The American Academy of Neurology supports part of the claim, stating that heavy drinkers who consume eight or more alcoholic drinks per week have an increased risk of hyaline arteriolosclerosis, which can lead to various health problems, particularly affecting the kidneys and brain. These signs of brain injury are associated with memory and thinking problems, key symptoms of cognitive decline. According to a recent study, Alberto Fernando Oliveira Justo, PhD, of University of Sao Paulo Medical School in Brazil, found that “heavy drinkers had 133% higher odds of having vascular brain lesions compared to those who never drank, former heavy drinkers had 89% higher odds and moderate drinkers, 60%.” Additionally, the study found that “Former heavy drinking was associated with a lower brain mass ratio, a smaller proportion of brain mass compared to body mass, and worse cognitive abilities” (ScienceDaily). While the study did not find a direct link between heavy alcohol consumption and dementia itself, it is essential to know that dementia is a syndrome that can be caused by several diseases, which, over time, can destroy nerve cells and damage the brain. However, the study also found that there is a link to heavy and former heavy alcohol consumers had higher odds of developing tau tangles, a biomarker associated with Alzheimer’s disease, with 41% and 31% higher odds. Additionally, Alzheimer's disease is linked to dementia, making it the most prevalent condition that causes it. While we may not yet have absolute proof that heavy drinking directly causes dementia, the evidence strongly suggests it can contribute to brain damage, cognitive impairment, and conditions that raise the risk of developing dementia-like syndromes.
https://www.sciencedaily.com/releases/2025/04/250409173113.htm
https://pubmed.ncbi.nlm.nih.gov/40203226/#full-view-affiliation-2
https://www.alz.org/alzheimers-dementia/difference-between-dementia-and-alzheimer-s