The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Milperra, New South Wales, Australia.
Australian Institute for Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Australas J Ageing. 2022 Jun;41(2):e190-e195. doi: 10.1111/ajag.13049. Epub 2022 Mar 2.
Public health initiatives aim to improve health outcomes for populations by preventing disease and ill-health consequences of environmental hazards and natural or human-made disasters. Whilst public health initiatives have been used successfully to modify behaviours for chronic diseases, many initiatives targeting reduced dementia risk in older adults suffer from conceptual and statistical flaws that greatly limit their usefulness. The limited success in modifying lifestyle dementia risk factors has led us to fall short in building a successful roadmap to dementia risk reduction. Here we argue for adopting a population-level, holistic approach to dementia risk reduction strategies across the lifespan. This approach is supplemented by 10 strategies that focus on improving social policies, harnessing existing policy, legislature and incentive schemes, and identifying feasible approaches to increase recreational and transport-related physical activity to creating best practice health care that supports healthy brain ageing for all.
公共卫生举措旨在通过预防疾病和环境危害及自然或人为灾害对健康造成的不良后果，改善人群的健康结果。虽然公共卫生举措已成功用于改变慢性病行为，但许多针对老年人降低痴呆风险的举措存在概念和统计上的缺陷，极大地限制了它们的有用性。在改变生活方式痴呆风险因素方面的有限成功，导致我们在制定成功的痴呆风险降低路线图方面功亏一篑。在这里，我们主张在整个生命周期内采取一种针对痴呆风险降低策略的人群水平的、整体的方法。该方法通过 10 项策略得到补充，这些策略侧重于改善社会政策、利用现有政策、立法和激励计划，并确定可行的方法来增加娱乐和交通相关的身体活动，以制定最佳实践的医疗保健，为所有人支持健康的大脑老化。
