A dementia epidemic is looming in the
country with one in eight Indians suffering from cognitive decline today
as against 1 in 25 in 1990.
The
Government data of Alzheimer’s Disease, the commonest form of dementia,
shows a three-fold rise in the prevalence of cognitive decline over
1990, signaling the urgent need to address risk factors for the chronic
neurodegenerative disease which leaves patients and families broken on
account of the massive psychological and medical costs.
As Indians age successfully with
advancements in medical science, experts say it’s urgent to build
individual cognitive reserves from an early age to fight dementia.
Leading neurologist with AIIMS New Delhi
Manjari Tripathi says 35 pc of dementia is attributable to a combination
of modifiable risk factors which can be addressed at early stages.
“From a young age itself we need to work on
our cognitive reserves. Cognitive reserve is the ability of the brain to
resist disease by modifiable life experiences so that we can push back
dementia by several years. This reserve can be built by avoiding
smoking, alcohol, eating healthy, consuming unsaturated oils, nuts,
green leafy vegetables, taking regular walks, avoiding sugar and too
much protein and practicing small meals and intermittent diet,” advises
Tripathi.
The expert says engagement in brain games and avoiding long hours before the computer are avoidable risk factors.
Research has further revealed that neurotic
personalities are more prone to cognitive decline and it pays to keep
the mind calm with meditation. Western countries, Tripathi notes, have
reduced the burden of Alzheimer’s by implementing lifestyle changes.
On the research front, dementia – an
umbrella term for degenerative diseases -- most common being Alzheimer's
Disease – remains a very complex disease with scientists still studying
the triggers.
“Currently about every seven seconds there
is one case of dementia and one person will develop major cognitive
decline because we are aging successfully. We are still learning about
the disease. What we know is it leads to shrinking of the brain memory
cells and has two main causes -- non-modifiable (genes and age) and
modifiable,” says Tripathi, associated with the Delhi chapter of
Alzheimer’s and Related Disorders Society of India.
Experts also call for reading the early
warning signs of dementia that start with small memory lapses and
changes in the ability to discharge normal activities and tasks like
reading, writing and comprehending.
“We want to pick up a patient early where
mild memory and behavior changes are visible. At that stage we can help
more by stemming some level of progression,” Tripathi says.
Experts also call for policy makers to
create awareness on the need for advanced directives and living wills by
the elderly in India. Evidence shows huge implications of Alzheimer’s
Disease among Indian patients because often the elderly have the money
in their bank accounts but they have forgotten to read, write and sign
because of the disease. Advanced directives and living wills can aid the
autonomy of patients, experts note.
World Alzheimer’s Day is observed on September 21 every year.
The government data of Alzheimer’s disease,
the commonest form of dementia, shows a three-fold rise in the
prevalence of cognitive decline in 30 years (from 1990 to 2020),
signalling the urgent need to address risk factors for the chronic
neurodegenerative disease which leaves patients and families broken on
account of the massive psychological and medical costs.
As Indians age successfully with
advancements in medical science, experts say it’s urgent to build
individual cognitive reserves from an early age to fight dementia.
Leading neurologist with AIIMS, New Delhi,
Manjari Tripathi says 35 per cent of dementia is attributable to a
combination of modifiable risk factors which can be addressed at an
early stage.
“From a young age itself, we need to work on
our cognitive reserves. Cognitive reserve is the ability of the brain
to resist disease by modifiable life experiences so that we can push
back dementia by several years. This reserve can be built by avoiding
smoking, alcohol, eating healthy, consuming unsaturated oils, nuts,
green leafy vegetables, taking regular walks, avoiding sugar and too
much protein and eating small meals,” says Tripathi.
Experts call for reading the early warning signs of dementia that start
with small memory lapses and changes in the ability to discharge normal
activities.