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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 |
|---|---|---|---|---|---|---|---|
| Education / cognitive reserve Sleep, mood and social life | Prevention |
Benefit
whyEducation and job complexity each contributed independently; about 28% of the education effect ran through occupation. |
Dementia-free survival time | meta-analysis | 10,195 | Education and occupational complexity independently associated with longer dementia-free survival (28% of education effect mediated by occupation) |
Journal of Alzheimer's Disease
2022 ✓ Peer-reviewed PMID 34776437 |
| Education / cognitive reserve Sleep, mood and social life | Prevention |
Benefit
whyEffect held over and above measured Alzheimer's pathology, which is the point of the reserve idea. |
Incident MCI or dementia | meta-analysis | not stated | "High CR was related to a 47% reduced relative risk of MCI or dementia (pooled-hazard ratio: 0.53 [0.35, 0.81]), with residual-based CR reducing risk by 62% and proxy-based CR by 48%." |
Neuropsychology Review
2021 ✓ Peer-reviewed PMID 33415533 |
| Music therapy Sleep, mood and social life | Treatment |
Benefit
whyImproves depressive symptoms (moderate certainty) and overall behavioural problems (low certainty). No effect on agitation (SMD -0.05, 95% CI -0.27 to 0.17) and no evidence of long-term effects. Sits against the null MIDDEL trial on the same exposure. |
Depressive symptoms at end of treatment | meta-analysis | 1,720 | Depressive symptoms SMD -0.23 (95% CI -0.42 to -0.04); agitation SMD -0.05 (95% CI -0.27 to 0.17) |
Cochrane Database of Systematic Reviews
2025 ✓ Peer-reviewed PMID 40049590 |
| 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 |
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 |
| Social isolation / loneliness Sleep, mood and social life | Prevention |
Harm
whyPersisted after controlling for depression and social isolation. |
Incident all-cause dementia | meta-analysis | 608,561 | All-cause dementia HR 1.306 (95% CI 1.197-1.426); Alzheimer's disease HR 1.393 (95% CI 1.290-1.504, 5 samples); vascular dementia HR 1.735 (95% CI 1.483-2.029, 3 samples); cognitive impairment HR 1.150 (95% CI 1.113-1.189, 16 samples) |
Nature Mental Health
2024 ✓ Peer-reviewed PMID 39802418 |