Successful Aging
George T. Grossberg, MD, Saint Louis University
Dementia is the result of many underlying pathological processes, some that can be changed, others that cannot. Research indicates that interventions that are good for cardiovascular health, such as addressing hyperlipidemia, blood pressure, and diabetes, also are beneficial for the brain, possibly by increasing blood flow and oxygen to the brain. Moderate use of alcohol and caffeine could be beneficial for cognitive function. Vitamins, such as D, B complex, E, and C, might slow cognitive decline, but won’t stop it. Recommend adherence to a Mediterranean diet, physical activity, and mental exercises such as learning a new language or playing games. Ask patients about head injuries, specifically if they have ever experienced a concussion and lost consciousness. Non-modifiable risk factors include genetics and adverse early life experiences.
