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Psychiatr Prax 2021; 48(08): 391-394
DOI: 10.1055/a-1666-8540
Editorial

Viel Luft nach oben: Verhältnis- und Verhaltensprävention von kognitiven Störungen und Demenz aus Public-Health-Perspektive

A Lot of Room for Improvement: Primary Prevention of Cognitive Disorders and Dementia from the Public Health Perspective
Susanne Röhr
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig, Deutschland
2   Global Brain Health Institute (GBHI), Trinity College Dublin, Ireland
,
Steffi G. Riedel-Heller
1   Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig, Deutschland
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Im Kontext der globalen Bevölkerungsalterung nimmt die Bedeutung von Demenz als öffentliches Gesundheitsproblem zu [1]. Im Jahr 2050 wird mehr als jeder fünfte Mensch der Weltbevölkerung 60 Jahre und älter sein – das sind mehr als doppelt so viele wie heute [2]. Dann wird die Zahl älterer Menschen die der Kinder weit übertreffen [3].



Publikationsverlauf

Artikel online veröffentlicht:
05. November 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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  • Literatur

  • 1 World Health Organization. Global action plan on the public health response to dementia 2017–2025. Geneva: WHO Document Production Services; 2017
    Google Scholar
  • 2 World Health Organization. World Report on Ageing and Health. World Health Organization; 2015
    Google Scholar
  • 3 Lutz W, Sanderson W, Scherbov S. The coming acceleration of global population ageing. Nature 2008; 451: 716-719 DOI: 10.1038/nature06516.
    CrossrefPubMedGoogle Scholar
  • 4 Riley JC. Estimates of Regional and Global Life Expectancy, 1800–2001. Popul Dev Rev 2005; 31: 537-543 DOI: 10.1111/j.1728-4457.2005.00083.x.
    CrossrefPubMedGoogle Scholar
  • 5 Rechel B, Doyle Y, Grundy E, McKee M. How can health systems respond to population ageing?. Copenhagen: World Health Organization Regional Office for Europe; 2009
    Google Scholar
  • 6 Christensen K, Doblhammer G, Rau R. et al. Ageing populations: the challenges ahead. Lancet 2009; 374: 1196-1208
    CrossrefPubMedGoogle Scholar
  • 7 Jivraj S, Goodman A, Pongiglione B. et al. Living longer but not necessarily healthier: The joint progress of health and mortality in the working-age population of England. Popul Stud 2020; 74: 399-414 DOI: 10.1080/00324728.2020.1767297.
    CrossrefPubMedGoogle Scholar
  • 8 World Health Organization. Dementia. https://www.who.int/health-topics/dementia#tab=tab_1 Stand: 07.10.2021
    PubMedGoogle Scholar
  • 9 Röhr S, Luck T, Bickel H. et al. Mortality in incident dementia – results from the German Study on Aging, Cognition, and Dementia in Primary Care Patients. Acta Psychiatr Scand 2015; 132: 257-269 DOI: 10.1111/acps.12454.
    CrossrefPubMedGoogle Scholar
  • 10 Mitchell SL, Teno JM, Kiely DK. et al. The Clinical Course of Advanced Dementia. N Engl J Med 2009; 361: 1529-1538 DOI: 10.1056/NEJMoa0902234.
    CrossrefPubMedGoogle Scholar
  • 11 Alzheimer’s Disease International. World Alzheimer Report 2019: Attitudes to dementia 2019.
    PubMedGoogle Scholar
  • 12 Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. World Alzheimer report 2016: improving healthcare for people living with dementia: coverage, quality and costs now and in the future. London, UK: Alzheimer’s Disease International (ADI); 2016
    Google Scholar
  • 13 Livingston G, Huntley J, Sommerlad A. et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet 2020; 396: 413-446 DOI: 10.1016/s0140-6736(20)30367-6.
    CrossrefPubMedGoogle Scholar
  • 14 Then FS, Luck T, Luppa M. et al. Association between mental demands at work and cognitive functioning in the general population – results of the health study of the Leipzig research center for civilization diseases (LIFE). J Occup Med Toxicol 2014; 9: 1-13 DOI: 10.1186/1745-6673-9-23.
    CrossrefPubMedGoogle Scholar
