The “Silent Killer”: Hearing Loss Raises Risk of Stroke and Dementia—Here’s How to Control It

September 2025 — Hearing loss, often dismissed as a natural part of aging, is now being recognized as a major risk factor for dementia and stroke. Experts warn that this “silent killer” may be undermining brain health more than many people realize, but steps can be taken to prevent or slow its impact.

How Hearing Loss Affects the Brain

When hearing begins to fade, the brain works harder to process unclear sounds. This constant strain can reduce the brain’s ability to focus on other important tasks, such as memory and problem-solving. Over time, the added stress may contribute to cognitive decline.

Hearing impairment can also disrupt blood flow to parts of the brain involved in memory and reasoning, compounding the risk of dementia. On top of this, many people with hearing loss withdraw socially, reducing mental stimulation — another key factor in brain health.

Research suggests that untreated hearing problems may account for up to one-third of dementia cases among older adults.

Ways to Protect Brain and Hearing Health

  1. Regular hearing tests — Adults over 40 are encouraged to include hearing checks in their routine health care.
  2. Early use of hearing aids — Studies show that hearing aids can cut dementia risk by as much as 60% when used consistently, particularly if adopted before age 70.
  3. Noise protection — Limiting exposure to loud environments, or using ear protection, helps preserve hearing over time.
  4. Stay socially active — Conversation, reading, and group activities keep the brain engaged and lower dementia risk.
  5. Manage overall health — Conditions like high blood pressure and high cholesterol also affect brain function, making lifestyle habits like exercise, diet, and stress management crucial.

A Preventable Risk

Hearing loss joins other modifiable dementia risk factors such as smoking, obesity, diabetes, and social isolation. By addressing these, experts estimate the overall risk of dementia could be cut nearly in half. Among them, treating hearing loss is considered one of the most effective interventions, especially later in life.

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