Alcohol use and dementia: new research directions.

Curr Opin Psychiatry

Centre for Healthy Brain Ageing, University of New South Wales, Sydney, Australia.

Published: March 2021

AI Article Synopsis

  • - Recent studies indicate that while low-to-moderate alcohol consumption may offer some protective benefits against dementia and cognitive decline, the limitations of many observational studies are concerning.
  • - Heavy and chronic alcohol use has clear negative effects, leading to brain damage through mechanisms like thiamine deficiency and neurotoxic substances.
  • - To improve understanding of the alcohol-dementia link, future research should focus on better study designs and large datasets, with an emphasis on early intervention strategies and validating diagnostic criteria for alcohol-related dementia.

Article Abstract

Purpose Of Review: Alcohol is gaining increased recognition as an important risk factor for dementia. This review summarises recent evidence on the relationship between alcohol use and dementia, focusing on studies published from January 2019 to August 2020.

Recent Findings: Epidemiological data continues to yield results consistent with protective effects of low-to-moderate alcohol consumption for dementia and cognitive function. However, recent literature highlights the methodological limitations of existing observational studies. The effects of chronic, heavy alcohol use are clearer, with excessive consumption causing alcohol-related brain damage. Several pathways to this damage have been suggested, including the neurotoxic effects of thiamine deficiency, ethanol and acetaldehyde.

Summary: Future research would benefit from greater implementation of analytical and design-based approaches to robustly model the alcohol use-dementia relationship in the general population, and should make use of large, consortia-level data. Early intervention to prevent dementia is critical: thiamine substitution has shown potential but requires more research, and psychosocial interventions to treat harmful alcohol use have proven effective. Finally, diagnostic criteria for alcohol-related dementia require formal validation to ensure usefulness in clinical practice.

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Source
http://dx.doi.org/10.1097/YCO.0000000000000679DOI Listing

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