Primary prevention of dementia: from modifiable risk factors to a public brain health agenda?
Felix S HussenoederSteffi G Riedel-HellerPublished in: Social psychiatry and psychiatric epidemiology (2018)
Evidence stemming from preventive RCTs is limited. However, multi-domain interventions addressing a variety of risk factors at once seem promising with regard to high-risk individuals (selective preventive approach). However, we argue that it is time to move forward and discuss a public brain health agenda as a universal preventive approach. Based on a risk reduction strategy, the public brain health agenda suggests the following ten key actions: (1) increase physical activity, (2) foster social integration, (3) improve education and foster lifelong learning, (4) provide mentally stimulating workplaces, (5) foster a cognitively active lifestyle, (6) propose a healthy Mediterranean-like diet, (7) reduce alcohol consumption, (8) stop smoking, (9) prevent, diagnose and treat chronic conditions, and (10) reduce anticholinergic medication in the elderly.
Keyphrases
- healthcare
- physical activity
- mental health
- risk factors
- public health
- alcohol consumption
- resting state
- white matter
- global health
- health information
- weight loss
- functional connectivity
- mild cognitive impairment
- metabolic syndrome
- cardiovascular disease
- cerebral ischemia
- type diabetes
- adverse drug
- social media
- cognitive decline
- multiple sclerosis
- depressive symptoms
- health promotion
- risk assessment
- climate change
- subarachnoid hemorrhage
- drug induced
- middle aged