How Treating These 9 Conditions May Improve Mild Cognitive Impairment

But when you manage these medical issues, you can protect your brain and prevent the loss of brain function in MCI. Below, learn about nine common conditions that worsen mild cognitive impairment and how to treat them.
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1. High Blood Pressure
When your blood pressure stays high, it puts stress on the delicate blood vessels in your brain, gradually causing damage, says Peter Gliebus, MD, the chief of neurology and the director of cognitive and behavioral neurology at Marcus Neuroscience Institute with Baptist Health South Florida in Boca Raton.
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2. Diabetes
3. High Cholesterol
4. Sleep Apnea
“Sleep apnea not only raises the risk of vascular diseases such as strokes and heart attacks, but can also cause cognitive symptoms beyond those seen in Alzheimer’s disease,” says Kaitlin Seibert, MD, a behavioral neurologist with Cleveland Clinic Center for Brain Health in Beachwood, Ohio.
“If we do not give our brain seven to nine hours of high-quality sleep per night, including treating sleep apnea when present, we cannot expect it to focus, engage, and find words efficiently,” says Dr. Seibert.
5. Depression
“Depression and dementia often appear similar, as both lead to forgetfulness, concentration problems, and social withdrawal,” says Gliebus. But treating depression can improve memory and cognitive function, he says.
6. Hearing Loss
When your hearing starts to go, it may increase your risk of cognitive decline. “Our senses are important,” says Seibert. “If we cannot clearly hear or see information, it may never fully make it into the brain in the first place. If it does not get in, we cannot expect to remember it later.”
7. Thyroid Disease
8. Atrial Fibrillation
Atrial fibrillation, an abnormal heart rhythm, can increase your risk of declining brain function. This condition makes you more likely to develop small blood clots that can reach your brain, causing silent injuries that worsen cognitive decline, says Gliebus.
9. Vitamin B12 Deficiency
- Anand S et al. Mild Cognitive Impairment. StatPearls. January 11, 2024.
- Causes of Mild Cognitive Impairment. Alzheimer's Society.
- Pacholko A et al. Hypertension, Neurodegeneration, and Cognitive Decline. Hypertension. March 1, 2024.
- Your Brain and Diabetes. Centers for Disease Control and Prevention. July 16, 2024.
- Ray S et al. A Study to Assess the Relationship Between Cognitive Impairment and Glycemic Management in Patients With Type 2 Diabetes Using Moca Score. European Society of Medicine. March 31, 2025.
- Cholesterol and the Risk of Dementia. Alzheimer's Society.
- Let’s Talk About Cholesterol and Stroke. American Heart Association.
- Arafa A et al. The Association Between Serum Cholesterol Levels and Mild-To-Moderate Cognitive Impairment in the Suita Study and Evidence From Other Epidemiological Studies. Journal of the Neurological Sciences. November 15, 2024.
- What Is Sleep Apnea? National Heart, Lung, and Blood Institute. January 9, 2025.
- Brain Basics: Understanding Sleep. National Institute of Neurological Disorders and Stroke. February 25, 2025.
- Dobielska M et al. Mechanisms of Cognitive Impairment in Depression. May Probiotics Help? Frontiers in Psychiatry. June 9, 2022.
- What is Dementia? Alzheimer's Association.
- Lin FR et al. Hearing Intervention Versus Health Education Control to Reduce Cognitive Decline in Older Adults With Hearing Loss (ACHIEVE): A Multicentre, Randomised, Controlled Trial in the United States. Lancet. July 18, 2023.
- Armstrong M et al. Physiology, Thyroid Function. StatPearls. March 13, 2023.
- Eslami-Amirabadi M et al. The Relation Between Thyroid Dysregulation and Impaired Cognition/Behaviour: An Integrative Review. Journal of Neuroendocrinology. March 2021.
- Dori D et al. Thyroid Function and Cognitive Health: Rethinking the Relationship Between “Suboptimal” TSH/FT4 Levels and Cognitive Decline. Alzheimer's & Dementia. December 16, 2025.
- Zenger B et al. This is Your Brain, and This is Your Brain on Atrial Fibrillation: The Roles of Cardiac Malperfusion Events and Vascular Dysfunction in Cognitive Impairment. Arrhythmia & Electrophysiology Review. January 31, 2023.
- Vitamin B12. Office of Dietary Supplements. July 2, 2025.
- Ueno A et al. Influences of Vitamin B12 Supplementation on Cognition and Homocysteine in Patients with Vitamin B12 Deficiency and Cognitive Impairment. Nutrients. April 2, 2022.
- Markun S et al. Effects of Vitamin B12 Supplementation on Cognitive Function, Depressive Symptoms, and Fatigue: A Systematic Review, Meta-Analysis, and Meta-Regression. Nutrients. March 12, 2021.
- Alzahrani H. Assessment of Vitamin B12 Efficacy on Cognitive Memory Function and Depressive Symptoms: A Systematic Review and Meta-Analysis. Cureus. November 9, 2024.

Jason Paul Chua, MD, PhD
Medical Reviewer
Jason Chua, MD, PhD, is an assistant professor in the Department of Neurology and Division of Movement Disorders at Johns Hopkins School of Medicine. He received his training at th...

Abby McCoy, RN
Author
Abby McCoy is an experienced registered nurse who has worked with adults and pediatric patients encompassing trauma, orthopedics, home care, transplant, and case management. She is...