Could Your Brain Be Aging More Quickly Than Your Body? This May Be the Secret Cause
Written by Susan Parker | Updated on May 28, 2025
Reviewed by Susan Parker
Key Takeaways
Prediabetes accelerates brain aging
Healthy lifestyle reduces brain age gap
Diabetes increases dementia risk
Frequently Asked Questions
Key Takeaways
Prediabetes accelerates brain aging
Healthy lifestyle reduces brain age gap
Diabetes increases dementia risk
Frequently Asked Questions
Many people tend to underestimate this common health issue as trivial—a situation to just "keep an eye on." However, recent studies have revealed a surprising fact: this issue could be silently speeding up the aging process of your brain, resulting in memory loss and cognitive decline. What's even more astonishing is that this damage can persist even if your results seem "normal" on the surface. Luckily, researchers have pinpointed simple lifestyle changes that can slow down, or even reverse, this hidden brain-aging process. Keep reading to discover what might be affecting your memory—and how to take back control.
The prevalence of diabetes has risen to the point where it affects around a quarter to a third of older adults.
This condition raises the risk of heart disease, stroke, kidney disease, and more. However, it has an even more serious side effect—it doubles the chances of dementia and worsens brain aging.
It is clear that type-2 diabetes is a significant risk factor for cognitive decline, which is why dementia is sometimes referred to as type-3 diabetes. Even individuals with prediabetes, affecting over a quarter of the population, face a considerably higher risk of cognitive decline and vascular dementia.
After conducting MRI scans on the brains of people with diabetes, doctors made a concerning discovery: the brain is quietly deteriorating even before any memory issues or confusion show up. These scans reveal that diabetic brains are actually shrinking, experiencing damage to tiny blood vessels, and accumulating microscopic injuries throughout the tissue. It's like watching a house slowly fall apart from the inside while the outside remains seemingly intact.
What is perhaps even more worrying is what scientists call "accelerated brain aging"—essentially, your brain aging at a quicker rate than expected based on your age. Researchers can now determine a "brain age gap" by comparing how old your brain looks on scans versus your actual age. A widening gap indicates potential issues: higher chances of memory loss, dementia, and even a shorter lifespan.
The encouraging news is that if medical professionals could identify this accelerated aging in its early stages, they might be able to intervene before lasting damage occurs. New computer modeling techniques can now estimate your brain's biological age by analyzing various features visible on MRI scans—similar changes already observed in diabetic patients. This could lead to preventive treatments that hinder or even stop this premature brain aging process.
While numerous studies have linked diabetes to hastened brain aging, they all faced a common limitation: they only captured a single moment in time, like taking a single photograph instead of filming a sequence. What researchers truly needed was to track individuals over several years to observe the progression of their brains. Moreover, no one had explored whether prediabetes—a warning phase before full-blown diabetes—affects brain aging or if adopting healthy lifestyle choices could protect the brain from blood sugar-related harm.
Recognizing these crucial knowledge gaps, a team of researchers from the renowned Karolinska Institute in Stockholm, Sweden chose to address these unanswered questions directly. They embarked on a long-term, thorough study that could ultimately reveal whether prediabetes jeopardizes brain health and whether lifestyle interventions could act as a defense against diabetes-induced brain aging.
Their study involved 31,229 dementia-free British adults aged between 40 and 70. At the beginning of the study, detailed data was collected on their medical history and blood sugar levels, showing that 43.3% had prediabetes and 3.7% had diabetes.
Information was also gathered on cardiometabolic risk factors (obesity, hypertension, unfavorable blood fat levels) and lifestyle behaviors (smoking, alcohol consumption, and physical activity).
All participants underwent up to two brain MRI scans over an 11-year follow-up period, and a machine learning model was used to estimate brain age by calculating the brain age gap.
The findings showed:
The gap decreased among individuals engaging in high physical activity who refrained from smoking and excessive alcohol consumption. The results confirmed the findings of previous studies that diabetes accelerates brain aging, but they have now revealed much more.
Furthermore, as stated in Diabetes Care, "our findings provide strong evidence that prediabetes may accelerate brain aging during the very early stages of dementia onset. [and] underscore the importance of a healthy lifestyle not only for cardiometabolic health but also for brain health."
Abigail Dove, the lead researcher, commented: "Presenting an older-appearing brain relative to one's chronological age could serve as an early indicator for dementia. On a positive note, it appears that individuals with diabetes can influence their brain health through healthy living."
Although the study included participants' exercise data and emphasized its importance in a healthy lifestyle, it did not delve into their diet, which is crucial in reversing diabetes and preventing the progression from prediabetes to diabetes.
As physician scientist Professor Nita Gandhi Forouhi from the University of Cambridge points out: "Nutritional therapy has been emphasized for decades for individuals with type 2 diabetes, and the critical importance of diet and nutrition is now also recognized for type 2 diabetes prevention."
Two effective methods for reversing diabetes that we have previously highlighted are a low carb diet or low-calorie diet.
A comprehensive study from Sweden's Karolinska Institute shows that both prediabetes and type 2 diabetes hasten brain aging, increasing dementia risk. Using brain MRIs and machine learning to calculate "brain age gaps," researchers found that individuals with prediabetes had a brain age six months older than their actual age, while those with uncontrolled diabetes showed gaps exceeding four years. However, adopting healthy lifestyle practices like regular exercise, avoiding smoking, and moderating alcohol consumption were found to reduce the brain age gap, offering hope for prevention and reversal.
It represents the difference between your brain's biological age and your actual chronological age. A larger gap indicates accelerated brain aging.
Diabetes causes brain shrinkage, vascular changes, and lesions, all contributing to cognitive decline and increased dementia risk.
Indeed. Before the onset of full-fledged diabetes, individuals with prediabetes show measurable increases in brain age.
Consistent physical activity, refraining from smoking, and limiting alcohol intake have all been demonstrated to reduce the brain age gap.
While complete reversal remains uncertain, the study suggests that a healthy lifestyle can slow down or potentially reverse some of the effects of brain aging.
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