International Journal of Geriatric Psychiatry, 35(11), 2020, pp.1349-1357.
Publisher:
Wiley
Objectives: Many people live with an awareness of mild cognitive changes that increase their dementia risk. Previous authors describe the uncertainties of this liminal state, between cognitive health and dementia, where being “at risk” can itself be an illness. We ask how services respond to people with memory concerns currently, and how a future, effective and inclusive dementia prevention...
(Edited publisher abstract)
Objectives: Many people live with an awareness of mild cognitive changes that increase their dementia risk. Previous authors describe the uncertainties of this liminal state, between cognitive health and dementia, where being “at risk” can itself be an illness. We ask how services respond to people with memory concerns currently, and how a future, effective and inclusive dementia prevention intervention might be structured for people with memory concerns. Methods/Design: We conducted qualitative interviews with 18 people aged 60+ years with subjective or objective memory problems, six family members, 10 health and social care professionals and 11 third sector workers. Interviews were audio‐recorded, transcribed and analysed using an inductive thematic approach. Results: Three main themes were identified: (1) acknowledging the liminal state, compounded by current, discordant health service responses: medicalising memory concerns yet situating responsibilities for their management with patients and families; (2) enabling change in challenging contexts of physical and cognitive frailty and social disengagement and (3) building on existing values, cultures and routines. Conclusions: Effective dementia prevention must empower individuals to make lifestyle changes within challenging contexts. Programmes must be evidence based yet sufficiently flexible to allow new activities to be fitted into people's current lives; and mindful of the risks of pathologising memory concerns. Most current memory services are neither commissioned, financially or clinically resourced to support people with memory concerns without dementia. Effective, large scale dementia prevention will require a broad societal response.
(Edited publisher abstract)
Online resource providing information on approaches to reducing the prevalence and incidence of dementia. The resource outlines key statistics about the characteristics of the population with dementia, risk factors leading to dementia, and the steps that can be taken to lower the risk of dementia. It also highlights the benefits of dementia prevention in terms of cost savings and quality of life...
(Edited publisher abstract)
Online resource providing information on approaches to reducing the prevalence and incidence of dementia. The resource outlines key statistics about the characteristics of the population with dementia, risk factors leading to dementia, and the steps that can be taken to lower the risk of dementia. It also highlights the benefits of dementia prevention in terms of cost savings and quality of life. Finally, it outlines the role that CCGs and local authorities can take in the prevention of dementia and the importance of collaboration between health and social care providers and public and third sector providers. The resource includes links to supporting documents and research.
(Edited publisher abstract)
Aging and Mental Health, 14(4), May 2010, pp.386-395.
Publisher:
Taylor and Francis
Physical exercise has several beneficial effects, including reduced risk for Alzheimer's disease. Although several studies of potential risk factors for vascular dementia exist, including physical activity, the studies have usually included few participants and there are no meta-analyses addressing this key topic. This paper describes a systematic review and meta-analysis addressing whether...
Physical exercise has several beneficial effects, including reduced risk for Alzheimer's disease. Although several studies of potential risk factors for vascular dementia exist, including physical activity, the studies have usually included few participants and there are no meta-analyses addressing this key topic. This paper describes a systematic review and meta-analysis addressing whether regular physical exercise is associated with a lower risk for vascular dementia. The Medline database was searched using the key words 'physical exercise' 'activity' or 'walking' in combination with 'dementia' and 'vascular dementia'. Potentially relevant studies were assessed and summarised, and longitudinal studies with operationalised definition of physical activity providing risk for vascular dementia were included in the meta-analysis using pooled estimates from a random effects model. A total of 24 longitudinal studies, including 1378 patients with vascular dementia, were included in the review. The majority of individual studies did not report significant associations. Five studies fulfilled criteria for meta-analysis, including 10,108 non-demented control subjects and 374 individuals with vascular dementia. The meta-analysis demonstrated a significant association between physical exercise and a reduced risk of developing vascular dementia. The article concludes that there is evidence supporting the hypothesis that physical activity is likely to prevent the development of vascular dementia.
International Journal of Geriatric Psychiatry, 24(5), May 2009, pp.452-458.
Publisher:
Wiley
Dementia is prevalent in older adults and the population is ageing. Many factors have been associated with dementia and anything that may aid the prevention of dementia is of importance. The literature in this area was evaluated and information relating to the various factors that may impact upon the prevention of dementia is presented. Factors that have been associated with a possible increased...
Dementia is prevalent in older adults and the population is ageing. Many factors have been associated with dementia and anything that may aid the prevention of dementia is of importance. The literature in this area was evaluated and information relating to the various factors that may impact upon the prevention of dementia is presented. Factors that have been associated with a possible increased risk of developing dementia include high blood pressure, (at least in midlife), high body mass index, smoking and possibly diabetes although the evidence is mixed. There is currently no clear evidence with regard to cholesterol and metabolic syndrome although both may be implicated. Having education and maintaining a Mediterranean diet, including vegetable, fruit and fish intake, have been linked to a lower incidence of dementia as has low to moderate alcohol intake. Although care must be taken with the latter given the different characteristics of the studies reporting on alcohol and dementia. It may be that risk and protective factors vary with age, however, in the absence of prophylactic treatment it seems likely that the maintenance of a healthy lifestyle may represent the best option with regard to the prevention of dementia.
