Risk Reduction

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Actions that aim to: increase knowledge of and research into dementia risk factors; or to reduce population risk. Including but not limited to:

  • Supporting the development and spread of understanding about the links between dementia and modifiable risk factors, including lifestyle factors.
  • Dementia, public health or NCD programmes, policies, strategies or campaigns that aim to reduce the population risk of dementia, including delaying onset.
COMMITMENTS
Country / Organisation Pledge
Australia Establishment of an International Research Network on Dementia Prevention, to coordinate research efforts in dementia prevention and risk reduction.

The Network would exchange information with European and North American Groups but develop its own resources, in particular online tools, and take on a broader geographical remit for the Asia Pacific region.
The primary focus would be on “non-pharmacological” particularly “lifestyle” and self-managed interventions with online support programs but it would also have a secondary interest in prevention involving drugs and treatment programs. Australia’s National Health and Medical Research Council, through its National Institute for Dementia Research would host and lead this research commitment.

Austria The Austrian Dementia Report 2014 describes dementia, its causes, epidemiological aspects and risk as well as protective factors.
Canada Healthy Living Promotion and NCD Prevention
Recognise that dementia shares common and modifiable risk factors of other NCDs and injuries by explicitly including dementia in wider NCD prevention strategies, policies and programs to improve physical and cognitive health. This is being undertaken by the Public Health Agency of Canada.Canadian Consortium on Neurodegeneration in Aging: Undertake research in primary prevention, which is one of three research themes. Under this theme, six research teams are covering a range of topics, including research on nutrition, exercise and lifestyle in dementia prevention. This is being undertaken by the Canadian Institutes of Health Research.
Costa Rica Taking forward actions to reduce the risk of dementia. This is being incorporated in the Mental Health Plan by the Ministry of Health, Costa Rica.
Dominican Republic The Dominican Alzheimer’s Association will work with the Ministry of Health on a Risk Reduction campaign.
Finland Finland’s agenda of the National Dementia Programme, that highlights Prevention as a priority and brain health in all ages.

The Finger study, in Finland which has calculated that the incidence of progressive memory disorders and dementia could be decelerated.

Indonesia Strengthening cognitive action for long term prevention, based on the life cycle approach.
Japan Japan will launch a prospective cohort study with high quality and high efficacy of around ten thousands normal people in order to identify the personal risk factor and protective factor for developing dementia, and implement a risk reduction strategy through the possible collaborative research with the world.

Japan, based on the  experiences of clinical research concerning dementia prevention, such as the prospective interventional cohort study in persons with MCI, and research about community-based primary prevention for dementia, will consider reviewing practices of risk reduction for dementia, to research how to embed them into society, and to share the results across the globe.

Mexico Mexico is working on programs which aim to diminish obesity, cardiovascular RF, diabetes and promoting physical activity; and analysing the association between fragility and dementia.
South Korea The Promotion of Dementia Risk Reduction Campaigns.
The aim is to distribute an evidence-based guideline (proper diet, exercise, no smoking or drinking, social activities and communication, management of chronic disease, and early diagnosis of dementia) for dementia risk reduction.
United Kingdom Public Health England’s (PHE) planned programme of activity to target 40-60 year olds in England through a dementia risk reduction approach. PHE will build on the successful Blackfriars Consensus, by continuing to develop the evidence base on risk reduction and translation of evidence into practice. It will continue to raise awareness of actions people can take to reduce their risk of dementia, including through a national campaign aimed at people aged 40-60 years. PHE will develop a collaborative approach to risk reduction with the Devolved Nations, sharing good practice and learning from research. It will develop a brain age tool with UCL Partners. PHE will share learning on the effectiveness of the dementia element of the NHS Health Checks programme.
Alzheimer’s Disease International (ADI) ADI Compendium on risk factors March 2015.
NCD Alliance, ADI and World Heart Federation side event on risk factors for dementia and heart disease, World Health Assembly, May 2015.
Alzheimer’s and Related Disorders Society of India (ARDSI) Awareness generation of lifestyle modifications, healthy lifestyles and inter-generational action shall be taken up for reducing risks.
Alzheimer’s Research UK Prevention Fund
Alzheimer’s research UK intends to invest a minimum of £2m over the next 5 years into research on prevention and risk reduction.
Asociación Lucha Contra el Mal de Alzheimer y Alteraciones Semejantes (ALMA) A diffusion plan in the educational sphere.
Improving quality of life for families.
Workshops to provide emotional support and networking.
Centre for Ageing and Development Research in Ireland (CARDI) CARDI Leadership programme award: Diet, retinal microvascular health and cognitive decline and dementia risk.
Central American Multidisciplinary Confederation of Alzheimer’s (COMCAEDA) Incorporation of actions to reduce the risk of dementia.

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