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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 9 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 |
|---|---|---|---|---|---|---|---|
| Depression Sleep, mood and social life | Prevention |
Harm
whyThe authors read these symptoms as early markers of neurodegeneration rather than causes — which is also how an earlier analysis of this same cohort read its own null result for midlife depression. |
Incident dementia over a mean 22.6 years | cohort study | 5,811 | HR 1.29-1.51 for six specific midlife depressive symptoms |
Lancet Psychiatry
2026 ✓ Peer-reviewed PMID 41412145 |
| Depression Sleep, mood and social life | Prevention |
Harm
whyDirection is for having depression (51% higher risk). Treated depression carried lower risk than untreated (HR 0.7), which is the more interesting half but is an observational comparison of people who did and did not get treatment. |
Incident dementia | cohort study | 354,313 | Depression treatment HR 0.7 (95% CI 0.62-0.77) for incident dementia vs untreated depression |
Biological Psychiatry
2023 ✓ Peer-reviewed PMID 36526487 |
| Genetic risk disclosure Sleep, mood and social life | Prevention |
Harm
whyDistress rose, and rose most in APOE4 homozygotes. The authors nonetheless conclude disclosure by a trained provider was generally safe and well tolerated in this psychologically pre-screened group. |
Disease-specific distress 2-7 days after disclosure | cohort study | 9,496 | Disease-specific distress change at 2-7 days: +2.25 (homozygotes) vs +0.53 (heterozygotes) vs +0.79 (non-carriers) |
The Lancet Healthy Longevity
2025 ✓ Peer-reviewed PMID 41319675 |
| 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
whyDirection is for LOSING slow-wave sleep. 52 cases in 346 people, so the estimate is imprecise, and slow-wave sleep also falls with Alzheimer's genetic risk, which muddies cause and effect. |
Incident dementia over 17 years | cohort study | 346 | HR 1.27 (95% CI 1.06-1.54) per 1%/year loss of slow-wave sleep |
JAMA Neurology
2023 ✓ Peer-reviewed PMID 37902739 |
| 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 |
| Sleep Sleep, mood and social life | Prevention |
Harm
whyDirection is for SHORT sleep (6 hours or less): higher dementia risk than a 7-hour sleep duration. |
Incident dementia over 25 years | cohort study | 7,959 | HR ~1.22 (age 50) and ~1.37 (age 60) for short vs. 7-hour sleep; persistent short sleep across ages 50/60/70 ~30% higher risk |
Nature Communications
2021 ✓ Peer-reviewed PMID 33879784 |
| 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 |
| Social isolation / loneliness Sleep, mood and social life | Prevention |
Harm
whyIsolation (being alone) carried the risk (HR 1.26); loneliness (feeling alone) did not once depressive symptoms were accounted for (HR 1.04, 95% CI 0.94-1.16). That split matters, and the loneliness meta-analysis here reaches the opposite conclusion about loneliness. |
Incident dementia over a mean 11.7 years | cohort study | 462,619 | Social isolation HR 1.26 (95% CI 1.15-1.37) for incident dementia |
Neurology
2022 ✓ Peer-reviewed PMID 35676089 |