...the principles of integration and prevention. Statutory Guidance identifies the following groups as priority areas of integration: older people with complex needs and long-term conditions including dementia; people with learning disabilities; children with complex need; carers, including young carers; and children at risk of becoming looked after, in care or who are adopted.
(Edited publisher abstract)
Guidance for regional partnership boards in Wales on the funding available from the Integrated Care Fund to support people with care needs. The Fund aims to enable integrated and collaborative working between social services, health, housing, the third and independent sectors. It is intended to help regional partnership boards develop new approaches and service delivery models that will support the principles of integration and prevention. Statutory Guidance identifies the following groups as priority areas of integration: older people with complex needs and long-term conditions including dementia; people with learning disabilities; children with complex need; carers, including young carers; and children at risk of becoming looked after, in care or who are adopted.
(Edited publisher abstract)
Subject terms:
integrated care, financing, dementia, governance, prevention;
While dementia is an umbrella term for a range of degenerative brain disorders, many share similar presentations. Nurses are ideally placed to identify those at risk and empower them to access tretmentn and plan and prepare for their future needs - such as, they need-up-to-date knowledge of the signs and symptoms fo the different types of dementia to identify risk factors and mde an informed...
(Publisher abstract)
While dementia is an umbrella term for a range of degenerative brain disorders, many share similar presentations. Nurses are ideally placed to identify those at risk and empower them to access tretmentn and plan and prepare for their future needs - such as, they need-up-to-date knowledge of the signs and symptoms fo the different types of dementia to identify risk factors and mde an informed diagnosis. This article, the third in a four part series on dementia, examines the risk factors, sighns, symptons
(Publisher abstract)
Annex to the document 'Prime Minister’s Challenge on Dementia 2020: implementation plan' which sets out the Government's plans to deliver the 50 commitments within the 2020 Challenge. Tables in the Roadmap cover the four main themes of risk reduction; heath and care; dementia awareness; and social action. Details are also provided of the future research and care; research and funding
(Edited publisher abstract)
Annex to the document 'Prime Minister’s Challenge on Dementia 2020: implementation plan' which sets out the Government's plans to deliver the 50 commitments within the 2020 Challenge. Tables in the Roadmap cover the four main themes of risk reduction; heath and care; dementia awareness; and social action. Details are also provided of the future research and care; research and funding; and increasing research capacity. Tables details the specific commitment; lead organisations; start and end dates; and information on how the impact will be measured.
(Edited publisher abstract)
Subject terms:
dementia, government policy, prevention, health education, diagnosis;
Purpose of the Study: This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of people living with dementia (PLWD).
Design and Methods: Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD
(Edited publisher abstract)
Purpose of the Study: This mixed-method systematic review aimed to integrate evidence of falls prevention efficacy with views/experiences of people living with dementia (PLWD).
Design and Methods: Eight electronic databases were searched. Inclusion criteria included quantitative or qualitative studies examining knowledge translation of falls prevention strategies in community-dwelling PLWD and/or their caregiver. Study quality was assessed, and findings are narratively described.
Results: Six quantitative and five qualitative studies were included. Study quality was mixed. Quantitative studies showed limited evidence of effectiveness on reduction in falls risk, falls and hospitalization rates, nursing home admission, decline in activities of daily living, and adherence to strategies. Qualitative themes showed inclusion of caregiver and health professionals as key to programme success, but many factors influence participation.
Implications: Synthesising the findings generated a new understanding of falls prevention for this high-risk group. A focus upon health professional and caregiver involvement and accommodation of individual preferences may result in increased engagement with falls prevention strategies.
(Edited publisher abstract)
Subject terms:
falls, prevention, dementia, older people, service uptake;
British Journal of Psychiatry, 190(5), May 2007, pp.371-372.
Publisher:
Cambridge University Press
The human brain has a remarkable capacity for plasticity, but does it have the capacity for repair and/or regeneration? On the basis of controversial new evidence the authors speculate that the answer may be `yes', and suggest that clinicians should therefore approach cognitive impairment and dementia with a new, cautious optimism.
The human brain has a remarkable capacity for plasticity, but does it have the capacity for repair and/or regeneration? On the basis of controversial new evidence the authors speculate that the answer may be `yes', and suggest that clinicians should therefore approach cognitive impairment and dementia with a new, cautious optimism.
Subject terms:
medical treatment, prevention, cognitive impairment, dementia, head injuries;
Early intervention is often seen as anticipatory information and support delivered at the earliest stage of dementia, following diagnosis. Prevention encompasses the range of interventions that prevent an increase in need that may tip an individual into a higher or more intensive level of service. This online resource looks a persons journey through dementia and the opportunities for early...
Early intervention is often seen as anticipatory information and support delivered at the earliest stage of dementia, following diagnosis. Prevention encompasses the range of interventions that prevent an increase in need that may tip an individual into a higher or more intensive level of service. This online resource looks a persons journey through dementia and the opportunities for early intervention and prevention along the way. Main sections of the resource cover: a the journey through dementia and the opportunities available for intervention; transition points along the journey; boosting resilience and personal resources; interventions for people with dementia and their carers; and an asset based approach to community development. The resource offers a greater understanding of the journey through dementia.
Subject terms:
prevention, resilience, carers, community development, commissioning, dementia, early intervention;