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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 |
|---|---|---|---|---|---|---|---|
| Anti-amyloid antibody Medicines | Treatment |
Mixed
whyA statistically detectable but very small cognitive effect (ADAS-Cog SMD -0.11) alongside 107 more cases of ARIA-E per 1,000. The reviewers' own conclusion is that removing amyloid does not seem to produce clinically meaningful effects — the sharpest disagreement in this table with how the individual trials were reported. |
ADAS-Cog and CDR-SB at 18 months; ARIA | meta-analysis | 20,342 | ADAS-Cog SMD -0.11 (95% CI -0.16 to -0.06); ARIA-E absolute risk difference +107 per 1,000 |
Cochrane Database of Systematic Reviews
2026 ✓ Peer-reviewed PMID 41985900 |
| Anti-amyloid antibody Medicines | Treatment |
Mixed
whyBenefits were statistically present but every one fell below the minimum clinically important difference, against a number needed to harm of 9 for ARIA-oedema. Agrees with the Cochrane review and not with the trial reports. |
Cognitive and functional scales against the MCID; ARIA | meta-analysis | 23,202 | CDR-SB mean difference -0.18 (95% CI -0.34 to -0.03), below the MCID; ARIA-oedema NNH 9 |
Annals of Family Medicine
2024 ✓ Peer-reviewed PMID 38253509 |
| Antihypertensives / BP lowering Medicines | Prevention |
Mixed
whyAntihypertensive treatment improved cognitive scores by a small amount (SMD 0.06, moderate certainty) but the reduction in dementia incidence was not statistically significant (OR 0.89, low certainty). The drug-class rankings rest on one trial per class and are described as highly uncertain. |
Cognitive function scores and incident dementia in hypertensive older adults (four RCTs) | meta-analysis | 16,823 | Antihypertensive treatment significantly improved cognitive function scores (SMD, 0.06; 95% CI, 0.03-0.09; P < .001, GRADE moderate certainty) and showed a nonsignificant trend toward reduced dementia incidence (OR, 0.89; 95% CI, 0.76-1.05; P = .172, GRADE low certainty) |
Journal of the American Medical Directors Association
2026 ✓ Peer-reviewed PMID 41962914 |
| Antihypertensives / BP lowering Medicines | Prevention |
Mixed
whyAntihypertensive use tracked lower Alzheimer's risk but not lower non-Alzheimer dementia risk, where treated and untreated hypertension looked the same. A single baseline blood pressure reading predicted neither. |
Alzheimer's and non-Alzheimer dementia | meta-analysis | 31,250 | Untreated vs treated hypertension: Alzheimer's dementia HR 1.42 (95% CI 1.08-1.87) |
Neurology
2024 ✓ Peer-reviewed PMID 39141884 |
| Metformin / antidiabetic Medicines | Prevention |
Mixed
whyThe split inside this one paper is the finding: the 41 observational studies show large benefits (SGLT2i OR 0.56, GLP-1RA OR 0.58) while the 23 randomised trials show no difference. When design and result disagree this cleanly, the trials are the ones to believe. |
Incident dementia | meta-analysis | 3,462,926 | Observational: SGLT2i OR 0.56 (95% CI 0.45-0.69), GLP-1RA OR 0.58 (0.46-0.73) vs non-users; RCTs: no difference |
Alzheimer's Research & Therapy
2024 ✓ Peer-reviewed PMID 39716328 |