Public Health Promotion Unit, National Institute for Health and Welfare, Helsinki, Finland.
Division of Clinical Geriatrics, Center for Alzheimer Research, NVS, Karolinska Institutet, Stockholm, Sweden.
J Alzheimers Dis. 2018;64(s1):S191-S198. doi: 10.3233/JAD-179919.
During the last few years, dementia prevention based on modifiable lifestyle factors has gained increasing attention. Cohort studies with follow-ups extending up to decades have identified several risk and protective factors, and very recently new randomized controlled trials with multidomain approach have provided promising evidence by showing that modifying simultaneously several risk factors, it is possible to maintain and improve cognitive capacity among older at-risk persons. Several lifestyle-based multidomain trials are under preparation or ongoing and to facilitate international collaboration and effective worldwide dementia prevention, the World Wide FINGERS interdisciplinary network (http://wwfingers.com) was recently initiated. Additionally, several new implementation projects are taking the first steps from trial setting to real-life implementation of a dementia prevention program. This paper highlights the recent perspectives from the field of Alzheimer's disease and reflects the implications and importance of current achievements. Finally, predictions for the future work especially in terms of global collaboration and implementation will be discussed.
在过去的几年中,基于可改变的生活方式因素的痴呆预防已经引起了越来越多的关注。具有长达数十年随访时间的队列研究已经确定了一些风险和保护因素,而最近具有多领域方法的新的随机对照试验通过表明同时改变几种风险因素,有可能维持和改善处于高风险的老年人的认知能力,提供了有希望的证据。有几个基于生活方式的多领域试验正在筹备或进行中,为了促进国际合作和有效的全球痴呆预防,最近发起了全球 FINGERS 跨学科网络(http://wwfingers.com)。此外,几个新的实施项目正在从试验设置到痴呆预防计划的实际实施迈出第一步。本文重点介绍了阿尔茨海默病领域的最新观点,并反映了当前成果的意义和重要性。最后,将讨论未来工作的预测,特别是在全球合作和实施方面。