The silent epidemic that affects women: How to reduce the risk of dementia
- Dr. Nati Blum
- Published in the magazine
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It steals memories, changes personalities, and disrupts the lives of hundreds of thousands of families in Israel – and the thing is, most of those affected by dementia are women. Why does it happen, how to recognize it in time, and what 5 simple steps can reduce the risk? Here's everything you need to know about it.
Studies show that dementia affects women more than men – and Israel is a clear example of this. According to estimates, about 150 people in Israel are currently dealing with the disease, and two-thirds of them are women – that is, over 100 women living with dementia. It is a silent epidemic that begins with subtle signs, develops gradually, and disrupts not only memory but also personality and independence. Why are women at higher risk, what symptoms are important to recognize in time, and what steps can reduce the risk? We asked Dr. Nati Blum, CEO of EMDA, the Israeli association for dementia and Alzheimer's patients, to shed light on the subject and advise us on what can be done.
The numbers behind the fog
In Israel, more than 150 people are currently living with dementia, and the impact on women is particularly great: out of every three people dealing with the disease, two are women. The reasons for this are varied. First, women live longer, and therefore reach ages where dementia is more common. Second, there may be a hormonal connection: levels of the hormone estrogen (which protects the brain) decrease after menopause. Third, the role of caregiver in the family falls largely on women – which leaves them less time to take care of their health. Continuous strain – less activity, less sleep and more stress, may also harm brain function in the long term.
Not like in the movies
It is important to know that not every momentary confusion or forgetfulness immediately indicates dementia. We all forget sometimes, it is natural, especially during periods of stress or fatigue. In contrast, true dementia manifests itself in significant and lasting changes in functioning: consistent impairment of short-term memory, difficulty performing familiar daily tasks, personality changes, and more. Such signs often develop gradually, not all at once, as in Hollywood movies.
For example, a woman who starts to get confused about her bank account or repeats the same question over and over again is a red flag, even if she appears “fine” on the outside. Studies also indicate gender differences: women with dementia are more likely to be depressed and withdrawn, while men may exhibit aggression or restlessness more frequently.
In any case, you should not be ashamed or repressed. If something seems wrong, if you or a relative is experiencing ongoing cognitive decline – talk about it. Early detection and openness can make a big difference: contacting a doctor and family members allows you to get help, plan for the future and improve everyone's quality of life.
Hormones, heart and everything in between
Menopause brings with it familiar physiological changes, including feelings of "brain fog" or decreased concentration and memory. Declining estrogen levels do indeed affect the body and brain – estrogen is considered to have neuroprotective properties, protecting nerve cells. But it is important to emphasize: menopause in itself is not a direct cause of dementia. Most women do not develop dementia, and certainly not suddenly. What is more, this period is a good reminder to take care of your general health, and especially your cardiovascular health. Heart health is directly related to brain health: what is good for your heart is also good for your brain. After the age of 50, the risk of high blood pressure, diabetes and high cholesterol increases – factors that may, over time, damage the blood vessels in the brain if they are not balanced. Therefore, this is exactly the time to ensure periodic check-ups, exercise and a sensible diet to protect both your heart and your head.
Keep your head up.
It's important to remember that there's no way to prevent dementia, but research shows that there are quite a few steps you can take to reduce your risk and maintain your cognitive health. Here are some practical tips – small steps that can make a big difference over time, all based on research findings:
- Mediterranean diet: A diet rich in fruits and vegetables, whole grains, legumes, fish, and olive oil has been shown to reduce the risk of dementia. It is recommended to reduce consumption of processed foods, sugary drinks, and unhealthy fats.
- Constant movement: Regular physical activity – especially aerobic exercise (brisk walking, dancing, swimming, etc.) – improves blood flow to the brain. Studies have found that even half an hour of activity most days of the week can slow cognitive decline and improve memory.
- Challenge your brain: Learning new things, solving crosswords and puzzles, reading, and even developing hobbies all “train” the brain and keep it sharp. Studies show that lifelong education and mental stimulation have been linked to a lower risk of dementia in older age.
- Social life: Invest in social connections – family, friends, community. Social isolation may increase the risk of dementia by about 60%, while social involvement and mutual support contribute to brain resilience.
- Sleep and stress relief: Try to get 7-8 hours of sleep a night on a regular basis. During sleep, the brain “cleans” waste and recharges brain cells, and chronic sleep deprivation can impair cognitive function. At the same time, find healthy ways to reduce stress – yoga, meditation, or any relaxing hobby, as ongoing stress is an enemy of memory and the brain.
The more we are aware of dementia and its risk factors, the sooner we can act – for ourselves and for our loved ones. Adopting healthy habits, paying attention to changes and getting help in time – all of these can make a real difference. Dementia is a challenge, but with awareness, support and the right actions – women in Israel can face it with wisdom, compassion and strength. And live full, meaningful and connected lives.
Dr. Nati Blum is CEO EMDA Association, the Israeli Dementia Association, and holds a Doctorate (Ph.D.) in Social Work from Tel Aviv University. The EMDA Association hotline is available for you at *8889
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