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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 for Sleep. 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 |
|---|---|---|---|---|---|---|---|
| Sleep Sleep, mood and social life | Prevention |
Benefit
whyDirection is for normal sleep versus sleep deprivation, on a clearance measure — not on cognition, which this trial did not measure. |
Overnight brain-to-plasma clearance of amyloid-beta and tau | randomised trial | 39 | Additional variance explained by the physiological predictor model in the sleep condition: "between 49.1% (Abeta40) to 56.0% (Abeta42)" in amyloid-positive participants and "between 71.3% (p-tau181) to 97.8% (Abeta40)" in amyloid-negative participants |
Nature Communications
2026 ✓ Peer-reviewed PMID 41593094 |
| Sleep Sleep, mood and social life | Prevention |
Harm
whyEight kinds of sleep disturbance were analysed; both short and long sleep carried higher risk, as did excessive daytime sleepiness and insomnia. |
Cognitive decline or dementia | meta-analysis | not stated | Excessive daytime sleepiness RR 1.41 for all-cause dementia; long sleep RR 1.66 for Alzheimer's disease |
Journal of Neurology
2025 ✓ Peer-reviewed PMID 41081870 |
| Sleep Sleep, mood and social life | Prevention |
Mixed
whyTwo findings point opposite ways: synchronised norepinephrine, blood-volume and CSF oscillations during natural NREM sleep were the strongest predictors of glymphatic clearance, while the sleep aid zolpidem suppressed those oscillations and glymphatic flow. Mouse work with no human outcome. |
Glymphatic clearance during NREM sleep in mice, its drivers (norepinephrine and vasomotion oscillations) and its suppression by zolpidem | None | not stated | not established — pubmed abstract reports no numeric effect size. |
Cell
2025 ✓ Peer-reviewed PMID 39788123 |
| Sleep Sleep, mood and social life | Prevention |
Harm
whyDirection is for LOSING slow-wave sleep. 52 cases in 346 people, so the estimate is imprecise, and slow-wave sleep also falls with Alzheimer's genetic risk, which muddies cause and effect. |
Incident dementia over 17 years | cohort study | 346 | HR 1.27 (95% CI 1.06-1.54) per 1%/year loss of slow-wave sleep |
JAMA Neurology
2023 ✓ Peer-reviewed PMID 37902739 |
| Sleep Sleep, mood and social life | Prevention |
Harm
whyNo significant association with vascular dementia, and none of the 11 studies used biomarkers to confirm the diagnoses. |
Any neurocognitive disorder; Alzheimer's disease | meta-analysis | 1,333,424 | HR 1.43 (95% CI 1.26-1.62) for any neurocognitive disorder; Alzheimer's HR 1.28 (1.16-1.41) |
Journal of Sleep Research
2022 ✓ Peer-reviewed PMID 35366021 |
| Sleep Sleep, mood and social life | Prevention |
Harm
whyDirection is for SHORT sleep (6 hours or less): higher dementia risk than a 7-hour sleep duration. |
Incident dementia over 25 years | cohort study | 7,959 | HR ~1.22 (age 50) and ~1.37 (age 60) for short vs. 7-hour sleep; persistent short sleep across ages 50/60/70 ~30% higher risk |
Nature Communications
2021 ✓ Peer-reviewed PMID 33879784 |
| Sleep Sleep, mood and social life | Prevention |
No direction reported
whyA narrative review proposing glymphatic failure as a final common pathway to dementia. It reports no effect estimate. |
Dementia pathogenesis (glymphatic clearance of protein waste) | None | not stated | not established — review; the abstract reports no effect estimate. |
Science
2020 ✓ Peer-reviewed PMID 33004510 |