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4. The Vallecas Project

            4.1. Introduction


            Aging is one of the major risk factors
            for some of the most prevalent di-
            seases such as cancer, cardiovascular
            disorders, or neurodegenerative di-
            seases, but while the number of cases
            of the first two tends to stabilize, the
            number of patients with neurode-
            generative pathologies, particularly
            dementia, continues to grow exponen-
            tially. According to the demographic
            estimates of the National Institute of
            Statistics, in 2019 there are 8.9 million
            people in Spain aged 65 or over (19.4%
            of the population) and it is estimated
            that in 2050 about 15 million Spaniards
            (approximately one third of our popu-
            lation) will be over 65 years old. In fact,
            the combination of one of the highest           combination with cerebrovascular
            life expectancies in the world and one          disease. Because of increased life ex-
            of the lowest birth rates make the Spa-         pectancy and the progressive aging of
            nish population the oldest in Europe            the population in Western countries,
            and one of the oldest in the world after        dementia represents a huge challenge
            South Korea and Japan.                          for public health systems. In our coun-
                                                            try, it is estimated that approximately
            Dementia is a clinical syndrome cha-            one million Spaniards could have de-
            racterized by a progressive cognitive           mentia by 2050.
            impairment severe enough to affect
            personal and social functioning of an           According to the Survey of Disability,
            individual. Alzheimer's disease (AD) is         Personal Autonomy and Dependency
            the leading cause of dementia in our            Situations developed by the National
            environment. According to the Natio-            Institute of Statistics, the rate of disa-
            nal Epidemiology Center, 7.3% of the            bility stands at ninety dementia cases
            population over 65 years could suffer           per thousand inhabitants. However,
            from this disease nowadays. In total,           the impact of dementia is not only
            AD constitutes about 75% of the etio-           produced directly on the patient, but
            logy of dementias, either alone or in           also has a great influence his/her fami-
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