The Healthy Ageing Companion
  • Your Future
    • What the hell is happening as we live longer >
      • the Oxford Paradigm
      • Bad language about older people
    • How to reduce your risk of needing social care >
      • How society needs to reduce the need for social care
    • Your monthly briefing
    • The environment is tough >
      • The physical environment is the cause of many problems blamed on ageing
      • Retirement has benefits and risks
      • Some people got a better start than others
      • the impact of isolation is now recognised
      • Poverty affects too many older people
    • the Living Longer Better Programme >
      • what would a good life in your late 80s be likel
      • What do you fear most and want to avoid
      • Start to write your Living Longer Better Plan
      • Think positive
    • How to reduce your risk of a bad death
    • My diary & daily routine
    • My health record
    • My housing
    • Othercare - Supporting someone else
  • Learning
    • Start Planning to Live Longer Better
    • Understanding Ageing
    • Regaining and increasing fitness
    • Reducing the impact of disease
    • your social environment has a huge impact
    • Make Retirement your Renaissance
    • A Woman's Perspective
    • Stamina can be improved by brisk walking
    • Suppleness can always be improved and stiffness always reduced
    • Skill and co-ordination can be improved at any age
    • Strength and Power can always be increased
    • Increase Your Mental Fitness
    • Reduce your risk of disease
    • Eat Better
    • Feel Better
    • Reduce your risk of dementia
    • If disease does develop - take charge
    • Feel even better by helping other people even more
  • Get fitter & bodycare better
    • Activity Therapy is of vital importance
    • the Daily Dozen + 30 for 4S fitness
    • Increase strength, stamina, suppleness and skill >
      • Stamina
      • Suppleness
      • Skill
      • Strength
      • Work hard
      • Restart cycling >
        • Virtual Cycling
      • Brisk walking >
        • Virtual Walking
      • Restart Sport >
        • Restart swimming
        • Restart tennis
        • Restart football
      • If you have difficulty walking briskly
      • Join a Gym or Wellness Hub >
        • Meet others for fitness >
          • Silver sneakers
          • Age UK Generation games
          • Join a Gym, Fitness Centre or Wellness Hub
          • Find a personal trainer
      • Find a Trainer
    • Look after your body >
      • Happy and Positive Birthday >
        • Sod 60!
        • Sod70!
        • Sod It! Eat Well
        • Sod Sittin, Get Moving!
      • Skin maintenance
      • Teeth and gum maintenance
      • Feet maintenance
      • Bone, joint and muscle maintenance
      • Bowel maintenance
      • Brain maintenance
      • Mind maintenance
      • Heart maintenance
      • Lung maintenance
      • Waterworks maintenance for men
      • Waterworks maintenance for women
      • See as clearly as possible
      • Keep your Hearing as acute as possible
      • Reduce your risk of disease >
        • Eat Well
        • Stop smoking
        • Increase activity - physical, cognitive and emotional
        • Watch the alcohol
        • Accept the offers from the NHS screening programmes
        • We need a revolution
      • FIGHT DISEASE >
        • If disease occurs - Optimise Your Healthcare >
          • Making a big decision >
            • Should i have a hip replacement ?
          • Consequences of common conditions >
            • Loss of status
            • Disability and handicap
            • Isolation
            • Depression
            • Frailty
          • Look out for social as well as drug prescribing >
            • Enjoy Activity Therapy
          • What you can do to help the NHS even more
        • Arthritis
        • Cancer
        • COPD _ Bronchitis
        • Diabetes
        • Dementia
        • Heart disease
        • High Blood Pressure
        • Hypercholesterolaemia
        • Pain
        • Parkinson's Disease
        • Stroke
  • Think better
    • Train your brain ; we now know the brain can get fitter at any age
    • Understanding Dementia & Alzheimer's Disease
    • Reduce your risk of dementia >
      • Stimulate your brain more every year >
        • Learning new skills and build on your assets
        • Get even more engaged
      • Protect your brain >
        • Sleep better
        • Get more active
        • Avoid over medication
        • Control stress levels
        • Air pollution and dementia
      • Keep the oxygen flowing
  • Feel better
    • Combat depression
    • Combat anxiety
    • Stay engaged and don't lose your sense of purpose
    • Meet others like you
    • Feel Better by Volunteering
    • Optimise the Internet >
      • My Virtual Reality
    • Join others for a Daily Service
    • Feel better by visiting Great Places >
      • Visit the great Museums
      • Visit the great libraries
      • Visit a National Trust treasure
    • Feel better through music >
      • Join a concert party
      • Your virtual choir
      • Music for Moving
    • Creative Health Improvement
    • Feel better by reading, listening and watching with other people >
      • Kindling Book Club >
        • Crime
        • Classics
        • Health
      • Audible Book Club
      • Your BBC
      • Your Film Club
    • Feel better by learning new skills and ideas
    • Feel better by joining a club to play games and meet others >
      • Chess Club
      • Bingo club
      • Bridge Club
    • Feel better by supporting nature >
      • Visit the great gardens
    • Feeling Better by Going Down Memory Lane >
      • Sporting memories are powerful
  • Our Mission
    • About Us
    • Muir Gray's Bookshelf >
      • Midlife
      • Sod60!
      • Sod70!
      • Get Moving
      • Eatwell!
      • Dr Gray's Walking Cure
    • About the OxAP >
      • Here is the news
    • References

