I think there's a social element to it. My mother's cognition fell off a cliff with the social isolation during covid. Also, she has lifetime poor hearing
"... mild hearing loss doubled dementia risk. Moderate loss tripled risk, and people with a severe hearing impairment were five times more likely to develop dementia".
"... mild hearing loss doubled dementia risk. Moderate loss tripled risk, and people with a severe hearing impairment were five times more likely to develop dementia".
https://www.hopkinsmedicine.org/health/wellness-and-preventi...