Skip to main content

How it fits together · lesson 7 of 10

Protecting against cognitive decline

A large share of dementia risk is potentially modifiable — by you.

6 min read · reviewed October 2026

More in your hands than you'd think

Dementia can feel like pure fate, but a landmark analysis found that a remarkable share of cases are tied to modifiable risk factors — the very levers this whole track is about. That's genuinely hopeful news.

Make a guess

According to the Lancet Commission, roughly what percentage of dementia cases are linked to modifiable risk factors?

Somewhere between 0 and 80 %.

Reveal the answer →

~40%

The Lancet Commission estimated that around 40% of dementia cases are associated with modifiable risk factors — including physical inactivity, hearing loss, smoking, hypertension, obesity, diabetes, depression, social isolation, excess alcohol, air pollution, low education, and head injury. Acting on them genuinely shifts the odds.

Modifiable dementia-risk levers

  • Stay physically active — the strongest single protective lever.
  • Protect cardiovascular and metabolic health (blood pressure, blood sugar, weight).
  • Address hearing loss — using hearing aids when needed is protective.
  • Stay socially and mentally engaged; keep learning.
  • Don't smoke; keep alcohol modest; protect your head from injury.
Check yourself

What did the Lancet Commission conclude about dementia risk?

  1. It's entirely genetic and fixed
  2. Around 40% of cases are linked to modifiable factors
  3. Nothing can change the risk
  4. Only medication can lower risk
Show the answer →

B.Around 40% of cases are linked to modifiable factors

About 40% of dementia cases are associated with modifiable risk factors — exercise, cardiometabolic health, hearing, engagement, and more — meaning your habits meaningfully shift the odds.