Health
New Study Links Obesity to Faster Progression of Alzheimer’s Disease
A new analysis presented in the United States suggests that routine blood tests could play a greater role in tracking Alzheimer’s disease, particularly among people living with obesity. The research, conducted by scientists at Washington University School of Medicine in St. Louis, indicates that obesity may accelerate the early biological changes associated with the condition.
The study, which will be shared at the annual meeting of the Radiological Society of North America, examined 407 adults over a five-year period. Participants underwent regular blood tests and PET scans, the latter measuring the buildup of amyloid plaques in the brain — a hallmark of Alzheimer’s disease. The blood tests assessed proteins and other biomarkers that are linked to cognitive decline.
Dr. Cyrus Raji, associate professor of radiology and neurology and one of the study’s authors, said this research marks the first time a clear relationship has been identified between obesity and Alzheimer’s progression using blood biomarker tests. He noted that blood results were able to detect obesity’s influence on Alzheimer’s-related changes more precisely than PET scans alone.
“The fact that we can track the predictive influence of obesity on rising blood biomarkers more sensitively than PET is what astonished me in this study,” Raji said.
According to the findings, people with obesity showed faster deterioration in several key biomarkers. The researchers reported a 24 per cent faster increase in the protein plasma NfL, which is associated with nerve damage. Levels of the blood biomarker plasma pTau217 rose 29 to 95 per cent faster in individuals with obesity, and amyloid plaque accumulation increased by 3.7 per cent.
Raji said these results may give doctors new ways to monitor how Alzheimer’s develops, especially as new treatments targeting amyloid buildup become more common. By using both blood tests and imaging, doctors may be able to gain a clearer picture of how the disease responds to medication.
“It’s marvellous that we have these blood biomarkers to track the molecular pathology of Alzheimer’s disease, and MRI scans to track additional evidence of brain degeneration and response to various treatments,” he noted.
Obesity has long been recognised as a risk factor for dementia. Individuals with obesity are more likely to experience conditions such as high blood pressure, type 2 diabetes, and reduced physical activity, all of which heighten the risk of cognitive decline.
Globally, around 57 million people are living with dementia, according to the World Health Organization. Alzheimer’s disease represents the largest share, accounting for between 60 and 70 per cent of all cases.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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