a healthy yogurt dip or humus with pita bread.

Read food labels. Prepackaged food items should not have more than 500 mg of sodium per serving. Avoid foods that list sodium nitrate E251, sodium nitrite E250 or potassium nitrite E249. Be careful if you see the terms “uncured” or “no nitrites added” on labels. These meats aren’t necessarily healthier. They may have used another method of preserving, such as celery powder and still be high in nitrites and nitrates.

Your best bet is unprocessed meats like fresh chicken, turkey, beef, pork, and fish.

Hearing Loss and Brain Health

When many people think about preventing dementia, they focus on mental exercises, physical activity and a healthy diet. But there’s another crucial factor that many people overlook: hearing health. Recent research has revealed a surprising and significant connection between hearing loss and dementia risk, offering us a new pathway to protect our cognitive function as we age.  

The Hidden Scope of Hearing Loss in America

Hearing loss is far more common than most people realize. While 37.5 million Americans have reported hearing problems, the actual number of Americans with some degree of hearing loss is closer to 48 million. This discrepancy highlights how many people either don’t recognize their hearing difficulties or choose not to acknowledge them.

The statistics paint a concerning picture. Risk increases with age, but surprisingly, two-thirds of Americans with hearing loss are younger than 65. Men between the ages of 20 and 69 have twice the risk of hearing loss when compared to women. Perhaps most troubling is that less than 30 percent of adults over 70 who could benefit from hearing aids use them, despite research showing that regular hearing aid use is associated with a 24 percent decrease in early death risk.

Why does this matter so much? Hearing loss is linked to several serious health conditions, including heart disease, depression, diabetes, falls and fractures, and dementia, which I am going to focus on.

Understanding the Hearing-Brain Health Connection

The relationship between hearing and brain health is more complex and significant than scientists initially understood. When you experience hearing loss, your brain doesn’t simply receive less auditory information – it fundamentally changes how it operates.

Researchers believe that hearing loss forces your brain to work significantly harder to keep up with conversations, enjoy music, or follow television programs. This additional brain power allocated to hearing comes at the expense of cognitive resources normally used for other mental skills, potentially affecting overall brain function.

Studies have even linked impaired hearing to brain shrinkage, suggesting that the strain of compensating for hearing loss creates measurable physical changes in brain structure. Additionally, hearing loss often leads to social isolation as people withdraw from conversations and social situations that they find challenging, creating another known risk factor for dementia.

Eight percent of all dementia cases are attributed to hearing loss.  

  • Mild hearing loss doubles your dementia risk  
  • Moderate loss triples it  
  • Severe hearing loss increases the risk fivefold  

These statistics make hearing health one of the most significant modifiable risk factors for cognitive decline.

Types and Causes of Hearing Loss

Understanding the different types of hearing loss can help you recognize symptoms and seek appropriate treatment.

  • Sensorineural Hearing Loss (SNHL) is the most common type of permanent hearing loss, typically caused by inner ear damage. Age-related hearing loss usually begins between the ages of 50 and 60 and cannot be corrected with surgery. It requires hearing aids for management.
  • Conductive Hearing Loss involves damage affecting the path from the outer ear to the middle ear. Unlike sensorineural loss, this type affects people across all demographics and is often treated with medical intervention.
  • Mixed Hearing Loss combines elements of both sensorineural and conductive loss, making it more difficult to hear, particularly speech, especially when background noise is present.
  • Auditory Neuropathy Spectrum Disorder (ANSD) is the rarest and least understood form, involving signal breakdown between the inner ear and brain. People with ANSD have trouble understanding speech regardless of their measured hearing level.

Recognizing the Signs and Symptoms

Hearing loss symptoms vary by age group and severity. Adults between 50 and 60 often first notice that speech seems mumbled or muffled, most often in social situations. Men’s voices typically remain easier to understand than women’s voices due to their lower frequency range.

For adults over 60, the statistics become more concerning. Thirty percent of older adults are affected by hearing loss, and this number jumps to 80 percent for adults older than 85. Symptoms become more pronounced and emotionally challenging, with higher risks of depression and social isolation.

Your Best Protection: Hearing Aids

If you have hearing loss, hearing aids offer remarkable protective benefits that extend far beyond simply amplifying sound. Research shows that hearing aids can lower your dementia risk to that of a person without hearing loss – a truly remarkable finding.

Hearing aids work by preventing your brain from overworking to process sounds, allowing cognitive resources to return to their normal functions. They also help maintain social connections, which help prevent isolation that contributes to cognitive decline. Modern devices are small and often virtually invisible, addressing many people’s cosmetic concerns.

Today’s hearing aids come in several styles:

  • Completely in Canal (CIC) devices are the smallest and least visible
  • In the Canal (ITC) aids are custom molded and sit partially in the ear canal
  • In the Ear (ITE) models fit in the bowl-shaped outer ear area
  • Behind the Ear (BTE) styles hook over the ear and offer the most versatility
  • Receiver in Canal/Ear (RIC/RITE) use a wire connection system
  • Open Fit designs keep the ear canal open for natural low-frequency sounds

When selecting a hearing aid, consider key features like noise reduction capabilities, directional microphones, volume control options, rechargeable batteries, wireless connectivity and remote controls. Also consider utilizing a board certified audiologist as many hearing aid dispensors do not have appropriate training to identify or treat complicated hearing loss.

Additional Strategies for Maintaining Hearing Health

Prevention remains your first line of defense. Reduce exposure to loud environments and keep volume levels below the 85-decibel threshold. Use protective ear gear in loud settings, invest in noise-limiting products, and give your ears regular breaks from noise exposure.

Early detection through testing is crucial. Get a baseline hearing test between ages 20-60, then follow up with annual hearing checks. Your primary care physician can provide referrals to audiologists when necessary.

Working with Your Healthcare Provider

Your physician plays a vital role in maintaining your hearing health. They can examine your ears for infections or earwax buildup, refer you to specialists when appropriate, address hearing health concerns openly, and monitor related health conditions.

As a patient, you will need to be honest with your doctor about your hearing struggles and concerns. Prepare questions before appointments, bring a trusted friend or spouse for support, take notes during visits, and request visit summaries to ensure you don’t miss important information.

Taking Action for Your Future

The connection between hearing loss and dementia represents both a challenge and an opportunity. While the statistics about increased dementia risk are sobering, the fact that hearing aids can essentially eliminate this increased risk is incredibly encouraging.

Remember, addressing hearing loss isn’t just about improving your ability to hear – it’s about protecting your cognitive function, maintaining your independence and preserving your quality of life for years to come. The sooner you take action, the better protected your brain will be against the preventable cognitive decline associated with untreated hearing loss.

Don’t let hearing loss silently steal your cognitive health. Take control of your hearing today and give your brain the support it needs to stay sharp and healthy throughout your lifetime.