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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 5 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 |
|---|---|---|---|---|---|---|---|
| APOE genotype Genes (not modifiable) | Prevention |
Harm
whyDirection is for the APOE4 allele, whose effect ranged from OR 2.22 in Caribbean-Hispanic to 6.13 in Peruvian/Bolivian participants. The APOE2 allele went the other way (OR 0.81). Not modifiable. |
Alzheimer's disease and related dementias (odds ratio) | case-control study | 12,221 | APOE ε4 meta-analytic OR 2.32 (95% CI 2.09-2.57); range 2.22 (Caribbean-Hispanics) to 6.13 (Peruvians/Bolivians) |
Alzheimer's & Dementia
2025 ✓ Peer-reviewed PMID 40219824 |
| APOE genotype Genes (not modifiable) | Prevention |
Harm
whyDirection is for carrying APOE*4: the ε3/ε4 odds ratio fell stepwise from 4.54 in East Asian to 3.46 in White, 2.18 in Black and 1.90 in Hispanic individuals; ε2 was protective in White and Black but not Hispanic or East Asian individuals. Not modifiable. |
Odds of Alzheimer's disease by APOE genotype, across ancestry, sex and age | case-control study | 68,756 | Odds ratios for APOE*34 and AD risk attenuated following East Asian (OR, 4.54; 95% CI, 3.99-5.17),White (OR, 3.46; 95% CI, 3.27-3.65), Black (OR, 2.18; 95% CI, 1.90-2.49) and Hispanic (OR, 1.90; 95% CI, 1.65-2.18) individuals. Similarly, ORs for APOE*22+23 and AD risk attenuated following White (OR, 0.53, 95% CI, 0.48-0.58), Black (OR, 0.69, 95% CI, 0.57-0.84), and Hispanic (OR, 0.89; 95% CI, 0.72-1.10) individuals |
JAMA Neurology
2023 ✓ Peer-reviewed PMID 37930705 |
| Rare protective or risk variant (APOE3 Christchurch, APOE R145C, RELN, FN1) Genes (not modifiable) | Prevention |
Harm
whyDirection is for carrying the African ancestry-specific APOE R145C variant with an ε3/ε4 genotype: three-fold higher odds of AD and onset about six years earlier in the discovery stage, replicated in stage 2 and concordant in stage 3. Not modifiable. |
Alzheimer's disease case status and age at onset among APOE ε3/ε4 carriers of African ancestry | case-control study | 31,929 | R145C was associated with an increased risk of AD (odds ratio [OR], 3.01; 95% CI, 1.87-4.85; P = 6.0 × 10-6) and was associated with a reported younger age at AD onset (β, -5.87 years; 95% CI, -8.35 to -3.4 years; P = 3.4 × 10-6) |
JAMA
2023 ✓ Peer-reviewed PMID 36809323 |
| Anticholinergic / benzodiazepine burden Medicines | Treatment | Harm | 180-day mortality | case-control study | 139,103 | 180-day mortality HR 1.41 (95% CI 1.38-1.44) for benzodiazepines; HR 1.16 (95% CI 1.12-1.20) for antipsychotics |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 41085983 |
| Antipsychotics (harms / discontinuation) Medicines | Treatment | Harm | 180-day mortality | case-control study | 139,103 | 180-day mortality HR 1.41 (95% CI 1.38-1.44) for benzodiazepines; HR 1.16 (95% CI 1.12-1.20) for antipsychotics |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 41085983 |