Quit smoking and reduce obesity to cut dementia risk

Research shows that 35% of dementia cases can be prevented if people increase early life education, reduce mid-life hearing loss, obesity and high blood pressure, and stop smoking.

There are around 47 million people living with dementia globally.
There are around 47 million people living with dementia globally.(Shutterstock)

Learning new things, eating and drinking well, not smoking and limiting hearing loss and loneliness could prevent a third of dementia cases, health experts have said. In a wide-ranging analysis of the risk factors behind dementia, the researchers highlighted nine as particularly important. These included staying in education beyond age 15, reducing high blood pressure, obesity and hearing loss in mid-life, and reducing smoking, depression, physical inactivity, social isolation and diabetes in later life. Previous research has shown that spending one hour each week interacting with dementia patients about their interests can help improve their quality of life and solving crossword puzzles every day improves brain function.

If all these risk factors were fully eliminated, the experts said, one in three cases of dementia worldwide could be prevented. “Although dementia is diagnosed in later life, the brain changes usually begin to develop years before,” said Gill Livingston, a professor at University College London and one of 24 international experts commissioned by The Lancet medical journal to conduct the analysis.

“A broader approach to prevention of dementia which reflects these changing risk factors will benefit our ageing societies and help to prevent the rising number of dementia cases.” Latest estimates from the Alzheimer’s Association International show there are around 47 million people living with dementia globally and the cost of the brain-wasting disease is already $818 billion a year.

Dementia is caused by brain diseases, most commonly Alzheimer’s disease, which result in the loss of brain cells and affect memory, thinking, behaviour, navigational and spatial abilities and the ability to perform everyday activities. The number of people affected is set to almost triple to 131 million by 2050, according to the World Health Organization.


The researchers found that among the 35% of all dementia cases that could be prevented, the three most important risk factors to target were increasing early life education, reducing mid-life hearing loss, and stopping smoking. Not completing secondary education while young can make people less resilient to cognitive decline when they get older, the experts said, while preserving hearing helps people experience a richer and more stimulating environment, building cognitive reserve. Stopping smoking reduces exposure to neurotoxins and improves heart health which, in turn, affects brain health, they said.
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