  • 15 Schiepers OJG, Köhler S, Deckers K. et al. Lifestyle for Brain Health (LIBRA): a new model for dementia prevention. Int J Geriatr Psychiatry 2018; 33: 167-175
    CrossrefPubMedGoogle Scholar
  • 16 Sabia S, Fayosse A, Dumurgier J. et al. Association of sleep duration in middle and old age with incidence of dementia. Nat Commun 2021; 12: 1-10
    CrossrefPubMedGoogle Scholar
  • 17 Röhr S, Rodriguez FS, Siemensmeyer R. et al. How can urban environments support dementia risk reduction? A qualitative study. Int J Geriatr Psychiatry 2021; DOI: 10.1002/gps.5626.
    CrossrefPubMedGoogle Scholar
  • 18 Cantuaria ML, Waldorff FB, Wermuth L. et al. Residential exposure to transportation noise in Denmark and incidence of dementia: national cohort study. BMJ 2021; 374: n1954 DOI: 10.1136/bmj.n1954.
    CrossrefPubMedGoogle Scholar
  • 19 Paul LA, Hystad P, Burnett RT. et al. Urban green space and the risks of dementia and stroke. Environ Res 2020; 186: 109520 DOI: 10.1016/j.envres.2020.109520.
    CrossrefPubMedGoogle Scholar
  • 20 Farugia TL, Cuni-Lopez C, White AR. Potential Impacts of Extreme Heat and Bushfires on Dementia. J Alzheimers Dis 2021; 79: 969-978 DOI: 10.3233/JAD-201388.
    CrossrefPubMedGoogle Scholar
  • 21 Rosenberg A, Mangialasche F, Ngandu T. et al. Multidomain interventions to prevent cognitive impairment, Alzheimer’s disease, and dementia: from FINGER to world-wide FINGERS. J Prev Alzheimers Dis 2020; 7: 29-36
    PubMedGoogle Scholar
  • 22 Ngandu T, Lehtisalo J, Solomon A. et al. A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet 2015; 385: 2255-2263
    CrossrefPubMedGoogle Scholar
  • 23 Chhetri JK, de Souto Barreto P, Cantet C. et al. Effects of a 3-year multi-domain intervention with or without omega-3 supplementation on cognitive functions in older subjects with increased CAIDE dementia scores. J Alzheimers Dis 2018; 64: 71-78
    CrossrefPubMedGoogle Scholar
  • 24 van Charante EPM, Richard E, Eurelings LS. et al. Effectiveness of a 6-year multidomain vascular care intervention to prevent dementia (preDIVA): a cluster-randomised controlled trial. The lancet 2016; 388: 797-805
    CrossrefPubMedGoogle Scholar
  • 25 Andrieu S, Guyonnet S, Coley N. et al. Effect of long-term omega 3 polyunsaturated fatty acid supplementation with or without multidomain intervention on cognitive function in elderly adults with memory complaints (MAPT): a randomised, placebo-controlled trial. The Lancet Neurol 2017; 16: 377-389
    CrossrefPubMedGoogle Scholar
  • 26 Röhr S, Zülke A, Luppa M. et al. Recruitment and Baseline Characteristics of Participants in the AgeWell.de Study – A Pragmatic Cluster-Randomized Controlled Lifestyle Trial against Cognitive Decline. IJERPH 2021; 18: 408 DOI: 10.3390/ijerph18020408.
    CrossrefPubMedGoogle Scholar
  • 27 Röhr S, Pabst A, Luck T. et al. Is dementia incidence declining in high-income countries? A systematic review and meta-analysis. CLEP 2018; 10: 1233-1247 DOI: 10.2147/CLEP.S163649.
    CrossrefPubMedGoogle Scholar
  • 28 Hofbauer LM, Rodriguez FS. Validation of a social deprivation index and association with cognitive function and decline in older adults. Int Psychogeriatr 2021; 1-12
    CrossrefPubMedGoogle Scholar
  • 29 Deckers K, Cadar D, van Boxtel MPJ. et al. Modifiable risk factors explain socioeconomic inequalities in dementia risk: evidence from a population-based prospective cohort study. J Alzheimers Dis 2019; 71: 549-557
    CrossrefPubMedGoogle Scholar
  • 30 Röhr S, Pabst A, Witte AV. et al. Socioeconomic inequalities in cognitive function in midlife and early late‐life are partially attributable to modifiable health and lifestyle factors: Prevention: ADRD prevention research: Who is at risk and who benefits more?. Alzheimers Dement 2020; 16: e045760
    CrossrefPubMedGoogle Scholar
  • 31 World Health Organization. Risk reduction of cognitive decline and dementia. 2019. Guidelines
    Google Scholar