Less than half of Michigan adults aged 50 and older know that daily lifestyle choices can reduce dementia risk, according to the Michigan Poll on Healthy Aging. While most residents value brain health, a significant gap exists between their intentions and their actual daily habits regarding sleep, diet, and physical activity.
Why is there a gap between brain health awareness and daily habits?
While nearly all Michiganders aged 50 and over say maintaining brain health is “very important,” only 47% of this demographic understands that everyday actions can reduce their future risk of dementia. This discrepancy suggests that while the motivation exists, the specific knowledge required to act is missing for more than half the population.
The Michigan Poll on Healthy Aging, based at the University of Michigan Institute for Healthcare Policy and Innovation, found that Michigan residents are actually less likely than the national average to believe lifestyle factors are vital for brain health. In Michigan, 70% of adults 50 and older held this belief, compared to 76% of their counterparts in other states.
Regional disparities also emerged in the data. Residents in the Upper Peninsula and the northern Lower Peninsula were less likely to view healthy lifestyle behaviors as essential for reducing dementia risk than those in other parts of the state.
According to the Alzheimer’s Association, families and friends in Michigan provide more than 680 million hours of unpaid care to those living with Alzheimer’s or other forms of dementia every year.
Which lifestyle factors are most critical for dementia prevention?
The poll identified several health and lifestyle factors that respondents rated as “very important” for maintaining brain health. There is a notable contrast between what people recognize as important and what they actually practice daily.

The importance vs. practice gap
Respondents prioritized preventing head injuries (80%) and managing stress, smoking, and depression (71%) as top priorities. However, actual daily or most-day adherence to brain-protecting habits remains low:
- Sleep: 54% get 7 or more hours of sleep.
- Mental Stimulation: 48% engage in mentally stimulating activities.
- Healthy Diet: 40% eat a healthy, balanced diet.
- Physical Activity: 36% engage in daily physical activity, such as walking or stretching.
While 61% to 68% of all respondents rated these four factors as very important, the actual implementation of these habits lags significantly behind the perceived importance.
How can healthcare providers help reduce dementia risk?
A major barrier to prevention is the lack of communication between patients and medical professionals. Only 23% of Michiganders aged 50 and over reported discussing brain health with their healthcare provider.
Jeffrey Kullgren, M.D., M.S., M.P.H., an associate professor at the U-M Medical School, stated that healthcare providers could do more to help patients understand the link between current lifestyle choices and future brain health. He noted that Michigan’s adult population has high rates of dementia risk factors that require collaborative management across all ages.
While universal cognitive screening for everyone over 65 is not yet recommended by all national organizations, simple testing can be part of regular checkups. Currently, 30% of Michiganders aged 65 and over have undergone a cognitive screening test in the past year.
Scott Roberts, Ph.D., Associate Director of the National Poll on Healthy Aging, also warned older adults to remain cautious of products marketed to preserve brain health. “It’s also important to educate older adults to be wary of ‘too good to be true’ products such as nutritional supplements now being marketed to preserve brain health,” Roberts said.
What are the dementia statistics in Michigan?
Dementia remains a significant public health concern in the state. Data from the Alzheimer’s Association indicates that 11% of people over the age of 65 in Michigan are living with Alzheimer’s disease or another form of dementia.

Because there is currently no cure for dementia at any stage, medical professionals emphasize that prevention and delaying onset through lifestyle changes in midlife are the most effective tools available. Recent advancements, such as FDA-approved medications to slow decline in early stages and new blood tests for Alzheimer’s biomarkers, offer new avenues for diagnosis and early detection.
Frequently Asked Questions
How many Michiganders are affected by dementia?
Approximately 11% of Michigan residents over the age of 65 have Alzheimer’s or another form of dementia.
What are the most important habits for brain health?
According to poll respondents, preventing head injuries, managing stress, and controlling blood pressure are among the most critical factors.
Should I talk to my doctor about my memory?
Yes. While only 23% of Michiganders currently discuss brain health with providers, experts suggest cognitive testing can be a helpful part of regular checkups.
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