Of 285 participants randomized (suvorexant, N = 142; placebo, N = 143), 277 (97%) completed the trial (suvorexant, N = 136; placebo, N = 141). 4 key findings →
Participants: 142
Evidence: high
Full summary, score breakdown and related studies →
Original source
In total, 30 studies were included comprising 14,997 subjects. 5 key findings →
Participants: 14,997
Evidence: low
Full summary, score breakdown and related studies →
Original source
Narcolepsy type 1 is strongly associated with human leukocyte antigen (HLA)-DQB1*06:02; however, no significant associations between IH and HLA alleles have been reported. 4 key findings →
Design: meta-analysis
Participants: 414
Evidence: high
Full summary, score breakdown and related studies →
Original source
78/100
✓ Peer-reviewed
alzhub usefulness score 78 out of 100.
·
Sleep
·
2017-01-01
Study objectives Mounting evidence implicates disturbed sleep or lack of sleep as one of the risk factors for Alzheimer's disease (AD), but the extent of the risk is uncertain. 4 key findings →
Design: systematic review
Participants: 69,216
Evidence: high
Full summary, score breakdown and related studies →
Original source
77/100
✓ Peer-reviewed
alzhub usefulness score 77 out of 100.
·
GeroScience
·
2025-04-11
Sleep disorders, particularly insomnia and obstructive sleep apnea, are increasingly implicated as significant contributors to cognitive decline, dementia, and neurodegenerative diseases such as Alzheimer's disease (AD) and vascular cognitive impairment and dementia (VCID). 4 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
A relationship between sleep disorders and cognitive dysfunctions was reported in Parkinson's Disease (PD), however, some studies did not confirm the link. 4 key findings →
Design: meta-analysis
Participants: 54
Evidence: high
Full summary, score breakdown and related studies →
Original source
Baseline sleep disturbance was associated with a faster rate of longitudinal CSF Aβ42 decline. 4 key findings →
Design: longitudinal study
Participants: 1,205
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
AD was characterized by longer time in bed, more bed exits, less snoring, and changes in estimated sleep states. 5 key findings →
Design: longitudinal study
Participants: 13,588
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Twenty-five out of 44 completed the trial. 5 key findings →
Participants: 25
Evidence: high
Full summary, score breakdown and related studies →
Original source
Our systematic review shows evidence for disruptions in (night-time) melatonin levels in AD as compared to age-matched controls. 3 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Polysomnography (PSG) studies of sleep changes in Alzheimer's disease (AD) have reported but not fully established the relationship between sleep disturbances and AD. 2 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
PloS one
·
2013-10-24
SA may be a gender-dependent, age-dependent, and time-dependent risk factor for dementia. 2 key findings →
Design: cohort study
Participants: 1,414
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Fifty-nine primary studies met all criteria. 5 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
First, sleep problems are associated with accidents and human errors. 5 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
Light treatment alone did not improve nighttime sleep, daytime wake, or rest-activity rhythm. 4 key findings →
Participants: 16
Evidence: high
Full summary, score breakdown and related studies →
Original source
Sleep duration had an inverted U-shape relationship with cognitive scores (P <.001); and sleep quality had a positive linear relationship with cognitive scores (P <.001). 5 key findings →
Design: longitudinal study
Participants: 10,768
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
69/100
✓ Peer-reviewed
alzhub usefulness score 69 out of 100.
·
JAMA neurology
·
2018-06-01
Baseline EDS was associated with increased longitudinal Aβ accumulation in elderly persons without dementia, suggesting that those with EDS may be more vulnerable to pathologic changes associated with Alzheimer disease. 5 key findings →
Design: longitudinal study
Participants: 283
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Midlife insomnia (fully adjusted hazard ratio = 1.24, 95% confidence interval = 1.02-1.50) and late-life terminal insomnia (fully adjusted odds ratio = 1.94, 95% confidence interval = 1.08-3.49) were associated with a higher dementia risk. 3 key findings →
Design: longitudinal study
Participants: 1,446
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
Neurology
·
2012-06-27
Smoking, head injury, pesticide exposure, and farming are potential risk factors for idiopathic REM sleep behavior disorder. 1 key finding →
Design: case-control study
Participants: 694
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Nocturnal hypoxemia was related to greater decline on the 3 MS . 5 key findings →
Design: longitudinal study
Participants: 2,636
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Insomnia in elderly people has traditionally been regarded as inevitable and trivial. 2 key findings →
Design: longitudinal study
Participants: 705
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
61/100
✓ Peer-reviewed
alzhub usefulness score 61 out of 100.
·
Sleep
·
2025-12-11
The study included 44 iRBD patients (81.8% males, mean age 71.0 ± 6.4 years), 55 HC (66.3% males, mean age 69.1 ± 5.5 years), and 28 AD patients (82.1% males, mean age of 70.4 ± 6.7 years). iRBD patients showed significantly higher plasma NfL and GFAP levels and similar pTau181 levels compared to HC. 5 key findings →
Design: cross-sectional
Participants: 44
Evidence: low
Full summary, score breakdown and related studies →
Original source
During a median of 10.8 years follow-up, sleeping more or fewer than 7 hours was associated with a higher dementia risk (hazard ratio [HR] for 5 vs 7 hours: 1.35, 95% confidence interval [CI] 1.11-1.64; HR for 9 vs 7 hours: 1.59; 95% CI 1.37-1.85) as was daytime napping (HR for often/all of the time vs never/rarely: 1.67; 95% CI 1.37-2.03). 4 key findings →
Design: longitudinal study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
We observed a dose-response association between higher alcohol consumption in 2006 and worse sleep quality in 2012 (Ptrend < 0·001), after adjusting for age, sex, socio-economic status, smoking status, physical activity, obesity, plasma lipid profiles, diabetes and hypertension. 5 key findings →
Design: cross-sectional
Participants: 905
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Sleep duration exhibited a U-shaped association with SPARE-AD (p = 0.001), Trail Making Tests A and B, and the Digit Symbol Substitution Test (all p < 0.001). 5 key findings →
Participants: 38,816
Evidence: low
Full summary, score breakdown and related studies →
Original source
How the 0–100 score works — and why some entries are capped
This is alzhub's own score. It is not an official metric, not an impact factor,
and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a
scientist can tell a landmark trial from a conference abstract without having to already know the
difference. Every point comes from one of 20 components, all of them printed on the study itself,
so you can disagree with our arithmetic rather than having to trust the total.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
Journals are placed in ordered tiers, never given a numeric impact factor — we
could not verify current impact factors from a source we control, and an invented one would be
worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science,
Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed
journal. A separate part scores how much the journal's own papers are cited, which tells the
tier-3 journals apart.
Two rules we don't bend. First, we never fill in a
missing value: if a record does not state a sample size or a design, that component scores
zero, and if we simply have no data for a part, such as a citation count, that part is left out and
the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed
article is capped at 16/100 and carries a warning chip — so a conference abstract or
a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not
work — above an early positive finding. Someone deciding whether to buy a supplement is served by
that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is
reproducible: the same file always yields the same numbers.
See the whole rubric drawn out →
— four charts covering all 27,380 studies: how the scores are spread and where the cap
bites, which of the 20 components the library is strong and weak on, which subjects rest on
stronger evidence, and what kinds of study each subject is actually built from.