Startseite Understanding Dementia – Detect Early, Prevent Effectively
Understanding Dementia – Detect Early, Prevent Effectively
Dear Patients,
Dementia begins gradually, often with physical changes long before memory problems arise.
Research shows:
sudden weight loss and rising HDL cholesterol levels can occur up to ten years before diagnosis. Sleep disorders or disturbed deep sleep also significantly increase the risk.
Many risk factors are modifiable
According to the latest Lancet Commission (2024), up to 45 % of all dementia cases can be delayed or even prevented through lifestyle changes. The most important modifiable risk factors include:
- Untreated vision loss
- High LDL and ApoB levels (lipid metabolism)
- Metabolic syndrome (e.g. obesity, high blood pressure, low HDL)
- Sleep disorders and sleep apnea
- Social isolation, low mental stimulation
- Physical inactivity
- Smoking, alcohol consumption
Studies show that even younger individuals with metabolic syndrome have a significantly increased risk of developing so-called “young-onset dementia” (before age 65).



Prevention starts early – and always pays off
Prevention starts early – and always pays off
Dementia prevention is a lifelong process. Even in childhood, education, social integration and physical activity contribute to brain health. In adulthood, the following measures are effective:
Exercise
At least three hours per week, ideally combining endurance, interval and strength training.
Sleep
Healthy deep sleep supports the brain’s “cleaning” process and helps eliminate harmful deposits (e.g. β-amyloid).
Cardiovascular and metabolic health
High blood pressure, type 2 diabetes and unfavorable blood lipids like LDL cholesterol raise the risk not only for heart disease but also for dementia. A healthy diet, regular physical activity and if needed targeted medication can help. What’s good for the heart also protects the brain.
Social, mental, and physical activity
Dancing, playing music, learning something new or forming new social connections strengthen cognitive reserves.
Dental health and inflammation reduction
Inflammation in the mouth, such as from gum disease, can negatively affect brain health. Good oral hygiene protects not only your teeth, but potentially also your cognition.
Many forms of dementia develop silently over decades. That’s why it’s so important to recognize early signs and focus on modifiable risk factors.
A healthy lifestyle, preventive check-ups and staying mentally and socially active are currently among the most effective tools in dementia prevention.


Dr. med. Günther Bauer

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