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Falling Dementia Rates Linked to Generational Memory Gains

Photoreal illustration representing generational gains in memory across older adults, with imagery of overlapping age trajectories and hippocampal motifs.

Dementia rates in the US, UK, Netherlands, Sweden, France, and several other high-income countries have been falling for decades, despite population aging. The standard explanation — improved cardiovascular care, more education, and less smoking in later-born cohorts — is real but incomplete. Research Highlights Dementia incidence has been falling about 13% per decade in Western …

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Epilepsy and Alzheimer’s Blood Biomarkers in Older Adults

MHD featured image for epilepsy, Alzheimer’s blood biomarkers, and AT(N) profiles in older adults.

A preprint in 84 older adults with epilepsy found that abnormal Alzheimer's-related blood biomarkers were common, but the biomarker categories did not line up neatly with cognitive impairment. Research Highlights Only 32.1% had normal biomarkers: 27 of 84 older adults with epilepsy were A−T−N− using blood-based amyloid, tau, and neurodegeneration markers.1 AD-continuum profiles were common: …

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Facial Markers Differed in 31 Older Adults With MCI-Level MoCA Scores

MHD featured image for resting facial expression markers and MCI-level cognition.

A 2026 medRxiv preprint found that older adults with mild-cognitive-impairment-level MoCA-J scores showed distinct resting facial action-unit patterns: AU10 upper lip raiser, AU23 lip tightener, and AU28 lip suck differed after correction in 45 analyzable participants.1 The result supports facial-expression screening research, but it does not show that a face video can diagnose MCI or …

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Caregiver Burden Hit 65.3% in Older-Adult Disability Care in Nepal

MHD featured image for caregiver burden in older-adult disability care.

A 430-caregiver study in Kathmandu found caregiving burden in 65.3% of family caregivers of older adults with disability, with adjusted predictors clustering around low economic status, 8 or more daily care hours, and severe impairment in activities of daily living.1 Research Highlights Burden was the majority experience: 65.3% of 430 family caregivers reported caregiving burden …

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Levetiracetam After Stroke: 9 Fewer Deaths in Older Adults

MHD featured image for levetiracetam continuation, post-stroke seizure prevention, and 90-day survival in older adults.

A 2026 Medicare target-trial emulation found continued levetiracetam after acute ischemic stroke was associated with 53 vs. 62 deaths per 1,000 over 90 days, a risk difference of −9 deaths per 1,000 favoring continuation. Research Highlights Survival signal: continued levetiracetam after an initial month of post-stroke use was linked to 53 deaths per 1,000 vs. …

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Risperidone in Dementia Raised Stroke-Related Events 4.11x by Week 4

MHD featured image for risperidone adverse events in dementia.

A 2026 individual participant data meta-analysis of 1,721 dementia trial participants linked risperidone to cerebrovascular adverse events, HR 4.11 (95% CI 1.77 to 9.51), and major cardiovascular adverse events, HR 2.00 (95% CI 1.23 to 3.26).1 The timing signal is the practical warning: median first cerebrovascular event appeared at 4.3 weeks, and median first major …

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Stress Internalization Predicts Memory Decline in Older Chinese Americans

Editorial card showing an older Chinese American adult and a memory-decline trajectory, illustrating the PINE cohort finding that stress internalization predicts cognitive decline.

A 2025 longitudinal analysis of 1,528 older Chinese Americans by Chen et al. in the Journal of Prevention of Alzheimer’s Disease says something more specific than “stress causes Alzheimer’s”: it isn’t the count of stressors that tracks memory decline — it’s a latent trait the authors call stress internalization, a bundle of high perceived stress, …

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