How to Prevent and/or Revert Alzheimer’s Disease Continuum During Preclinical Phases

Author:

Ávila-Villanueva Marina12,Dolado Alberto Marcos32,Fernández-Blázquez Miguel4

Affiliation:

1. Research in Alzheimer’s Disease, Departamento de Psicología Experimental, Procesos Cognitivos y Logopedia Universidad Complutense de Madrid, Madrid, Spain

2. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Madrid, Spain

3. Servicio de Neurología, Hospital Clínico San Carlos, Madrid, Spain

4. Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain

Abstract

The development of Alzheimer’s disease (AD) follows three consecutive phases: namely preclinical, prodromal or mild cognitive impairment (MCI), and dementia. In addition, the preclinical phase can be divided into subphases related to the presence of biomarkers that appear at different points before the onset of MCI. Indeed, an early risk factor could promote the appearance of additional ones through a continuum. The presence of various risk factors may trigger specific biomarkers. In this review, we comment on how modifiable risk factors for AD may be reverted, thus correlating with a possible decrease in the specific biomarkers for the disease. Finally, we discuss the development of a suitable AD prevention strategy by targeting modifiable risk factors, thereby increasing the level of “precision medicine” in healthcare systems worldwide.

Publisher

IOS Press

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Neuroscience

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