Professor Carol Brayne CBE - Reflections on dementia research and ageing societies

Dementia is a topic of considerable public interest. How empirical evidence has contributed to this societal awareness and indeed fear will be covered in this talk. It will span research from the 1980s when not much was understood about dementia up to contemporary perspectives. The focus will be on the epidemiological and public health evidence base, and how this relates to the results published from clinical and lab based research. The findings from UK and other high income countries of reduced age specific prevalence (%) will be explored, and the implications of results from brain based studies that dementia is not inevitable in the presence of ‘alzheimer’ type changes. The role of inequalities, risk varying across countries and time and our knowledge about protective factors have strengthened during recent years, and the balance of high risk with whole population approaches to reducing risk for society will be considered.