Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations

With population ageing worldwide, dementia poses one of the greatest global challenges for health and social care in the 21st century. In 2019, around 55 million people were affected by dementia, with the majority living in low- and middle-income countries. Dementia leads to increased costs for gove...

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Main Authors: Neerja Chowdhary, Corrado Barbui, Kaarin J. Anstey, Miia Kivipelto, Mariagnese Barbera, Ruth Peters, Lidan Zheng, Jenni Kulmala, Ruth Stephen, Cleusa P. Ferri, Yves Joanette, Huali Wang, Adelina Comas-Herrera, Charles Alessi, Kusumadewi Suharya (Dy), Kibachio J. Mwangi, Ronald C. Petersen, Ayesha A. Motala, Shanthi Mendis, Dorairaj Prabhakaran, Ameenah Bibi Mia Sorefan, Amit Dias, Riadh Gouider, Suzana Shahar, Kimberly Ashby-Mitchell, Martin Prince, Tarun Dua
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.765584/full
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author Neerja Chowdhary
Corrado Barbui
Kaarin J. Anstey
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Mariagnese Barbera
Mariagnese Barbera
Ruth Peters
Ruth Peters
Lidan Zheng
Lidan Zheng
Jenni Kulmala
Jenni Kulmala
Jenni Kulmala
Ruth Stephen
Cleusa P. Ferri
Yves Joanette
Huali Wang
Huali Wang
Adelina Comas-Herrera
Charles Alessi
Kusumadewi Suharya (Dy)
Kibachio J. Mwangi
Ronald C. Petersen
Ayesha A. Motala
Shanthi Mendis
Dorairaj Prabhakaran
Ameenah Bibi Mia Sorefan
Amit Dias
Riadh Gouider
Riadh Gouider
Suzana Shahar
Kimberly Ashby-Mitchell
Martin Prince
Tarun Dua
author_facet Neerja Chowdhary
Corrado Barbui
Kaarin J. Anstey
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Mariagnese Barbera
Mariagnese Barbera
Ruth Peters
Ruth Peters
Lidan Zheng
Lidan Zheng
Jenni Kulmala
Jenni Kulmala
Jenni Kulmala
Ruth Stephen
Cleusa P. Ferri
Yves Joanette
Huali Wang
Huali Wang
Adelina Comas-Herrera
Charles Alessi
Kusumadewi Suharya (Dy)
Kibachio J. Mwangi
Ronald C. Petersen
Ayesha A. Motala
Shanthi Mendis
Dorairaj Prabhakaran
Ameenah Bibi Mia Sorefan
Amit Dias
Riadh Gouider
Riadh Gouider
Suzana Shahar
Kimberly Ashby-Mitchell
Martin Prince
Tarun Dua
author_sort Neerja Chowdhary
collection DOAJ
description With population ageing worldwide, dementia poses one of the greatest global challenges for health and social care in the 21st century. In 2019, around 55 million people were affected by dementia, with the majority living in low- and middle-income countries. Dementia leads to increased costs for governments, communities, families and individuals. Dementia is overwhelming for the family and caregivers of the person with dementia, who are the cornerstone of care and support systems throughout the world. To assist countries in addressing the global burden of dementia, the World Health Organisation (WHO) developed the Global Action Plan on the Public Health Response to Dementia 2017–2025. It proposes actions to be taken by governments, civil society, and other global and regional partners across seven action areas, one of which is dementia risk reduction. This paper is based on WHO Guidelines on risk reduction of cognitive decline and dementia and presents recommendations on evidence-based, multisectoral interventions for reducing dementia risks, considerations for their implementation and policy actions. These global evidence-informed recommendations were developed by WHO, following a rigorous guideline development methodology and involved a panel of academicians and clinicians with multidisciplinary expertise and representing geographical diversity. The recommendations are considered under three broad headings: lifestyle and behaviour interventions, interventions for physical health conditions and specific interventions. By supporting health and social care professionals, particularly by improving their capacity to provide gender and culturally appropriate interventions to the general population, the risk of developing dementia can be potentially reduced, or its progression delayed.
