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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 2 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 |
|---|---|---|---|---|---|---|---|
| Birth cohort and calendar period (secular trend in dementia) All modifiable factors together | Prevention |
Benefit
whyDirection is for later birth cohort: each successive cohort had a significantly lower incident dementia rate, independent of sex, education and age. |
Incident dementia rate by decade of birth (1902-1941) | cohort study | 3,010 | Compared to the earliest birth cohort (1902-1911), each subsequent cohort had a significantly lower incident dementia rate (1912-1921: incidence rate ratio [IRR] = 0.655, 95% confidence interval [95% CI] = 0.477-0.899; 1922-1931: IRR = 0.387, 95% CI = 0.265-0.564; 1932-1941: IRR = 0.233, 95% CI = 0.121-0.449) |
The Journals of Gerontology: Series A (Biological Sciences and Medical Sciences)
2019 ✓ Peer-reviewed PMID 30312371 |
| Birth cohort and calendar period (secular trend in dementia) All modifiable factors together | Prevention |
Benefit
whyDirection is for later calendar epoch: incidence fell 44% from the first to the fourth epoch, but only among people with at least a high school diploma. The authors could not fully explain the decline. |
5-year incidence of dementia across four epochs (late 1970s to early 2010s) | cohort study | 5,205 | The 5-year age- and sex-adjusted cumulative hazard rates for dementia were 3.6 per 100 persons during the first epoch (late 1970s and early 1980s), 2.8 per 100 persons during the second epoch (late 1980s and early 1990s), 2.2 per 100 persons during the third epoch (late 1990s and early 2000s), and 2.0 per 100 persons during the fourth epoch (late 2000s and early 2010s). Relative to the incidence during the first epoch, the incidence declined by 22%, 38%, and 44% during the second, third, and fourth epochs, respectively. This risk reduction was observed only among persons who had at least a high school diploma (hazard ratio, 0.77; 95% confidence interval, 0.67 to 0.88) |
New England Journal of Medicine
2016 ✓ Peer-reviewed PMID 26863354 |