Almost all individuals with dementia have one or more other chronic conditions. Many of these conditions may have been the cause of, or at least contributed to, cognitive decline and dementia. And, then, once a person develops dementia, the presence of a cognitive impairment can severely complicate the management of these other conditions.
73%25 of people with dementia have hypertension, 38%25 have heart disease, 37%25 have diabetes, 29%25 have kidney disease, 28%25 have congestive heart failure, 25%25 have CPOD, 22%25 have stroke and 13%25 have cancer.

For an overview of this issue:

What can public health do

To improve the health of a community, public health officials must address the chronic conditions that are risk factors for dementia and the complications in chronic condition management that are complicated by the presence of dementia.

Specifically, public health officials can: 
 
  • Educate the public about how certain healthy behaviors — such as exercising and quitting smoking — may help reduce the risk of many chronic conditions, which in turn could reduce the risk of dementia. 
  • Ensure health care providers understand the connection between chronic conditions and the risk for cognitive decline and dementia — and ensure that health care providers are making such connections with their individual patients.
  • Educate providers about how management and treatment of various chronic conditions could be complicated by dementia, how that treatment may need to be adjusted to accommodate an individual's cognitive impairment, and the importance of developing a care plan with cognitively-impaired individuals.
  • Ensure that public health agency-sponsored programs and interventions on chronic conditions are dementia-friendly.
  • Establish relationships and partnerships with organizations addressing chronic health conditions related to dementia, including heart disease and stroke.