Health
Dementia may be preventable: Here's how
Hello, this is Dr. Joan Munson, professor of medicine at Harvard Medical School and Brigham and Women's Hospital, and I want to tell you about a provocative, paradigm-shifting new report on dementia prevention. The new study of Lancet By Lancet The Dementia Commission estimates that approximately 50% of dementia cases worldwide could be prevented or delayed by improving 14 modifiable risk factors.
This is a paradigm shift, because dementia is often thought of as an inevitable consequence of aging, with a large genetic component. But this study suggests that modifying these risk factors can benefit everyone, regardless of genetic risk, and that taking a life course approach is important. It's never too early or too late to start modifying these factors.
We have long known that many chronic diseases are extremely easy to prevent and treat. Coronary artery diseaseand even an increased risk of certain cancers. Modifiable risk factors include smoking, diet, physical activity, and maintaining a healthy weight. This study suggests that many of the same risk factors and more are associated with a reduced risk of dementia.
Let's look at the risk factors, many of which are behavioral. These risk factors include lifestyle factors such as lack of exercise, smoking, and excessive alcohol consumption. obesityCVD or vascular specific risk factors include not only behavioral factors; High blood pressureexpensive LDL cholesteroldiabetes. Risk factors specific to cognitive engagement include social isolation, a major risk factor for dementia, and untreated hearing or vision impairment (which exacerbate social isolation and depression), and lower educational attainment, which may be associated with reduced cognitive engagement.
Traumatic brain injuries from accidents or contact sports without head protection are also listed as risk factors, as well as environmental risk factors such as air pollution and poor air quality.
Two of these risk factors are: Previous report from 2020: Elevated LDL cholesterol and vision loss can be difficult to treat, but both are treatable. Overall, these findings suggest that there is much that can be done to lower the risk of dementia, but a comprehensive approach is needed that involves not only individual behavior change but also health system engagement for screening, improved access, and public policies to reduce air pollution.
Some of these risk factors are particularly prevalent among women, such as social isolation: In the United States, nearly two in three people with dementia are women.
So informing patients about these risk factors and what they can do in terms of behavior modification, increased testing, and treating these conditions can go a long way in reducing their dementia risk.
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Sources 2/ https://www.medscape.com/viewarticle/dementia-deemed-highly-preventable-heres-how-2024a1000et7 The mention sources can contact us to remove/changing this article |
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