The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Dementia in western Europe: epidemiological evidence and implications for policy making
Open accessAbstract
Dementia is receiving increasing attention from governments and politicians. Epidemiological research based on western European populations done 20 years ago provided key initial evidence for dementia policy making, but these estimates are now out of date because of changes in life expectancy, living conditions, and health profiles. To assess whether dementia occurrence has changed during the past 20-30 years, investigators of five different studies done in western Europe (Sweden [Stockholm and Gothenburg], the Netherlands [Rotterdam], the UK [England], and Spain [Zaragoza]) have compared dementia occurrence using consistent research methods between two timepoints in well-defined geographical areas. Findings from four of the five studies showed non-significant changes in overall dementia occurrence. The only significant reduction in overall prevalence was found in the study done in the UK, powered and designed explicitly from its outset to detect change across generations (decrease in prevalence of 22%; p=0.003). Findings from the study done in Zaragoza (Spain) showed a significant reduction in dementia prevalence in men (43%; p=0.0002). The studies estimating incidence done in Stockholm and Rotterdam reported non-significant reductions. Such reductions could be the outcomes from earlier population-level investments such as improved education and living conditions, and better prevention and treatment of vascular and chronic conditions. This evidence suggests that attention to optimum health early in life might benefit cognitive health late in life. Policy planning and future research should be balanced across primary (policies reducing risk and increasing cognitive reserve), secondary (early detection and screening), and tertiary (once dementia is present) prevention. Each has their place, but upstream primary prevention has the largest effect on reduction of later dementia occurrence and disability.
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Self-citationThe Dutch Famine and Its Long-Term Consequences for Adult Health
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The World report on ageing and health: a policy framework for healthy ageing
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Defeating Alzheimer's disease and other dementias: a priority for European science and society
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Self-citationIncidence of dementia over three decades in the Framingham heart study
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Metadata
- Authors
- Wu, Y.-T., Fratiglioni, L., Matthews, F. E., Lobo, A., Breteler, M. M. B., Skoog, I., & Brayne, C.
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 15
- Issue
- 1
- Pages
- 116-124
- ISSN
- 1474-4422 (ISSN-L)
- OpenAlex
- W2118706985
- Cited by
- 371
- References
- 32
- FWCI
- 38.35
- Type
- journal article
- Language
- en
- Open access
- green
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- Wu, Y.-T., Fratiglioni, L., Matthews, F. E., Lobo, A., Breteler, M. M. B., Skoog, I., & Brayne, C. (2016). Dementia in western Europe: epidemiological evidence and implications for policy making. The Lancet Neurology. https://doi.org/10.1016/s1474-4422(15)00092-7
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