​REDUCE YOUR RISK OF DEMENTIA
 
People no longer fear cancer in the way that they did.  It is still better to escape the disease of course but it is now clear that the risk of cancer can be reduced, and there is an array of effective treatments, including curative treatments.  Cancer therefore is no longer the disease that is most feared and its place has now been taken by dementia but we have to define what we mean by dementia.
Firstly, dementia is not accelerated normal ageing.  Changes do take place in the functioning of the brain for example, short term memory problems and poor rapid decision making, but these are not signs of dementia and there are solutions for these little problems.  The term MCI, Mild Cognitive Improvement, is sometimes used but many scientists now find this confusing and find it more helpful to think of a person either having dementia or not having dementia, but dementia itself is not a single entity.
Dementia is a condition in which a person faces obstacles in daily life, for example in finding the way home if out for a walk, or in managing money and household affairs, but dementia is caused by a number of different conditions of which Alzheimer’s disease is the most common and best known. Alzheimer’s disease is actually a number of different pathological conditions which all have the effect of creating damage to the brain tissue which affects the way the mind works and at present there is not any means of preventing Alzheimer’s disease or of treating it when it does occur.  
However, Alzheimer’s disease is responsible for about only two thirds of cases of dementia which means therefore that about a third of cases are preventable, namely you can reduce your risk by a third, at least.  In fact, the most recent prediction by the global Commission on Dementia organised by the Lancet in 2024 is that the risk might be able to be reduced by at one half.

There are three principal means of reducing the risk of dementia.
Firstly it is important to protect the brain tissue itself, for example from head injury or overuse of drugs and alcohol or from sleep problems and perhaps from the effects of infection and inflammation.
Secondly damage is caused by disease of the arteries called atherosclerosis, the same disease that causes heart disease and stroke but in this case there are multiple small bleeds into the brain which do not cause paralysis but  which cumulatively and significantly affect the person’s intellectual ability.
Thirdly there is isolation and lack of challenge and it is now clear that the effects of ageing have been greatly overemphasised focusing on, as noted earlier, relatively unimportant problems like short term memory recall. It is now clear that at any age the brain can form new circuits and can learn new skills and techniques due to a capacity called neuroplasticity in which new networks develop. This means that isolation, deafness, vision problems and a lack of contact and meaningful work all increase the risk of dementia.
All these factors can be influenced and your risk of dementia can be reduced. 

LISTEN TO OUR PODCAST 

 
People no longer fear cancer in the way that they did.  It is still better to escape the disease of course but it is now clear that the risk of cancer can be reduced, and there is an array of effective treatments, including curative treatments.  Cancer therefore is no longer the disease that is most feared and its place has now been taken by dementia but we have to define what we mean by dementia.
Firstly, dementia is not accelerated normal ageing.  Changes do take place in the functioning of the brain for example, short term memory problems and poor rapid decision making, but these are not signs of dementia and there are solutions for these little problems.  The term MCI, Mild Cognitive Improvement, is sometimes used but many scientists now find this confusing and find it more helpful to think of a person either having dementia or not having dementia, but dementia itself is not a single entity.
Dementia is a condition in which a person faces obstacles in daily life, for example in finding the way home if out for a walk, or in managing money and household affairs, but dementia is caused by a number of different conditions of which Alzheimer’s disease is the most common and best known. Alzheimer’s disease is actually a number of different pathological conditions which all have the effect of creating damage to the brain tissue which affects the way the mind works and at present there is not any means of preventing Alzheimer’s disease or of treating it when it does occur.  
However, Alzheimer’s disease is responsible for about only two thirds of cases of dementia which means therefore that about a third of cases are preventable, namely you can reduce your risk by a third, at least.  In fact, the most recent prediction by the global Commission on Dementia organised by the Lancet in 2024 is that the risk might be able to be reduced by at one half.

There are three principal means of reducing the risk of dementia.
Firstly it is important to protect the brain tissue itself, for example from head injury or overuse of drugs and alcohol or from sleep problems and perhaps from the effects of infection and inflammation.
Secondly damage is caused by disease of the arteries called atherosclerosis, the same disease that causes heart disease and stroke but in this case there are multiple small bleeds into the brain which do not cause paralysis but  which cumulatively and significantly affect the person’s intellectual ability.
Thirdly there is isolation and lack of challenge and it is now clear that the effects of ageing have been greatly overemphasised focusing on, as noted earlier, relatively unimportant problems like short term memory recall. It is now clear that at any age the brain can form new circuits and can learn new skills and techniques due to a capacity called neuroplasticity in which new networks develop. This means that isolation, deafness, vision problems and a lack of contact and meaningful work all increase the risk of dementia.
All these factors can be influenced and your risk of dementia can be reduced. 
Points for Reflection after listening and reading; if you are working through these podcasts with a group ask people to turn to their neighbour and discuss these points or allocate them to a Zoom room if you are online
  • Of the three types of risk factor, those which affect the brain tissue, those which affect the blood and oxygen supply and those which come from the amount of social interaction you have which is the most important?
  • How would you best explain to others the relationship between dementia and Alzheimer’s Disease?
Individual Action
Put something in the prevention box of the Oxford Longevity Plan specifically about  what you are planning to do to reduce your risk of dementia 
 
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