Health

Unlocking the Mystery: Could Eliminating Cerebrovascular Disease Slash Dementia Cases by a Third?

2025-08-19

Author: John Tan

Groundbreaking Study Reveals Link Between Vascular Health and Dementia

A compelling new study has unveiled that eliminating cerebrovascular disease might reduce dementia cases in the US by an astounding 27% to 33%. This translates to potentially avoiding 1.5 to 1.8 million individuals living with dementia as of 2020!

Disparities in Health Impact Different Communities

Dr. Eric E. Smith, a leading investigator and chair of the American Heart Association Stroke Council, highlights that certain racial and ethnic groups—specifically Black, Hispanic, American Indian, Alaska Native, and Native Hawaiian communities—bear a disproportionately higher burden of vascular contributions to cognitive impairment and dementia. He emphasizes that targeted interventions addressing factors like hypertension, diabetes, and smoking could play a crucial role in leveling the playing field.

Vascular Health: The Key to Preventing Dementia?

Vascular issues are a major, yet often preventable, contributor to cognitive decline. By managing conditions such as diabetes and high blood pressure, along with embracing a healthy lifestyle—think regular exercise and a balanced diet—individuals can significantly bolster their brain health.

Diving into the Numbers: A Closer Look at Vascular Dementia

The study sheds light on the complex landscape of vascular dementia in the US. Alarmingly, about 2.7 million individuals over 65 suffered from vascular or mixed dementia as of 2020. Additionally, healthcare billing data revealed nearly 809,000 diagnoses that same year, with 102,000 new cases.

The Hidden Danger: Covert Brain Infarcts

The researchers also identified that roughly 11.3 million people were affected by covert brain infarcts, and 19.9 million had cerebral microbleeds—conditions that could potentially be detected through advanced imaging techniques. Taking proactive measures to address these risks could dramatically reduce the incidence of downstream dementia.

Racial and Gender Disparities in Dementia Risk

The review pointed out stark disparities in dementia prevalence and incidence among different races. Notably, Black and Hispanic individuals face higher rates compared to non-Hispanic populations. Interestingly, while women may have a greater prevalence of dementia overall, men are at a higher risk for vascular dementia specifically.

A Call to Action: Integrating Vascular Health into Public Health Strategies

This pivotal research underscores the urgency of addressing vascular health risk factors. As Dr. Smith articulates, integrating vascular health strategies into public health initiatives is essential for protecting brain health and curtailing the dementia crisis facing millions of Americans.