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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 7 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Dietary pattern (general) Diet and supplements | Prevention |
Benefit
whyDirection is for a healthier plant-based diet: higher overall and healthful plant-based diet scores were associated with lower dementia risk, while a higher unhealthful plant-based diet score was associated with higher risk (pooled HR 1.42). |
Incident dementia by plant-based diet index (overall, healthful and unhealthful) | meta-analysis | 207,981 | higher scores in PDI and hPDI were associated with lower risk of dementia (highest vs. lowest tertile: pooled HR for PDI = 0.70, 95% CI, 0.53-0.92, p for trend <0.001; pooled HR for hPDI = 0.71, 0.48-1.06, p for trend = 0.03) ... higher uPDI was associated with higher dementia risk (highest vs. lowest tertile: pooled HR = 1.42, 1.19-1.70, p for trend <0.001). In the meta-analysis, individuals in the highest hPDI tertile had 21% lower dementia risk, and those in the highest uPDI tertile had 24% higher risk |
The journal of prevention of Alzheimer's disease
2026 ✓ Peer-reviewed PMID 41564649 |
| Dietary pattern (general) Diet and supplements | Prevention |
Benefit
whyPooled observational studies only. |
Dementia and Alzheimer's disease | meta-analysis | 65,955 | Pooled OR 0.89 (95% CI 0.84-0.94) for dementia; cohort HR 0.84 (0.76-0.94); Alzheimer's OR 0.73 (0.62-0.85) |
Aging Clinical and Experimental Research
2024 ✓ Peer-reviewed PMID 38519775 |
| Dietary pattern (general) Diet and supplements | Prevention |
Benefit
whyObservational. Points the opposite way to the randomised MIND diet trial. |
Incident dementia | meta-analysis | 224,049 | HR 0.83 per 3-point MIND-score increment (95% CI 0.72-0.95); highest vs lowest tertile HR 0.83 (0.76-0.90) |
JAMA Psychiatry
2023 ✓ Peer-reviewed PMID 37133875 |
| MIND diet Diet and supplements | Prevention |
Benefit
whyObservational. Points the opposite way to the randomised MIND diet trial. |
Incident dementia | meta-analysis | 224,049 | HR 0.83 per 3-point MIND-score increment (95% CI 0.72-0.95); highest vs lowest tertile HR 0.83 (0.76-0.90) |
JAMA Psychiatry
2023 ✓ Peer-reviewed PMID 37133875 |
| Mediterranean diet Diet and supplements | Prevention |
Benefit
whyPooled observational studies only. |
Dementia and Alzheimer's disease | meta-analysis | 65,955 | Pooled OR 0.89 (95% CI 0.84-0.94) for dementia; cohort HR 0.84 (0.76-0.94); Alzheimer's OR 0.73 (0.62-0.85) |
Aging Clinical and Experimental Research
2024 ✓ Peer-reviewed PMID 38519775 |
| Omega-3 / fish and fish oil Diet and supplements | Prevention |
Benefit
whyDietary intake and blood levels, pooled from observational cohorts. The much larger supplement estimate (HR 0.36) comes from one cohort's self-selected supplement users, not from a trial. |
All-cause dementia or cognitive decline | meta-analysis | 103,651 | Dietary DHA intake RR 0.82 for dementia or cognitive decline; ADNI supplement users HR 0.36 (95% CI 0.18-0.72) for Alzheimer's |
American Journal of Clinical Nutrition
2023 ✓ Peer-reviewed PMID 37028557 |
| Ultra-processed food Diet and supplements | Prevention |
Harm
whyHeterogeneity was extreme (I-squared 97%), so the pooled figure hides large differences between the 10 studies. |
Dementia | meta-analysis | 867,316 | Pooled RR 1.44 (95% CI 1.09-1.90) for high vs low ultra-processed food intake |
Journal of Neurology
2024 ✓ Peer-reviewed PMID 37831127 |