Health
Swedish Study Links High-Fat Cheese and Cream to Lower Dementia Risk
A long-term study from Sweden suggests that eating full-fat cheese and cream may be associated with a lower risk of developing dementia. The research, published in the journal Neurology, tracked nearly 28,000 adults over about 25 years to examine the potential impact of high-fat dairy on brain health.
The study followed 27,670 participants, who were on average 58 years old at the start, with 3,208 people eventually diagnosed with dementia during the study period. At the outset, participants detailed their weekly diets, completed questionnaires about their eating habits in previous years, and discussed food preparation methods with researchers.
Results showed that people who consumed at least 50 grams of high-fat cheese daily – roughly two slices of cheddar – had a 13 per cent lower risk of developing dementia than those who ate less than 15 grams per day. High-fat cheeses included cheddar, Brie, and Gouda, containing more than 20 per cent fat. Daily intake of high-fat cream, approximately one to two tablespoons, was linked to a 16 per cent lower risk compared to those who did not consume it.
Emily Sonestedt, a nutrition epidemiologist at Lund University and lead author of the study, noted that the protective effect was particularly strong for vascular dementia, with a 29 per cent lower risk among people consuming more full-fat cheese. “We also saw a lower risk of Alzheimer’s disease, but only among those who did not carry the APOE e4 gene variant, a known genetic risk factor,” she said.
The study found that the benefits did not extend to all dairy products. Low-fat alternatives and other types of dairy did not show the same association with reduced dementia risk. “Not all dairy products are equal when it comes to brain health,” Sonestedt said.
Despite the findings, experts caution that the research does not prove a direct cause-and-effect relationship. Dr Richard Oakley of the Alzheimer’s Society emphasized that lifestyle factors such as regular physical activity, balanced nutrition, avoiding smoking, and moderating alcohol intake remain far more influential in lowering dementia risk. “This research does not show that eating more high-fat dairy products can reduce the risk of developing dementia,” he said.
Professor Tara Spires-Jones, director of Edinburgh’s Centre for Discovery Brain Sciences, also highlighted that participants’ diets were only recorded once, 25 years prior to dementia diagnoses. “It is highly likely that diet and other lifestyle factors changed during that period,” she said. “Overall lifestyle, including a healthy diet, regular exercise, and cognitively stimulating activities, continues to be the key factor in brain resilience. There is not strong evidence for any individual food protecting people from dementia.”
The study adds to growing research exploring the complex relationship between diet and brain health, while reinforcing expert advice that a holistic approach to lifestyle is crucial for reducing dementia risk.
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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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