Dementia is an umbrella term; Alzheimer’s is one specific form. Most diagnoses in presidents are retrospective or speculative, based on medical records, observed behaviour, or later-life diagnoses.
Woodrow Wilson (1913–1921)
Suffered a major stroke in 1919 during his presidency.
Resulted in severe neurological and cognitive impairment (mixed dementia).
Effectively incapacitated for the remainder of his term.
Franklin D. Roosevelt (1933–1945)
Showed signs of vascular mild cognitive impairment late in his presidency. Cognitive decline was evident by the Yalta Conference (1945). Died shortly after from a stroke; impairment is viewed as a precursor to dementia.
Ronald Reagan (1981–1989)
Exhibited suspected cognitive decline during his second term. Formally diagnosed with Alzheimer’s disease in 1994, after leaving office. Symptoms during presidency included word-finding issues and confusion.
George H. W. Bush (1989–1993)
Developed mixed dementia later in life, after his presidency. Diagnosis occurred around 2015; not during his term.
Joe Biden (2021–2025)
No confirmed diagnosis of dementia. Ongoing public and expert speculation based on observed verbal and memory issues during his term. Speculation contributed to his withdrawal from the 2024 reelection race.
Donald Trump (2017–2021; 2025–present)
Suspected dementia or cognitive decline (undiagnosed)
During first term (speculated); during second term (ongoing speculation as of 2026)
Speculation includes family history (his father had Alzheimer's), verbal slips, forgetting words (e.g., "Alzheimer's" in a 2026 interview), and expert analyses suggesting probable dementia. Trump has claimed to "ace" cognitive tests, but former aides and doctors have raised alarms about mental fitness.
Overall takeaway:
Cognitive decline has affected several U.S. presidents, sometimes during office and sometimes years later, with certainty ranging from well-documented medical evidence to ongoing public speculation.
Summarised from Grok.