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Straight answers, what the research says about lowering your risk, and where to find information you can trust.

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Need help with dementia right now?

800-272-3900 Alzheimer’s Association 24/7 Helpline, any hour, free and confidential.

800-438-4380 NIH ADEAR Center, information and referrals on weekdays.

Both lines are operated independently of The Dementia League. More on who answers. In immediate danger, call 911.

Dementia or Alzheimer’s?

Dementia is the umbrella word. It means memory, thinking, language or judgment problems serious enough to get in the way of daily life. It is not one disease but a group of symptoms with many causes.

Alzheimer’s disease is the most common cause, behind about 6 in 10 cases. The rest come from other conditions, and many people have more than one.

Types of dementia, share of all casesAlzheimer’s disease about 62 percent, vascular dementia 17, mixed dementia 10, Lewy body dementia 4, frontotemporal dementia 2, other causes 5.Alzheimer’s disease: about 62%Vascular dementia: about 17%Mixed dementia: about 10%Lewy body dementia: about 4%Frontotemporal dementia: about 2%Other causes: about 5%62%17%10%Dementiaby cause
  • Alzheimer’s disease62%
  • Vascular dementia17%
  • Mixed dementia10%
  • Lewy body dementia4%
  • Frontotemporal dementia2%
  • Other causes5%
Rounded shares of all dementia cases. Mixed dementia is usually Alzheimer’s together with vascular changes. Source: Alzheimer’s Society, Dementia UK report (2014); shares in other studies vary by a few points.
  • Alzheimer’s disease: protein build-up in the brain; memory loss usually comes first.
  • Vascular dementia: reduced blood flow to the brain, often after strokes or from long-standing high blood pressure.
  • Lewy body dementia: protein deposits called Lewy bodies; can bring visual hallucinations, sleep changes and movement problems.
  • Frontotemporal dementia: affects the front and sides of the brain; changes in behaviour or language often come before memory loss, and it tends to start younger.
  • Mixed dementia: two causes at once, most often Alzheimer’s with vascular changes.

Not every memory change is dementia. Thyroid problems, low vitamin B12, depression, sleep apnea and some medicines can all look like it, and those can be treated. If you are worried, talk with a doctor.

Lowering your risk

Nearly half of all dementia cases are linked to 14 risk factors you can act on, according to the 2024 Lancet Commission. Seven more, from medicines, sleep, nutrition, teeth and infections, are worth knowing about too.

Swipe or use the arrows. 21 tiles.

  • +60% higher risk

    Less education

    Keep learning at any age; it builds reserve.

    Our post on this

    Lancet Commission, 2024

  • +40% higher risk

    Hearing loss

    Get hearing checked; hearing aids help.

    Our post on this

    Lancet Commission, 2024

  • +30% higher risk

    High LDL cholesterol

    Know your number from age 40 and treat it.

    Lancet Commission, 2024

  • +120% higher risk

    Depression

    Treat it. Help works, at any age.

    Our post on this

    Lancet Commission, 2024

  • +70% higher risk

    Serious or repeated head injury

    Moderate to severe injuries, or repeated blows, not a single mild concussion. Helmets, seat belts and fall-proof homes.

    Our post on this

    Lancet Commission, 2024

  • +20% higher risk

    Physical inactivity

    Move most days. A brisk walk counts.

    Our post on this

    Lancet Commission, 2024

  • +30% higher risk

    Smoking

    Quitting lowers risk, even later in life.

    Our post on this

    Lancet Commission, 2024

  • +70% higher risk

    Diabetes

    Prevent it, or keep blood sugar well controlled.

    Lancet Commission, 2024

  • +20% higher risk

    High blood pressure

    Aim for 130 or lower from midlife.

    Lancet Commission, 2024

  • +30% higher risk

    Obesity

    A healthy weight in midlife protects the brain.

    Lancet Commission, 2024

  • +20% higher risk

    Heavy drinking

    Less is better: under 21 units a week.

    Lancet Commission, 2024

  • +60% higher risk

    Social isolation

    See people. Join something. Call someone.

    Lancet Commission, 2024

  • +10% higher risk

    Air pollution

    Cleaner air and less traffic exposure help.

    Lancet Commission, 2024

  • +50% higher risk

    Untreated vision loss

    Get eyes checked; treat cataracts and other causes.

    Lancet Commission, 2024

  • +49% higher risk

    Anticholinergic medicines

    Some bladder, allergy, sleep and depression pills. Ask a pharmacist about alternatives.

    Coupland et al., JAMA Intern Med, 2019 (3+ years daily)

  • +49% higher risk

    Benzodiazepines

    Sleeping and anxiety pills like lorazepam. Short-term only; taper with your doctor.

    Zhong et al., meta-analysis, 2015; evidence mixed

  • +29% higher risk

    Gabapentin

    With 6 or more prescriptions. Review long-term use with your doctor.

    Regional Anesthesia & Pain Medicine, 2025 (low back pain)

  • +33% higher risk

    Sleep apnea

    Loud snoring and daytime tiredness? Get tested. Treatment helps.

    Meta-analyses, 2023 and 2024

  • +33% higher risk

    Low vitamin B12

    Easy to test and easy to treat. Ask for a B12 check.

    One large records study, 2025; evidence mixed

  • +21% higher risk

    Gum disease

    Brush, floss, see a dentist. Treat infections early.

    Review of 47 studies, J Am Geriatr Soc, 2022

  • −20% risk

    Shingles

    lower risk with the shingles vaccine. Ask your doctor if you are 50 or over.

    Natural experiment in Wales, Nature, 2025

Each percentage is the extra dementia risk found in large studies for people with that factor, compared with people without it. These are links, not proof of cause, and they add up differently for each person. Never stop a prescribed medicine on your own. Take this list to your doctor or pharmacist and decide together.

Trusted sources

A note

We share research to help you understand it. It is not medical advice. For questions about your health, talk with a doctor.

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