Study Identifies Driving Habits That Signal Cognitive Decline

New research shows that changes in driving habits that include driving less, staying closer to home and repeating the same route can indicate cognitive decline among older adults.
Published: 12/5/2025, 1:22:50 PM EST
Study Identifies Driving Habits That Signal Cognitive Decline
Vehicles travel along Interstate 35 in Austin, Texas, on July 26, 2024. (Brandon Bell/Getty Images)

New research shows that changes in driving habits can serve as an early warning sign of cognitive decline in older individuals.

The “Association of Daily Driving Behaviors With Mild Cognitive Impairment in Older Adults” study found that aging adults with mild cognitive impairment often experience subtle driving changes before a formal dementia diagnosis.

Changes in driving habits can include driving less, staying closer to home, and repeating the same route, according to study co-author and neurology researcher Ganesh Babulal.

“Driving to new places and managing unfamiliar routes requires memory, attention, and planning,” Babulal told NTD. “When those skills begin to decline, older adults often simplify their driving by avoiding longer or more complex trips.”

Without using traditional clinical tests, the study distinguished older adults with mild cognitive impairment (MCI) from normal drivers with patterns of changes that included fewer trips that are over about 5 miles, less speeding, and fewer daytime trips, suggesting less willingness to go out.

More than 7 million have Alzheimer's or dementia, 10 million have MCI, and one in 5 show some level of impairment, according to Columbia University data.

"Older adults are entitled to fairness, dignity, and the opportunity to prove their driving abilities," Miami, Florida attorney Amanda Demanda told NTD. "Many individuals with mild cognitive impairment will drive for years, and the law allows them time to undergo evaluation before restrictions are placed."

The study involved participants who were an average age of 75 years old and nearly half were women.

About 35 million U.S. licensed drivers are aged 70 and over, according to Federal Highway Administration data.

“With just a small set of GPS-based measures, such as trip length, maximum distance from home, and route variety, we were able to identify older adults with mild cognitive impairment almost as well as when we added genetics and cognitive test scores,” Babulal said.

GPS refers to Global Positioning System data collected by a receiver communicating with satellites and transmitting it for real-time monitoring or later analysis.

Babulal advises family members who are concerned about aging loved ones to refrain from secret tracking or unauthorized access to GPS data. Instead, family members should talk and explain to the older driver that monitoring patterns can help them stay safe and independent for longer.

"Ask if the person is willing to share access to the car’s app or online account, share insurance driving reports, share location history from a smartphone, or install a monitoring device that is tied to a shared family account," Babulal added.