Initially, healthy older adults randomized to speed of processing cognitive training had a 29% reduction in their risk of dementia after 10 years of follow-up compared to the untreated control group. 5 key findings →
Design: randomized controlled trial
Participants: 2,802
Evidence: high
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Data collection and analysis We initially screened search results using a 'crowdsourcing' method in which members of Cochrane's citizen science platform identify RCTs. 4 key findings →
Design: meta-analysis
Participants: 400
Evidence: high
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The multidomain intervention showed no efficacy in preventing cognitive decline. 2 key findings →
Participants: 531
Evidence: high
Full summary, score breakdown and related studies →
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Pooling data on more than 600,000 people, this meta-analysis found that people who reported feeling lonely had about a 30% higher risk of developing dementia overall, and even higher risk for vascular dementia specifically, even after accounting for depression and objective social isolation. 4 key findings →
Design: meta-analysis
Participants: 608,561
Evidence: high
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The first single-stage individual patient data meta-analysis from randomized double-blind placebo-controlled clinical trials provides evidence to support benefits of antihypertensive treatment in late-mid and later life to lower the risk of dementia. 5 key findings →
Design: meta-analysis
Participants: 28,008
Evidence: high
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We identified 22 hospital-based and eight population-based eligible cohorts (7511 patients) described in 73 papers. 2 key findings →
Design: systematic review
Participants: 7,511
Evidence: high
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Main results We included two trials with 26,340 participants aged 40 to 82 years of whom 11,610 were aged 70 or older. 2 key findings →
Design: meta-analysis
Participants: 26,340
Evidence: high
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Evidence from well-planned, representative epidemiological surveys is scarce in many regions. 5 key findings →
Design: systematic review
Evidence: high
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A nurse-led, multidomain intervention did not result in a reduced incidence of all-cause dementia in an unselected population of older people. 3 key findings →
Design: randomized controlled trial
Participants: 3,526
Evidence: high
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The CAIDE (Cardiovascular Risk Factors, Aging and Dementia) Risk Score is a validated tool estimating dementia risk. 4 key findings →
Design: post-hoc analysis
Participants: 112
Evidence: high
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Original source
Despite older racial and ethnic minorities (REMs) being more likely to develop dementia they are underrepresented in clinical trials focused on neurological disorders. 5 key findings →
Design: systematic review
Participants: 100,748
Evidence: high
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Original source
Twenty-three articles were included in the systematic review, and 21 in the meta-analysis. 2 key findings →
Design: systematic review
Participants: 7,000
Evidence: high
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Original source
78/100
✓ Peer-reviewed
alzhub usefulness score 78 out of 100.
·
JAMA
·
2025-06-17
In this sample of 101 219 patients, 52.7% were women and mean age was 62.6 years (SD, 9.3 years) as of November 1, 2016. 2 key findings →
Design: cohort
Participants: 101,219
Evidence: moderate
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Dementia represents a substantial financial burden on society, one that is similar to the financial burden of heart disease and cancer. 3 key findings →
Design: longitudinal study
Participants: 856
Evidence: moderate
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The detailed estimates in this study constitute the best current basis for policymaking, planning, and allocation of health and welfare resources in dementia care. 2 key findings →
Design: systematic review
Evidence: high
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The included studies (n=15) assessed change in cognition in response to a multidomain lifestyle intervention. 5 key findings →
Design: systematic review
Participants: 15
Evidence: high
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77/100
✓ Peer-reviewed
alzhub usefulness score 77 out of 100.
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JAMA neurology
·
2021-09-01
A total of 95 unique studies were included in this systematic review, of which 74 with 2 760 379 unique patients were also included in 5-year age band meta-analyses. 5 key findings →
Design: systematic review
Participants: 95
Evidence: high
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76/100
✓ Peer-reviewed
alzhub usefulness score 76 out of 100.
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BMJ
·
2024-04-17
Antipsychotic use compared with non-use in adults with dementia was associated with increased risks of stroke, venous thromboembolism, myocardial infarction, heart failure, fracture, pneumonia, and acute kidney injury, but not ventricular arrhythmia. 5 key findings →
Design: cohort
Participants: 173,910
Evidence: moderate
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An estimated 8.8 million Indians older than 60 years have dementia. 2 key findings →
Design: longitudinal study
Participants: 2,528
Evidence: moderate
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In a large dementia prevention trial with 6-year follow-up, dropout was associated with older age, poorer cognitive function, symptoms of depression, and disability at baseline. 4 key findings →
Design: randomized controlled trial
Participants: 2,994
Evidence: high
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Original source
Main results Seventeen trials with 1067 participants met the inclusion criteria. 5 key findings →
Design: meta-analysis
Participants: 1,067
Evidence: high
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Dementia prevalence rates reported for age 65+ years from a low of 6.3% in Japanese Americans, 12.9% in Caribbean Hispanic Americans, 12.2% in Guamanian Chamorro and ranged widely in African Americans from 7.2% to 20.9%. 2 key findings →
Design: systematic review
Participants: 1,215
Evidence: high
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75/100
✓ Peer-reviewed
alzhub usefulness score 75 out of 100.
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Neurology
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2013-04-17
This study is based on 2 cross-sectional surveys of people aged 75 years or over conducted in central Stockholm: the Kungsholmen Project (KP) (1987-1989, n = 1,700) and the Swedish National study on Aging and Care in Kungsholmen (SNAC-K) (2001-2004, n = 1,575). 4 key findings →
Design: cross-sectional
Participants: 1,700
Evidence: low
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74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
·
JAMA Neurology
·
2021-09
This large meta-analysis pooled dozens of studies to estimate how many people under age 65 are living with dementia worldwide. 4 key findings →
Design: meta-analysis
Participants: 2,760,379
Evidence: moderate
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Original source
74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
·
Nature
·
2025-04-02
Neurotropic herpesviruses may be implicated in the development of dementia 1-5 . 1 key finding →
Design: cohort
Evidence: moderate
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Original source
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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.