Methods and systems may provide for cognitive decline prediction or assessment. Baseline and follow-up inertial sensor data may be received from one or more inertial sensors attached to a person. Baseline and follow-up data indicative of cognitive decline may be received from the person. An indication of cognitive decline may be determined based on the baseline and follow-up cognitive decline data. A classifier function for predicting cognitive decline may be trained with the baseline inertial sensor data and the indication of cognitive decline. A classifier function for assessing cognitive decline may be trained with the baseline inertial sensor data, a difference between the baseline inertial sensor data and follow-up inertial sensor data, and the indication of cognitive decline.