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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 6 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 |
|---|---|---|---|---|---|---|---|
| Alcohol Alcohol, tobacco and cannabis | Prevention |
Harm
whyThe key point: the observational analysis showed light drinking looking protective, but the genetic (Mendelian randomisation) analysis did not, which the authors read as the protective appearance coming from people cutting down in early dementia. |
Incident dementia | cohort study | 559,559 | Mendelian randomisation OR 1.15 per SD increase in log drinks/week (95% CI 1.03-1.27); alcohol use disorder HR 1.51 (1.42-1.60) |
BMJ Evidence-Based Medicine
2026 ✓ Peer-reviewed PMID 40987604 |
| Alcohol Alcohol, tobacco and cannabis | Prevention |
Benefit
whyThis one reports light-to-moderate drinking as protective (HR 0.65) against non-drinking, and it flatly contradicts the Mendelian randomisation evidence. Infrequent drinkers were excluded, and non-drinkers include people who stopped for health reasons. |
Incident dementia over a median 13.7 years | cohort study | 296,715 | Low-moderate drinking HR 0.65 (95% CI 0.59-0.73) vs non-drinking |
European Journal of Epidemiology
2025 ✓ Peer-reviewed PMID 41014391 |
| Alcohol Alcohol, tobacco and cannabis | Prevention |
Mixed
whySustained mild and moderate drinking carried lower risk than not drinking, sustained heavy drinking higher risk, and cutting down from heavy to moderate lower risk. Observational, with the same abstainer problem. |
Incident all-cause dementia over a mean 6.3 years | cohort study | 3,933,382 | Sustained heavy drinking aHR 1.08 (95% CI 1.03-1.12); heavy-to-moderate reduction aHR 0.92 (0.86-0.99) |
JAMA Network Open
2023 ✓ Peer-reviewed PMID 36745453 |
| Alcohol Alcohol, tobacco and cannabis | Prevention |
Mixed
whyU-shaped: long-term abstainers had 47% higher risk than moderate drinkers, and above 14 units a week each extra 7 units raised risk by 17%. Neither end of the range looks like a benefit of drinking. |
Incident dementia over 23 years | cohort study | 9,087 | Abstinence in midlife vs 1-14 units/week: hazard ratio 1.47 (95% CI 1.15 to 1.89). Among those drinking >14 units/week, "a 7 unit increase in alcohol consumption was associated with a 17% (95% confidence interval 4% to 32%) increase in risk of dementia". CAGE score >2: HR 2.19 (1.29 to 3.71); alcohol-related hospital admission: 4.28 (2.72 to 6.73) |
BMJ
2018 ✓ Peer-reviewed PMID 30068508 |
| Cannabis use Alcohol, tobacco and cannabis | Prevention |
Harm
whyThe exposure is cannabis use severe enough to need hospital care, not cannabis use in general, and the comparison is against other acute-care patients as well as the general population. |
New dementia diagnosis | cohort study | 6,086,794 | Adjusted HR 1.23 (95% CI 1.09-1.39) vs all-cause acute care; 1.72 (95% CI 1.38-2.15) vs general population |
JAMA Neurology
2025 ✓ Peer-reviewed PMID 40227745 |
| Smoking Alcohol, tobacco and cannabis | Prevention |
Benefit
whyDirection is for QUITTING. Risk approached that of never-smokers and levelled off about seven years after quitting; weight gain after quitting narrowed the advantage. The authors flag residual confounding. |
Incident dementia over a median 9.9 years | cohort study | 32,802 | HR 0.84 (95% CI 0.73-0.95) for quitting during follow-up vs continuing to smoke |
Neurology
2026 ✓ Peer-reviewed PMID 42160746 |