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Saturday, December 09, 2023

What to read about dementia | Ivy League Presidents Respond to Backlash to Testimony on Antisemitism | 5 Strategies for Getting More Work Done in Less Time | Two film awards reveal the battle for the future of Chinese cinema

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What to read about dementia - The Economist   

DEMENTIA IS A global emergency. More than 55m people are estimated to live with it. That is more than can be looked after humanely. Most new cases are in the developing world, where populations are growing and ageing and resources are stretched. Yet health authorities do not regard it as among the world’s most pressing medical issues. One reason may be that the biggest reason for its rise is something to be cheered: in most countries, people are living longer. And dementia does not arrive at the viral speed of a pandemic but at the plodding, relentless pace of demographic change. Its full effects will not be felt until far into the future. The number of people with dementia is expected to rise to 82m by 2030 and to more than 150m by 2050. Despite recent advances in treatment that may delay the progress of Alzheimer’s—the most common of the dozens of causes of dementia—no cure for the condition is in the offing. And no society has devised a sustainable way to provide and pay for the care that dementia patients will need. Yet it is a condition almost everyone in the world has some contact with. Here is a selection of reading about dementia that provides an overview of the many different aspects of the subject.

Many people have written poignant memoirs of caring for loved ones who have lost to dementia much of their memory and their ability to lead independent lives. Sally Magnusson’s account of her mother’s last years, lived with Alzheimer’s disease, stands out for its effort to explain the broader picture. It is a desperately sad and occasionally funny story of watching a loved one drift away. And it is one that will seem familiar to many readers. By one estimate, 1.7% of 65- to 69-year-olds live with dementia, and its incidence doubles every five years to the age of 90. By another count, at the age of 85 between a third and half of people have dementia. Ms Magnusson, a journalist, turns her own family’s story into a very helpful primer—on the history of Alois Alzheimer, the German pathologist for whom the disease is named; on its neuropathology; on the difficulties of caring for someone with the condition; and on the threat dementia poses to health- and social-care systems. In a succinct and readable way she fulfils the promise of her subtitle, explaining why dementia changes everything.

The best way to reduce the risk of developing dementia is not to be recommended: die young. A second tip is equally useless: don’t inherit a genetic predisposition to Alzheimer’s or another degenerative brain disease. A third is sexist as well as unhelpful: don’t be a woman! Women are at greater risk of dementia, and not just because they live longer. As Lisa Mosconi, a neuroscientist who runs an Alzheimer’s-prevention programme in New York, notes in this informative book, “Women in their sixties are about twice as likely to develop Alzheimer’s over the rest of their lives as they are to develop breast cancer…A 45-year-old woman has a one-in-five chance of developing Alzheimer’s during her remaining life, while a man of the same age has only a one-in-ten chance.” The reasons for this difference are many and not fully understood, in part because it has been little studied. Women tend to be poorer and less well-educated, and are at greater risk of brain injury from domestic violence. Dr Mosconi’s research has focused on the role of hormones and the female reproductive cycle. Her book is about what women can do to reduce their risk.

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