ABSTRACT

Maintaining brain health and promoting healthy lifestyle strategies to manage modifiable risk factors is vital to ensuring well-being for all – not only for the individuals with memory challenges but also their family caregivers and professional providers. In this brief review paper, we highlight modifiable risk and protective factors and opportunities for dementia risk reduction (e.g., limited alcohol use and reduced exposure to air pollution, secondhand smoke, and excessive noise); provide an overview of the World-Wide FINGERS Network and its goal to adapt the original Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multidomain lifestyle approach in various settings to determine whether the protocol is effective across different populations in varied geographic, cultural, and economic settings and to optimize the model across a continuum of cognitive decline; and, comment on challenges and opportunities for researchers and clinicians including opportunities for risk reduction and intervention in primary care settings and the need to establish linkages across multiple levels of intervention to sustain behavior change in prevention, treatment, and care.

 抽象的

保持大脑健康和促进健康的生活方式策略来管理可改变的风险因素对于确保所有人的福祉至关重要——不仅对于有记忆障碍的个人，而且对于他们的家庭护理人员和专业提供者。在这篇简短的综述论文中，我们强调了可改变的风险和保护因素以及降低痴呆症风险的机会（例如，限制饮酒和减少接触空气污染、二手烟和过度噪音）；概述全球 FINGERS 网络及其目标，即在各种环境中采用原始的芬兰老年干预研究以预防认知障碍和残疾 (FINGER) 多领域生活方式方法，以确定该方案是否对不同地理区域的不同人群有效，文化和经济环境，并在认知能力连续下降的情况下优化模型；并评论研究人员和临床医生面临的挑战和机遇，包括初级保健环境中降低风险和干预的机会，以及在多个干预级别之间建立联系以维持预防、治疗和护理方面的行为改变的必要性。