Can Lower Cholesterol Help Protect the Brain?

Can Lower Cholesterol Help Protect the Brain?

Cholesterol and Brain Health

Cholesterol is often known for its role in heart disease, but it also plays a part in brain health. A recent analysis of health records from over 100,000 people looked at whether having lower levels of LDL cholesterol—the “bad” kind—can lower the chances of developing dementia.

What the Study Found

People with LDL cholesterol levels under 70 mg/dL had a lower risk of dementia, including Alzheimer’s disease. Their risk was about 26 percent lower compared to those with levels over 130 mg/dL. Even those with levels as low as 55 mg/dL showed a benefit. Interestingly, going even lower—to below 30 mg/dL—did not offer any extra protection.

The Role of Statins

Statins are drugs that help reduce LDL cholesterol. In the study, people using statins and maintaining low LDL levels also had a slightly lower risk of dementia. This effect was seen in both people with moderately low and high cholesterol levels. However, the benefits seemed strongest when LDL levels were in the 55 to 70 mg/dL range.

Why This Matters

For years, there were concerns that very low cholesterol levels might harm the brain. But this study adds to the growing evidence that managing LDL cholesterol may actually help reduce the risk of dementia. It also shows that using statins as part of this approach could add some protection, especially in people already at risk of memory loss.

Takeaway for Patients

If you are managing cholesterol for heart health, it may also benefit your brain. But very low levels don’t seem to offer more help than moderately low levels. Talk to your doctor about the right target for your cholesterol, especially if you have a family history of dementia or other risk factors.

Conclusion

Lowering LDL cholesterol to around 70 mg/dL may help lower your chances of developing dementia, and statin use could support this effect. This highlights the importance of cholesterol control not just for heart health, but also for keeping the brain sharp as we age.

Reference: https://jnnp.bmj.com/content/early/2025/03/21/jnnp-2024-334708

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