Diretriz

Risk reduction of cognitive decline and dementia: WHO guidelines, 2nd ed.

Ano de publicação

2026

Instituição emissora

World Health Organization

Links

Recomendações

19 recomendações incluídas

To reduce the risk of cognitive decline specifically, physical activity should be recommended to adults with normal cognition.

Status

Nova

Recomendado a favor

Forte

Certeza da evidência

Moderada

To reduce the risk of cognitive decline specifically, physical activity may be recommended to adults with mild cognitive impairment.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and dementia specifically, interventions for tobacco cessation should be offered to adults who use tobacco.

Status

Nova

Recomendado a favor

Forte

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and/or dementia specifically, a healthy, balanced dietary pattern may be recommended to adults with normal cognition or mild cognitive impairment

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Moderada

To reduce the risk of cognitive decline and/or dementia specifically, supplemention of vitamins B and E, omega-3 polyunsaturated fatty acids (PUFA) and multivitamins/ minerals is not recommended

Status

Nova

Recomendado contra

Condicional

Certeza da evidência

Moderada

To reduce the risk of cognitive decline and/or dementia specifically, interventions aimed at reducing or ceasing hazardous and harmful drinking (including providing support to people with alcohol dependence) may be offered to adults with normal cognition or mild cognitive impairment.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Moderada

To reduce the risk of cognitive decline and/or dementia specifically, cognitive training may be offered to older adults with normal cognition or mild cognitive impairment

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and/or dementia specifically, engagement in social activity interventions may be recommended to adults with normal cognition or mild cognitive impairment.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

To reduce the risk of cognitive decline and/or dementia specifically, interventions for reducing midlife overweight or obesity may be offered

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and/or dementia specifically, management of hypertension may be offered to adults with hypertension.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

To reduce the risk of cognitive decline and/or dementia specifically, management of diabetes may be offered to adults with diabetes.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

To reduce the risk of cognitive decline and/or dementia specifically, management of dyslipidaemia at midlife may be offered.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and/or dementia specifically, hearing aids may be offered to adults with hearing loss.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

To reduce the risk of cognitive decline and/or dementia specifically, engagement in cognitive stimulation may be encouraged.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

To reduce the risk of cognitive decline and/or dementia specifically, dietary restriction interventions may be offered to adults who are overweight or obese.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Baixa

Menopausal hormone therapy is not recommended for specifically reducing the risk of cognitive decline and/or dementia in postmenopausal women aged 65 years and older.

Status

Nova

Recomendado contra

Condicional

Certeza da evidência

Muito baixa

Reducing exposure to household air pollution may reduce the risk or incidence of cognitive decline and/or dementia.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

Reducing exposure to ambient air pollution (especially PM2.5) may reduce the risk or incidence of cognitive decline and/or dementia.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Muito baixa

To reduce the risk of cognitive decline and/or dementia specifically, tailored, multidomain interventions may be offered.

Status

Nova

Recomendado a favor

Condicional

Certeza da evidência

Moderada