Does running reduce dementia risk?

Running can significantly reduce the risk of dementia by improving brain health through multiple biological and physiological mechanisms. Even small amounts of running or brisk walking, which is a form of aerobic exercise, have been shown to lower dementia risk by up to 40%. This is because running enhances blood flow to the brain, delivering oxygen and nutrients essential for brain cell function and survival. It also reduces inflammation, which is a key factor in neurodegeneration, the process that leads to dementia.

One of the most important effects of running on the brain is its ability to stimulate neuroplasticity—the brain’s capacity to form new neural connections and strengthen existing ones. This rewiring supports memory, learning, and overall cognitive function, which are often impaired in dementia. Running also promotes the growth of new neurons, especially in the hippocampus, the brain region critical for memory. This neurogenesis helps maintain brain resilience against age-related decline and diseases like Alzheimer’s.

Moreover, running influences gene activity in brain cells, leading to restorative effects that can protect against Alzheimer’s disease and other forms of dementia. These genetic changes improve the brain’s ability to clear toxins and harmful proteins that accumulate and contribute to cognitive decline. Running also supports the immune system, helping the body remove damaging molecules before they cause lasting harm.

The benefits of running extend beyond the brain’s structure and chemistry. Regular running improves cardiovascular health, which is closely linked to brain health. Since vascular problems can contribute to dementia, maintaining a healthy heart and blood vessels through running reduces this risk. Running also enhances sleep quality, which is vital for brain detoxification and memory consolidation.

Importantly, the protective effects of running are accessible to many people because even moderate-intensity running or brisk walking—where you breathe harder but can’t sing comfortably—can yield significant benefits. You don’t need to run marathons; consistent, manageable activity is enough to make a difference. This is encouraging because many adults do not meet the recommended 150 minutes of moderate exercise per week, but even smaller doses can still reduce dementia risk substantially.

Running also helps slow the progression of mild cognitive impairment, a condition that often precedes dementia. People who engage in regular running or aerobic exercise tend to maintain better executive function, memory, and attention compared to sedentary individuals. This means running not only helps prevent dementia but can also improve cognitive function in those already experiencing early signs of decline.

In addition to aerobic running, incorporating strength exercises and activities like yoga or tai chi can complement brain health by improving balance, coordination, and muscle strength, which support overall well-being and reduce the risk of falls and injuries that can indirectly affect cognitive health.

Running also has social and psychological benefits that contribute to brain health. Participating in running groups or events can reduce feelings of isolation and depression, both of which are risk factors for dementia. The mental stimulation and enjoyment derived from running can enhance mood and motivation, further supporting cognitive resilience.

Overall, running acts on multiple levels to protect the brain: it improves blood flow, reduces inflammation, promotes neuroplasticity and neurogenesis, supports immune function, enhances sleep, and positively influences gene expression. These combined effects create a robust defense against the development and progression of dementia, making running a powerful, accessible tool for brain health across the lifespan.