Phytotherapeutic Strategy as a Powerful Approach for the Prevention and Therapy of Alzheimer's Disease

According to the World Health Organization and Alzheimer's Disease International there were about 35.6 million people suffering from dementia in 2010 with an estimated double increase in 2030, triple in 2050, with 7.7 million new cases. per year (1 every 4 seconds) and with an average survival, after diagnosis, of 4-8 years. Alzheimer's disease is generally associated with the elderly and with aging, which is why the symptoms of this disease are often ignored. In reality, Alzheimer's seems to affect people between the ages of 65 and 70, while more precocious and severe cases occur before the age of 65 and aging and stress can only worsen the symptoms. The sex most affected is female. It has been noted that dementia in industrialized countries affects about 8% of people over 65 and rises to over 20% after the age of eighty. This suggests that, very often, different factors such as lifestyle, stress and nutrition influence the speed and onset of this disease. To date, it is now known that the affected organ is the brain, such a complex and fascinating organ, but above all difficult to study and treat due to its complicated structure and organization. In fact, the treatment is based on pharmacological therapies, but although numerous research studies are underway to identify effective therapies in the treatment of dementia, the available interventions have not given definitive solutions to treat 6 this pathology. The therapeutic strategies available for dementias in addition to those of a pharmacological type are: psychosocial and integrated management for continuity of care and also psychotherapeutic support for families. In recent decades, however, we have focused on another aspect of this disease: how to prevent it? And this is where the use of medicinal plants comes into play to prevent and mitigate the onset of this disease. This type of approach is based on the use of medicinal plants; in particular the phytocomplex, contained in them, owes its activity to the synergy between its components. Plants produce secondary metabolites, organic compounds, which unlike the primary ones such as carbohydrates, proteins and fats, do not participate in the normal development and growth of the plant, but are developed by the plant to mediate the relationship with the external environment, carrying out important activities such as facilitate reproduction and therefore attract pollinating insects or act as a deterrent to the external environment. These compounds have very complex chemical structures that can be used as guiding compounds for the discovery of new drugs or for the development of nutraceutical or cosmeceutical remedies. In phytotherapy, medicinal plants that can be used for preventive purposes or as adjuvants in the treatment of Alzheimer's, are identified essentially starting from their antioxidant, anticholinesterase and anti-inflammatory properties, or as very often happens from all three. This paper reviews the plant species used in the prevention of Alzheimer's disease and as adjuvants in the treatment of Alzheimer's.