The 2024 Lancet Commission on Dementia Prevention, Intervention, and Care report, published on August 10, 2024, builds upon previous findings and emphasizes the potential for reducing dementia risk through addressing 14 modifiable risk factors throughout the life course.
This report is a significant update from the 2020 findings, which identified 12 risk factors.
Key Updates and Findings
Modifiable Risk Factors
The report identifies 14 lifestyle factors that can potentially prevent up to 45% of dementia cases. These factors vary by life stage and include:
1. Low educational attainment: Not completing secondary education increases dementia risk.
2. Hearing loss: Associated with a higher risk of dementia, with every 10-dB decrease in hearing ability correlating to a 4–24% increase in risk.
3. High LDL cholesterol: New evidence links high cholesterol in midlife to increased dementia risk.
4. Depression: Particularly in midlife, depression is associated with a higher risk of developing dementia.
5. Physical inactivity: Regular physical activity is linked to better cognitive health and lower dementia risk.
6. Diabetes: Midlife onset of type 2 diabetes is significantly associated with higher dementia risk.
7. Obesity: Midlife obesity is linked to an increased risk of dementia.
8. Smoking: Tobacco use is a significant risk factor for dementia.
9. Social isolation: Lack of social engagement is associated with higher dementia risk.
10. Hypertension: High blood pressure in midlife is linked to increased dementia risk.
11. Excessive alcohol consumption: Heavy drinking is associated with a higher risk of dementia.
12. Traumatic brain injury: History of head injuries can increase the risk of developing dementia.
13. Chronic kidney disease: This condition is linked to a higher risk of cognitive decline.
14. Air pollution: Exposure to air pollution has been associated with an increased risk of dementia.
Research and Evidence
The Commission has evaluated extensive evidence since its establishment in 2017, focusing on how lifestyle changes can mitigate dementia risk.
The report highlights the importance of early intervention and continuous monitoring of these risk factors.
Public Health Implications
The findings underscore the need for national dementia strategies that incorporate these modifiable risk factors into public health policies.
The report advocates for increased awareness and education to reduce stigma associated with dementia.
Future Directions
The Commission calls for ongoing research to further understand the interplay of these risk factors and to develop targeted interventions that can be implemented at various life stages.
Conclusion
The 2024 Lancet Commission report serves as a crucial resource for healthcare professionals, policymakers, and researchers, providing a comprehensive framework for dementia prevention and care.
By focusing on modifiable risk factors, the report aims to foster a proactive approach to dementia, ultimately improving outcomes for individuals at risk.
For more detailed insights, the full report can be accessed through The Lancet's official publication.
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والله أعلم
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Dikemaskini: 20 Ogos 2025
Good info 👍
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