NZ could halve dementia - by tackling obesity, hearing loss and isolation

Publicly released:
New Zealand

Researchers say New Zealand may have a better chance of reversing the rise in dementia than other countries, partly due to our high rates of obesity - 11 times higher than the estimated global rate. Their study found almost half of NZ’s dementia cases can be prevented by addressing risks like obesity, untreated hearing loss, and social isolation, with even greater room for prevention among Māori and Pasifika. Targeted strategies to prevent dementia are needed to suit NZ’s various ethnic groups, say the authors.

Media release

From: University of Auckland

Aotearoa’s surging rates of dementia can be limited, new study says

Aotearoa’s surging rates of dementia can be limited by targeting 12 potentially
modifiable risk factors that vary across ethnic groups, a University of Auckland
study suggests.

The number of people in New Zealand with dementia is forecast to increase from
70,000 today to 170,000 by 2050.

However, many cases can be avoided by reducing contributing factors such as
hearing loss, smoking, depression, obesity, social isolation and physical
inactivity, according to a new study published in The Lancet – Regional Health
Western Pacific.

Almost half (47.7%) of New Zealand’s dementia cases are potentially
preventable, with even higher prevention potential for Maori (51.4%) and Pacific
peoples (50.8%), according to Dr Etuini Ma’u, a senior lecturer in the
Department of Psychological Medicine in the Faculty of Medical and Health
Sciences.

But the relative contribution of risk factors is different across ethnic groups.
Social isolation and hearing loss is big for Europeans, hearing loss and lower
education levels for Māori and Pacific peoples, and physical inactivity for those of
Asian ethnicity.

“In the absence of a cure for dementia, prevention needs to become a public
health priority to stem the surge. However, there is no one-size-fits-all solution
and strategies to reduce dementia need to be tailored toward the most relevant
risk factors within each ethnic group,” says Dr Ma’u.

A 2020 Lancet Commission identified 12 potentially modifiable risk factors for
dementia: less education, hypertension, obesity, alcohol, traumatic brain injury,
hearing loss, smoking, depression, physical inactivity, social isolation, diabetes,
and air pollution.

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Research Elsevier, Web page
Journal/
conference:
The Lancet Regional Health - Western Pacific
Research:Paper
Organisation/s: University of Auckland, University College, London, UK
Funder: NM is funded by an Alzheimer's Society Senior Fellowship. GL is supported by University College London Hospitals’ National Institute for Health Research (NIHR) Biomedical Research Centre, North Thames NIHR Applied Research Collaboration, as an NIHR Senior Investigator. EM is funded by a Health Research Council (HRC) Pacific Clinical Research Training Fellowship. The authors declare no conflict of interest.
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