DESK REVIEWS | 04.04.01.02. Dementia prevention and risk reduction

DESK REVIEW | 04.04.01.02. Dementia prevention and risk reduction

The “Technical Guidelines for Implementing a Healthcare Pathway for Integral Health for Older People” mentions about potentially modifiable risk factors such as physical inactivity, smoking, low cognitive activity etc. (Brazilian Ministry of Health, 2018e). In addition, primary healthcare policies, such as the Family Health Strategy, carry an important role in the reduction of risk factors for dementia, even though this policy has not been developed specifically for dementia, but for cardiovascular disease and diabetes mainly. The primary healthcare policies, among other things, promote preventive actions towards hypertension, diabetes, promotion of healthier lifestyles etc. which may contribute to the risk reduction of dementia.

References:

Brazilian Ministry of Health. (2018e). Orientações Técnicas para a Implementação de Linha de Cuidado para Atenção integral à Saúde da Pessoa Idosa no Sistema Único de Saúde—SUS. Ministério da Saúde do Brasil.

Risk reduction and prevention for dementia is addressed in part through the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS) (MoHFW, 2017b). While the NPCDCS does not specifically mention dementia, it addresses risk factors and co-morbid conditions in persons with dementia. This could involve screening for risk factors and promoting healthy behaviours to reduce risk of dementia.

References:

Ministry of Health and Family Welfare. (2017b). National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases and Stroke (NPCDCS).

The third action step focuses on dementia prevention and risk. It emphasises the accessibility of information on healthcare services which comply with the minimum standard for older people. This is consistent with the health promotion emphasised in the first action step, which focuses on the promotion of a healthy lifestyle (Ministry of Health Republic of Indonesia, 2015b).

References:

Ministry of Health Republic of Indonesia. (2015b). National Strategy: Management of Alzheimer and Other Dementia Diseases: Towards Healthy and Productive Older Persons. Ministry of Health Republic of Indonesia.

It points to the need to strengthen prevention campaigns against diabetes, obesity, hypertension, and physical inactivity, in order to reduce risk factors associated with dementia.