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spelling doaj.art-43ca99b1ee4c42fda977abd46e00aae42022-12-22T04:04:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-01-011210.3389/fneur.2021.765584765584Reducing the Risk of Cognitive Decline and Dementia: WHO RecommendationsNeerja Chowdhary0Corrado Barbui1Kaarin J. Anstey2Miia Kivipelto3Miia Kivipelto4Miia Kivipelto5Miia Kivipelto6Mariagnese Barbera7Mariagnese Barbera8Ruth Peters9Ruth Peters10Lidan Zheng11Lidan Zheng12Jenni Kulmala13Jenni Kulmala14Jenni Kulmala15Ruth Stephen16Cleusa P. Ferri17Yves Joanette18Huali Wang19Huali Wang20Adelina Comas-Herrera21Charles Alessi22Kusumadewi Suharya (Dy)23Kibachio J. Mwangi24Ronald C. Petersen25Ayesha A. Motala26Shanthi Mendis27Dorairaj Prabhakaran28Ameenah Bibi Mia Sorefan29Amit Dias30Riadh Gouider31Riadh Gouider32Suzana Shahar33Kimberly Ashby-Mitchell34Martin Prince35Tarun Dua36Department of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Neuroscience, Biomedicine and Movement Sciences, WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, University of Verona, Verona, ItalyUniversity of New South Wales, Sydney, NSW, AustraliaDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, SwedenThe Ageing Epidemiology Research Unit, Imperial College London, School of Public Health, London, United KingdomInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, FinlandTheme Inflammation and Aging, Karolinska University Hospital, Stockholm, SwedenThe Ageing Epidemiology Research Unit, Imperial College London, School of Public Health, London, United KingdomDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, FinlandUniversity of New South Wales, Sydney, NSW, AustraliaNeuroscience Research Australia, Sydney, NSW, AustraliaUniversity of New South Wales, Sydney, NSW, AustraliaNeuroscience Research Australia, Sydney, NSW, AustraliaDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Stockholm, Sweden0Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland1Faculty of Social Sciences (Health Sciences) and Gerontology Research Centre (GEREC), Tampere University, Tampere, FinlandDepartment of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland2Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil3Canadian Institutes of Health Research, Government of Canada, Ottawa, ON, Canada4Dementia Care and Research Center, Peking University Institute of Mental Health, Beijing, China5Beijing Dementia Key Laboratory, Beijing, China6Department of Health Policy, Care Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom7Public Health England, London, United Kingdom8Alzheimer's Disease International, Jakarta, Indonesia9Division of Non-communicable Diseases, Ministry of Health, Nairobi, Kenya0Mayo Clinic, Rochester, MN, United States1University of KwaZulu-Natal, Durban, South Africa2The Geneva Learning Foundation, Geneva, Switzerland3Public Health Foundation of India, New Delhi, India4Alzheimer Association, Quatre Bornes, Mauritius5Department of Preventive and Social Medicine, Goa Medical College, Goa, India6Faculty of Medicine, Clinical Investigation Centre Neurosciences and Mental Health Razi University Hospital, Tunis, Tunisia7Faculty of Medicine, University Tunis El Manar, Tunis, Tunisia8Centre for Healthy Aging and Wellness, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia9The Mona Ageing and Wellness Centre, University of the West Indies, Kingston, Jamaica0King's College London, London, United KingdomDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandWith population ageing worldwide, dementia poses one of the greatest global challenges for health and social care in the 21st century. In 2019, around 55 million people were affected by dementia, with the majority living in low- and middle-income countries. Dementia leads to increased costs for governments, communities, families and individuals. Dementia is overwhelming for the family and caregivers of the person with dementia, who are the cornerstone of care and support systems throughout the world. To assist countries in addressing the global burden of dementia, the World Health Organisation (WHO) developed the Global Action Plan on the Public Health Response to Dementia 2017–2025. It proposes actions to be taken by governments, civil society, and other global and regional partners across seven action areas, one of which is dementia risk reduction. This paper is based on WHO Guidelines on risk reduction of cognitive decline and dementia and presents recommendations on evidence-based, multisectoral interventions for reducing dementia risks, considerations for their implementation and policy actions. These global evidence-informed recommendations were developed by WHO, following a rigorous guideline development methodology and involved a panel of academicians and clinicians with multidisciplinary expertise and representing geographical diversity. The recommendations are considered under three broad headings: lifestyle and behaviour interventions, interventions for physical health conditions and specific interventions. By supporting health and social care professionals, particularly by improving their capacity to provide gender and culturally appropriate interventions to the general population, the risk of developing dementia can be potentially reduced, or its progression delayed.https://www.frontiersin.org/articles/10.3389/fneur.2021.765584/fulldementiadementia risk reduction guidelinesdementia risk reduction trialsWHO guidelinescognitive decline
spellingShingle Neerja Chowdhary
Corrado Barbui
Kaarin J. Anstey
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Miia Kivipelto
Mariagnese Barbera
Mariagnese Barbera
Ruth Peters
Ruth Peters
Lidan Zheng
Lidan Zheng
Jenni Kulmala
Jenni Kulmala
Jenni Kulmala
Ruth Stephen
Cleusa P. Ferri
Yves Joanette
Huali Wang
Huali Wang
Adelina Comas-Herrera
Charles Alessi
Kusumadewi Suharya (Dy)
Kibachio J. Mwangi
Ronald C. Petersen
Ayesha A. Motala
Shanthi Mendis
Dorairaj Prabhakaran
Ameenah Bibi Mia Sorefan
Amit Dias
Riadh Gouider
Riadh Gouider
Suzana Shahar
Kimberly Ashby-Mitchell
Martin Prince
Tarun Dua
Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
Frontiers in Neurology
dementia
dementia risk reduction guidelines
dementia risk reduction trials
WHO guidelines
cognitive decline
title Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
title_full Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
title_fullStr Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
title_full_unstemmed Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
title_short Reducing the Risk of Cognitive Decline and Dementia: WHO Recommendations
title_sort reducing the risk of cognitive decline and dementia who recommendations
topic dementia
dementia risk reduction guidelines
dementia risk reduction trials
WHO guidelines
cognitive decline
url https://www.frontiersin.org/articles/10.3389/fneur.2021.765584/full
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