Health
Study Links High BMI to Increased Risk of Vascular Dementia
Being overweight significantly raises the likelihood of developing vascular dementia, a progressive brain disease caused by reduced blood flow to the brain, according to a large study conducted by researchers in the United Kingdom and Denmark. The condition is the second most common form of dementia after Alzheimer’s disease, the Alzheimer’s Society in the UK reports, and leads to nerve cell damage, memory loss, and cognitive decline.
Obesity has long been associated with higher dementia risk, but until now, it was unclear whether excess weight directly contributes to the disease or merely reflects other underlying health conditions. Researchers analysed data from more than 500,000 participants across the two countries and found a clear causal link between higher body mass index (BMI) and vascular dementia.
The team employed a method called Mendelian randomisation, which compares individuals born with genes that predispose them to higher BMI with those who are not. Their findings showed that people with a genetically higher BMI had a substantially increased risk of vascular-related dementia. High blood pressure was identified as a major factor explaining much of this risk.
“This study shows that high body weight and high blood pressure are not just warning signs, but direct causes of dementia,” said Ruth Frikke-Schmidt, the study’s lead author and professor at the University of Copenhagen, who also serves as chief physician at Copenhagen University Hospital. She noted that maintaining a healthy weight and controlling blood pressure could be important steps in reducing the risk of dementia later in life.
Frikke-Schmidt added that while recent studies of weight-loss medications have not shown a benefit in halting cognitive decline in early Alzheimer’s, it remains to be tested whether early interventions—before the onset of cognitive symptoms—could protect against vascular dementia. “Our present data would suggest that early weight-loss interventions would prevent dementia, and especially vascular-related dementia,” she said.
Globally, dementia remains a major public health challenge, with nearly 10 million new cases reported each year, according to the World Health Organization. People living with dementia experience severe declines in memory, thinking, reasoning, and daily functioning, placing significant burdens on patients, families, and healthcare systems.
The study highlights the importance of early prevention, particularly through weight management and blood pressure control. As evidence grows linking lifestyle factors to dementia risk, experts say interventions targeting obesity and hypertension could provide a critical opportunity to reduce the future global burden of vascular dementia.
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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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