id author title date pages extension mime words sentences flesch summary cache txt cord-269343-qwgmn06t Livingston, Gill Dementia prevention, intervention, and care: 2020 report of the Lancet Commission 2020-07-30 .txt text/plain 23165 1132 45 Overall, a growing body of evidence supports the nine potentially modifiable risk factors for dementia modelled by the 2017 Lancet Commission on dementia prevention, intervention, and care: less education, hypertension, hearing impairment, smoking, obesity, depression, physical inactivity, diabetes, and low social contact. 90 An individual-level meta-analysis of 19 observational studies of relatively younger adults included 404 840 participants' data (mean baseline age 45·5 years; mean follow-up duration 14·9 years), reporting an increased incidence of all-cause dementia (HR 1·4, 95% CI 1·2-1·7) and clinically diagnosed Alzheimer's disease (1·4, 1·1-1·7) in those who were physically inactive in the 10-year period before diagnosis. Little evidence of the effects of social interventions on dementia exists but a systematic review of low quality RCTs of 576 adults aged 60 or more years with normal cognition found facilitated meeting and discussion groups were associated with improved global cognition and increased brain volume at follow-up. ./cache/cord-269343-qwgmn06t.txt ./txt/cord-269343-qwgmn06t.txt