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Frequent Music Engagement After 70 Tied to Lower Dementia Risk in Large Australian Study

Observational results prompt calls for randomized trials to test whether music engagement can delay cognitive decline.

Overview

  • Monash University researchers analyzed ASPREE and ALSOP data from 10,893 Australians aged 70 and older, with a median follow‑up of about 4.7 years and expert‑panel dementia diagnoses.
  • Always listening to music was associated with a 39% lower risk of dementia and a 17% lower risk of cognitive impairment no dementia compared with never, rarely, or sometimes listening.
  • Playing an instrument often or always was linked to a 35% lower dementia risk, while engaging in both listening and playing was associated with a 33% lower dementia risk and a 22% lower CIND risk.
  • Consistent music listening was associated with better trajectories in global cognition and episodic memory over time; instrument playing was not tied to significant changes on these tests.
  • The study’s authors note limits including self‑reported music exposure, possible reverse causation, and a healthier‑than‑average cohort, and they report stronger associations for listening among those with 16 or more years of education.