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Knowledge and practice of healthy behaviors for dementia and stroke prevention in a United States cohort

Title: Knowledge and practice of healthy behaviors for dementia and stroke prevention in a United States cohort
Authors: Senff, Jasper R; Tack, Reinier W P; Tan,Benjamin Y Q; Prapiadou,Savvina; Kimball,Tamara N; Ng,Sharon; Duskin,Jonathan; Shah-Ostrowski,Mark Jun; Nunley,Courtney; Brouwers, H Bart; Chemali,Zeina; Fricchione,Gregory; Tanzi,Rudolph E; Pouwels,Koen; Rosand,Jonathan; Yechoor,Nirupama; Anderson,Christopher D; Singh,Sanjula D; Projectafdeling CVZ; Neurochirurgie
Publication Year: 2025
Subject Terms: Adult; Aged; Cluster Analysis; Cohort Studies; Cross-Sectional Studies; Dementia/prevention & control; Female; Health Behavior; Health Knowledge; Attitudes; Practice; Humans; Male; Middle Aged; Risk Factors; Stroke/prevention & control; United States/epidemiology; Journal Article
Description: At least 45% of dementia and 60% of stroke cases are due to modifiable risk factors and could in part be prevented through healthy behavior. This cross-sectional study clustered and characterized a U.S. cohort's knowledge and practice of healthy behavior associated with dementia and stroke. A total of 1,478 participants (mean age: 45.5 years, 51.8% female) were included. A hierarchical cluster analysis was performed to identify clusters based on the level of knowledge and practice of healthy behavior. We defined knowledge as recognizing eight modifiable risk factors (alcohol, diet, smoking, physical activity, sleep, stress, social relationships, and purpose in life) as important. We defined practice as complying with validated recommendations for each healthy behavior. Three clusters emerged: (I) high knowledge and poor practice (II) high knowledge and good practice, and (III) lower knowledge and poor practice. Participants in the high knowledge and good practice cluster were statistically significantly older, more educated, perceived fewer barriers (financial and time limitations), and more facilitators (motivation or knowing someone with dementia or stroke) compared to the other clusters. Our findings could assist in tailoring preventative strategies to enhance knowledge, translating knowledge into practice, and addressing particular facilitators and barriers per identified cluster.
Document Type: article in journal/newspaper
File Description: text/plain
Language: English
ISSN: 2045-2322
Relation: https://dspace.library.uu.nl/handle/1874/465961
Availability: https://dspace.library.uu.nl/handle/1874/465961
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.AF5BC56F
Database: BASE