
New research shows dementia prevalence in Americans aged 85-89 dropped from 30% to 10% over 40 years, with similar declines across Europe.
Dementia rates among older Americans have fallen sharply over the past four decades, according to research published in the Journal of the American Medical Association. Eric Stallard, a researcher at Duke University, and colleagues found that 40 years ago three in every ten Americans aged 85-89 had dementia. By 2024 that figure had dropped to one in ten.
The decline is not limited to the United States. Frank Wolters of the Erasmus Medical Centre in Rotterdam and colleagues studied nearly 50,000 people across six countries in North America and Europe. Between 1988 and 2015 the share of older people diagnosed with dementia fell by 13% each decade.
Smaller studies have reported similar trends. Data from the Framingham Heart Study, which has tracked three generations in a single American town, showed new dementia cases dropping by an average of 20% per decade from the late 1970s to the early 2010s. Those entering old age in 2013 were 44% less likely to have dementia than those doing so in 1978.
Stallard's analysis used narrow age bands to compare different birth cohorts over 50 years. By examining changes between successive cohorts, he calculates that dementia rates have been declining by 2.5-3% for each calendar-year cohort.
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