ABSTRACT

The diagnosis and management of dementia will be a major challenge for health

care systems in the coming decades. As the world’s population ages, the

prevalence of dementia will grow dramatically (1). Alzheimer’s disease (AD),

the most common cause of dementia, accounts for much of the increasing

prevalence of dementia with age (2). However, many other causes of dementia,

such as stroke and Parkinson’s disease, also increase dramatically as people

become older. The care of those with dementia causes great burdens on caregivers

and society. The number of individuals with dementia will grow most rapidly in the

developing world, but dementing diseases will have their greatest social impact in

Japan, Europe, and North America, where their proportion of the population will

be highest. Prevention and improved diagnosis and treatment of cognitive

impairment and dementia offer the only hope to alter this grim equation.