Today, I review, link to, and excerpt from Dementia prevention in memory clinics: recommendations from the European task force for brain health services [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. Lancet Reg Health Eur. 2023 Jan 31:26:100576. doi: 10.1016/j.lanepe.2022.100576. eCollection 2023 Mar.
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- Summary
- Introduction
- Current challenges in clinical practice
- The memory clinic of the future
- Cautionary notes
- The roadmap for the validation of BHS
- Contributors
- Role of the funding source
- Declaration of interests
- Footnotes
- Appendix A. Supplementary data
- References
- Associated Data
Abstract
Observational population studies indicate that prevention of dementia and cognitive decline is being accomplished, possibly as an unintended result of better vascular prevention and healthier lifestyles. Population aging in the coming decades requires deliberate efforts to further decrease its prevalence and societal burden. Increasing evidence supports the efficacy of preventive interventions on persons with intact cognition and high dementia risk. We report recommendations for the deployment of second-generation memory clinics (Brain Health Services) whose mission is evidence-based and ethical dementia prevention in at-risk individuals. The cornerstone interventions consist of (i) assessment of genetic and potentially modifiable risk factors including brain pathology, and risk stratification, (ii) risk communication with ad-hoc protocols, (iii) risk reduction with multi-domain interventions, and (iv) cognitive enhancement with cognitive and physical training. A roadmap is proposed for concept validation and ensuing clinical deployment.
Keywords: Cognitive enhancement; Dementia; Memory clinic; Prevention; Risk assessment; Risk communication; Risk reduction.
© 2022 The Author(s).
