“An updated report by a group of specialists lists 12 modifiable factors that, if a person acts on them, could reduce their dementia risk. Before this update, the report had listed nine modifiable factors.
The 2020 report by the Lancet Commission on dementia prevention, intervention, and care appeared at the end of July in The Lancet. It provides some important updates to the previous document, which the journal published in 2017.
The Lancet Commission is a team comprising 28 experts on dementia from institutions all around the world. The report’s first author is Prof. Gill Livingston, from University College London in the United Kingdom.
The Commission also presented its conclusions at the Alzheimer’s Association International Conference (AAIC) in July, which this year took place online.
Report co-author and AAIC presenter Dr. Lon Schneider, from the Keck School of Medicine at the University of Southern California in Los Angeles, comments on the report. He says, “We are learning that tactics to avoid dementia begin early and continue throughout life, so it’s never too early or too late to take action.”
“HALIFAX, N.S. — New research is further revealing that the risk of developing dementia can be substantially reduced by leading a healthier lifestyle, including cutting down on drinking, head injuries and exposure to air pollution.
The details are in a new report published in The Lancet medical journal.
Dr. Kenneth Rockwood, professor in Dalhousie University’s department of medicine, specializes in geriatrics, frailty and dementia. He is part of the Lancet’s Commission on dementia prevention, intervention and cure, which includes 28 international experts in the field.
Rockwood, who’s been studying dementia since 1979, said early perceptions that you can’t prevent it no longer hold.
“Yes, there is a genetic predisposition in a lot of people,” he said, adding that the extent of that risk varies. “But we also know there’s a lot of people who develop dementia in late life who don’t have, apparently, a genetic predisposition, so they’re getting it on some other grounds. And the other grounds on which they’re getting it includes a number of things that we can actually help with.”
He cited high blood pressure, diabetes, lack of exercise and being sedentary as significant examples.
The Lancet commission, which has been meeting since 2016, compiled a report with nine risk factors in 2017. Those included less education, hypertension, hearing impairment, smoking, obesity, depression, physical inactivity, diabetes, and low social contact.
“So we have a body of work now showing that the degree of frailty increases the risk, not just you’ll get those abnormal proteins, but that those abnormal proteins will be expressed in you as clinically detectable dementia.”
– Geriatrics specialist Ken Rockwood
This year, three more risk factors were identified: excessive alcohol consumption, traumatic brain injury, and air pollution, according to the article, which can be found online through this link. “
Read the full article here: https://www.journalpioneer.com/news/canada/research-shows-healthy-lifestyle-can-reduce-dementia-risk-480477/
“The signs of physical abuse among elderly people can be challenging for health care professionals to recognize, resulting in as few as one in 24 cases being reported to authorities. However, a new study in Annals of Emergency Medicine explores injury patterns and characteristics to help experts spot key differences between abuse and unintentional injury.
“The first place that many vulnerable older patients turn for care is the emergency department,” said lead study author Tony Rosen, MD, MPH, FACEP, assistant professor of emergency medicine at Weill Cornell Medicine and director of the Vulnerable Elder Protection Team based at New York-Presbyterian/Weill Cornell Medical Center’s emergency department. “Emergency physicians have a unique opportunity to identify the ‘red flags’ for elder abuse. Improving the ability to recognize, treat, and prevent these incidents can improve the lives of millions of older patients.”
The study, “Identifying Injury Patterns Associated with Physical Elder Abuse: Analysis of Legally Adjudicated Cases,” compares 78 physical abuse cases with visible injuries among patients aged 60 or older with 78 patients of similar age and sex who visited a New York City emergency department for an unintentional fall between 2001-2014.
Abuse-related injuries are frequently attributed to an unintentional fall, the authors note. By comparing a group of patients injured by an unintentional fall with medical and legal records of prosecuted abuse cases, the study reveals several distinct injury patterns:
- Victims of abuse often have head or neck injuries without visible harm to other parts of the body. Abuse victims are more likely than patients who fall to have injuries on the face, head and neck area (67 percent versus 28 percent).
- Abuse victims are less likely than patients who fall to have scrapes, fractures or injuries below the waist (8 percent versus 50 percent).
- Facial injuries to the left cheek are frequent (22 percent) in abuse cases; a finding that confirms that abusers tend to be right-handed, the authors note.
- Neck injuries raise suspicions of abuse because the neck is often protected by the head or the face during an unintentional fall. Among more than 800 examined injuries, researchers found neck injuries and ear injuries resulted from abuse rather than a fall (15 percent versus 0 percent for neck injuries and 6 percent versus 0 percent for ear injuries). “
“It is not easy to watch as a loved one begins to decline. Many of my clients are just beginning the process when I meet them. They know they can’t do their finances or household chores, but they are hesitant to let it go. Eight times out of 10 I am brought in by another attorney, a Power of Attorney, or trusted friend.
The truth is it’s easier to have a third person do some of the heavy lifting, although I didn’t know that when I navigated through the “senior morass” with Mom and Dad. As a consequence, we had moments where they weren’t very happy with me. The same thing has happened with clients – my wonderful 87-year-old fought me tooth and nail when I told her she had to move from her home of 50 years to an Assisted Living Center. She’s now been there 11 months and, other than being lonely because of the lockdown, has regained her feistiness and love of song. PHEW!
If you choose to do it yourself here are a few tips, with a caveat: Remember, your loved ones are seniors who added value to your life and should be treated with honor and respect. If you don’t feel that way, hire an attorney.
– Pay attention to the basics. Are your loved ones showering regularly? Are they having regular meals? Are they taking their medication on a timely basis? If not, it’s time to make decisions on how to move forward…”
Read the full article here: http://www.islandernews.com/opinion/columnists/carefully-consider-options-when-caring-for-elderly-loved-ones/article_8b5c0da8-c637-11ea-9636-4ff62166bbf7.html
Most of us know women who have developed dementia or Alzheimer’s whom we never expected would. As a condition that can change so much of how we experience the world, it’s fair to say that all of us hope we can learn how to prevent it.
As a healthcare professional, I’ve observed the changes and challenges that dementia brings but the good news is that there is hope. There are things we can do to reduce our risk of developing dementia.
So while we want to do what we can to not develop dementia, people like me are working hard to help more people learn how to get it right with people who are living with dementia.
We hope that someday dementia may be viewed with a mindset that “life has not just ended”, an acceptance that while the dementia journey is indeed different, it’s not all bad. Perhaps we can even be okay with what may be a beautiful time walking alongside our companion with dementia.
But let’s back up and identify what we can do to reduce our own risk of developing dementia: “
Please see the full article here: https://northfortynews.com/category/health-and-wellness/todays-women-preventing-dementia/