There is compelling evidence that measurable and modifiable risk factors in middle age have a profound impact on the risk and/or onset of dementia in the over-70s. These risk factors include established cardio-vascular markers, mood and depression, social networks and diet.
A series of simple routine tests, suitable for the primary care environment (e.g. a doctor’s clinic) will produce a risk factor profile and a quantitative, evidence-based measure of future dementia risk.
A personalised strategy for risk reduction can be generated on the basis of the individual’s risk factor profile. In consultation with a primary care clinician, a personal action plan for reducing dementia risk can be tailored for each individual.
Adherence to the risk reduction strategy will be reinforced by support from clinical experts and (critically) from other patients, delivered via an interactive and supportive online environment.
Communication and awareness that dementia risk can be modified will have a major impact.
Dementia is incurable and has huge impact on the people who get it, their families and society. In Europe, the total cost of dementia is estimated in 2005 at €130 billion. There is a growing gap between burden and budget.
Modelling studies have estimated that if obesity rates dropped by 5%, dementia prevalence rates would be lower by 6% and a decline in physical inactivity rate by 5% would reduce dementia by 11%. There is evidence to suggest that the general public are not aware of the potential that their lifestyle has on their overall risk of dementia.
A dementia risk algorithm implemented in a manner suitable for deployment in primary care settings. We expect to find that the INMINDD model helps move people from a high risk for dementia to a lower risk for dementia over a 9 month intervention period.