Stroke prevention and cognitive reserve: emerging approaches to modifying risk and delaying onset of dementia

Demographic changes and improvements in health care are projected to result in dramatic increases in the prevalence of dementia. Alzheimer's disease is widely considered to be the primary cause of dementia - a disease for which there is currently no cure nor effective treatment, and for which i...

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Published inFrontiers in neurology Vol. 4; p. 13
Main Authors Willis, Kevin J, Hakim, Antoine M
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 01.01.2013
Subjects
Alzheimer’s
Cognitive Reserve
Dementia
Neuroscience
prevention
Stroke
dementia
stroke
Alzheimer’s
prevention
cognitive reserve
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Summary:Demographic changes and improvements in health care are projected to result in dramatic increases in the prevalence of dementia. Alzheimer's disease is widely considered to be the primary cause of dementia - a disease for which there is currently no cure nor effective treatment, and for which it is thought that little can be done to mitigate risk. However, an increasing understanding of the role and extent of vascular contributions to the development of dementia, and appreciation of the interactions between stroke and Alzheimer's disease, suggest that targeting vascular risk factors may be very beneficial in reducing the impact of dementia. We also describe how active stimulation of the brain throughout the life course builds cognitive reserve that can offset or compensate for cognitive decline in later life. Finally, we discuss the implications of these emerging approaches for dementia prevention and advocate for the urgent implementation of more extensive public health strategies to improve vascular health.
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Edited by: Roland Veltkamp, Ruprecht-Karl-Universitat Heidelberg, Germany
This article was submitted to Frontiers in Stroke, a specialty of Frontiers in Neurology.
Reviewed by: Steven R. Levine, SUNY Downstate Medical Center, USA; Solveig Horstmann, University of Heidelberg, Germany; Diana Soto Rojas, SUNY Downstate Medical Center, USA
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2013.00013