Prenatal programming of depression: cumulative risk or mismatch in the Ontario Child Health Study?

From Dementia to Eumentia: A New Approach to Dementia Prevention

BACKGROUND

During the past 40 years, dementia prevention approaches have ranged from searching for a drug to prevent progression to Alzheimer's disease to prevention of dementia through multi-domain lifestyle interventions. Current Approaches: The search for a silver bullet has yielded good science but no clinical results. The multi-model lifestyle intervention approach has shown encouraging results. The largest proportion of resources in prevention have been devoted to finding a drug to prevent, mitigate or delay what is being called "Alzheimer's disease of late onset." The reality is that Alzheimer pathology is common among the elderly, but it seldom only occurs alone. The only treatable and preventable pathology currently is vascular. Hence arose the concept of "vascular cognitive impairment" meaning any vascular cause or risk factor associated with cognitive impairment. The majority of cases of cognitive in the elderly have a vascular component that is treatable and preventable and identifiable by several means, including a simple ischemic score.

CONCLUSION

Since environmental, socioeconomic and individual risk factors contribute to dementia, we proposed a Comprehensive, Customized, Cost-effective APProach (The CCC-APP) implemented in actionable units with the focus on promoting brain health (eumentia).