
Dementia, also known as cognitive impairment, is a chronic brain disorder caused by the degeneration of brain cells. It is common among the elderly, especially those aged 65 and above. Dementia not only affects memory but also impairs judgment, language ability, and daily self-care, posing major challenges for patients and their families.
Alzheimer’s disease is the most common form of dementia, accounting for the majority of dementia cases. Symptoms develop gradually and are often overlooked in the early stages. As the condition worsens, patients may experience memory loss, disorientation, language difficulties, and changes in behaviour and emotions.
Typical symptoms of dementia include:
The genetic risk of dementia varies depending on its cause. Alzheimer’s disease is a neurodegenerative condition with about one-third of patients having a family history, making genetic factors more prominent. In contrast, vascular dementia is more related to chronic conditions such as high blood pressure, diabetes, and high cholesterol, with less hereditary influence. While most patients are over 65, some cases of early-onset dementia can begin as early as age 30 to 50.
Recognising early signs helps enable timely intervention. Common warning signs include:

While dementia is currently incurable, lifestyle adjustments can help slow its progression:
To promote early screening and prevention, The Chinese University of Hong Kong, in partnership with the Charles K. Kao Foundation, has launched the “Brain Health” Program. It offers free dementia screening for eligible seniors aged 60 to 80 who have not been diagnosed with dementia. The program includes an initial questionnaire, cognitive tests, and retinal scans. Those identified as high-risk will receive medical referrals and lifestyle counselling to help delay progression.
Dementia, especially Alzheimer’s disease, significantly impacts the quality of life in older adults. Understanding its symptoms, genetic risks, and early warning signs, along with adopting preventive measures and participating in early screening, can help slow its development and improve the lives of patients and their families. Free dementia assessments are an important community resource worth utilising.
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