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Prevention

By Mayo Clinic staff

Changing the following modifiable risk factors may help you prevent vascular dementia:

  • A healthy blood pressure. Keeping your blood pressure in the normal range can help prevent dementia in general. One study showed that the risk of Alzheimer's disease and vascular dementia was halved in people who controlled their high blood pressure with a calcium channel blocker. The use of a diuretic plus an ACE inhibitor may slightly reduce the risk of dementia.
  • Normal cholesterol levels. Cholesterol-lowering medications can reduce your risk of vascular dementia, probably by reducing the amounts of deposits building up inside the brain's arteries.
  • Prevent or control diabetes. Avoiding the onset of diabetes, with diet and exercise, is another possible way to decrease your risk of dementia. If you already have diabetes, controlling your glucose levels can reduce vascular damage and improve cognitive function.
  • Quit smoking. Smoking tobacco contributes to poor vascular health, so quitting may help prevent vascular dementia.
References
  1. Dementia: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/dementias/detail_dementia.htm. Accessed March 14, 2009.
  2. Vascular dementia. Alzheimer's Association. http://www.alz.org/alzheimers_disease_vascular_dementia.asp. Accessed March 14, 2009.
  3. Bird TD, et al. Dementia. In: Fauci AS, et al.: Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2904052. Accessed March 11, 2009.
  4. Wright CB. Etiology, clinical manifestations, and diagnosis of vascular dementia. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.
  5. Dementia. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec16/ch213/ch213c.html. Accessed March 14, 2009.
  6. Aricept (prescribing information). Woodcliff Lake, N.J.: Eisai Inc.; 2006. http://www.aricept.com/images/AriceptComboFullPINovember02006.pdf. Accessed March 12, 2009.
  7. Namenda (prescribing information). St. Louis, Mo.: Forrest Pharmaceuticals; 2007. http://www.frx.com/pi/namenda_pi.pdf. Accessed March 12, 2009.
  8. Aminoff MJ, et al. Disorders of cognitive function. In: Aminoff MJ, et al. Clinical Neurology. 6th ed. New York, N.Y.: McGraw-Hill Medical; 2005. http://www.accessmedicine.com/content.aspx?aID=2079000. Accessed March 11, 2009.
  9. Wright CB. Treatment and prevention of vascular dementia. http://www.uptodate.com/home/index.html. Accessed March 12, 2009.

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May 1, 2009

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