The mean age of the 402 study residents was 86.7 years [range, 67-102 years]; 350 were white (87.1%) and 323 were female (80.3%), with DNH directives that by 6 months did not differ between arms (63% in both arms; adjusted odds ratio [AOR], 1.08; 95% CI, 0.69-1.69). 1 key finding →
Participants: 212
Evidence: high
Full summary, score breakdown and related studies →
Original source
Both increased sympathetic activity and decreased parasympathetic activity seem to be associated with a worse performance in the cognitive domains considered, in the absence of dementia and severe cardiovascular diseases or other medical and psychiatric diseases. 5 key findings →
Design: systematic review
Participants: 19,431
Evidence: high
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
Heart rhythm
·
2012-08-02
AF is independently associated with increased risk of dementia. 5 key findings →
Design: meta-analysis
Participants: 77,668
Evidence: high
Full summary, score breakdown and related studies →
Original source
Lecanemab treatment resulted in significant reduction in amyloid plaques and a slowing of clinical decline. 5 key findings →
Design: open-label trial
Participants: 856
Evidence: high
Full summary, score breakdown and related studies →
Original source
FDA-approved anti-Aβ mabs have a role in slowing disease progression in patients with AD, at the cost of an increased probability of side effects. 3 key findings →
Design: systematic review
Participants: 4,471
Evidence: high
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
JAMA network open
·
2020-12-01
In this study, low plasma Aβ42/40 was associated with more pronounced decline in cognitive function (measured by multiple outcomes) over time. 5 key findings →
Design: cohort study
Participants: 448
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
BMJ open
·
2021-06-09
Profiles of high risk for future dementia are well understood and are likely to concern mostly those in low-income and middle-income countries and people at greater disadvantage in high-income countries. 1 key finding →
Design: randomized controlled trial
Participants: 2,400
Evidence: high
Full summary, score breakdown and related studies →
Original source
Our findings show that the first months of the outbreak did not significantly impact the cognition, quality of life, perceived health status, and depression of our study population when making comparisons with baseline assessments prior to the outbreak. 5 key findings →
Design: cohort study
Participants: 75
Evidence: high
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
Neurology
·
2001-08-01
As the first 1-year, multinational, double-blinded, placebo-controlled study of a cholinesterase inhibitor in AD, these data support donepezil as a well tolerated and effective long-term treatment for patients with AD, with benefits over placebo on global assessment, cognition, and ADL. 3 key findings →
Participants: 286
Evidence: high
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
Nature genetics
·
2018-06-25
Intelligence is highly heritable 1 and a major determinant of human health and well-being 2 . 2 key findings →
Design: meta-analysis
Participants: 269,867
Evidence: high
Full summary, score breakdown and related studies →
Original source
81/100
✓ Peer-reviewed
alzhub usefulness score 81 out of 100.
·
Nature genetics
·
2017-01-16
Collecting cases for case-control genetic association studies can be time-consuming and expensive. 1 key finding →
Design: meta-analysis
Participants: 116,196
Evidence: high
Full summary, score breakdown and related studies →
Original source
Due to the small number of studies and heterogeneity in study design and outcomes, the association between DNA methylation age and age-related disease and longevity is inconclusive. 3 key findings →
Design: systematic review
Participants: 41,607
Evidence: high
Full summary, score breakdown and related studies →
Original source
Immunotherapeutics targeting amyloid-β (Aβ) have had mixed results in clinical trials. 3 key findings →
Participants: 5,554
Evidence: high
Full summary, score breakdown and related studies →
Original source
The efficacy and safety of anti-amyloid mAbs in AD may differ based on patients' demographic and genetic factors. 4 key findings →
Design: systematic review
Participants: 5,633
Evidence: high
Full summary, score breakdown and related studies →
Original source
ACHIEVE-P sets the stage for the full-scale ACHIEVE trial (N = 850, recruitment beginning November 2017), the first randomized trial to determine efficacy of a best practices hearing (vs. successful aging) intervention on reducing cognitive decline in older adults with HL. 1 key finding →
Design: randomized controlled trial
Participants: 850
Evidence: high
Full summary, score breakdown and related studies →
Original source
Regarding exposures to air pollution, there was convincing (class I) evidence for the association between long-term exposure to solvents and a higher incidence of dementia or cognitive impairment (odds ratio, OR=1.139), and highly suggestive (class II) evidence for the association between long-term exposure to some pollutants and higher risk for cognitive disorders (higher incidence of dementia with high vs. low levels of carbon monoxide, CO: OR=1.587; higher incidence of vascular dementia per 1 μg/m 3 increase of nitrogen oxides, NO x : hazard ratio, HR=1.004). 1 key finding →
Design: systematic review
Participants: 195
Evidence: high
Full summary, score breakdown and related studies →
Original source
A total of 210 participants were enrolled and 82% completed 26 weeks of treatment. 5 key findings →
Design: clinical trial
Participants: 210
Evidence: high
Full summary, score breakdown and related studies →
Original source
More than 25% of the U.S. population aged ≥ 65 years has diabetes mellitus (hereafter referred to as diabetes),1 and the aging of the overall population is a significant driver of the diabetes epidemic. 5 key findings →
Design: meta-analysis
Participants: 1,000
Evidence: high
Full summary, score breakdown and related studies →
Original source
80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
JAMA Network Open
·
2024-02-05
In this meta-analysis of the association of physical activity with cognitive decline, physical activity was associated with better late-life cognition, but the association was weak. 5 key findings →
Design: meta-analysis
Participants: 341,471
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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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
Full summary, score breakdown and related studies →
Original source
Free full text
80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
Nature Medicine
·
2023-05-29
An unresolved question for the understanding of Alzheimer's disease (AD) pathophysiology is why a significant percentage of amyloid-β (Aβ)-positive cognitively unimpaired (CU) individuals do not develop detectable downstream tau pathology and, consequently, clinical deterioration. 5 key findings →
Design: cohort
Participants: 1,016
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Free full text
80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
JAMA
·
2008-09-01
In this study of adults with subjective memory impairment, a 6-month program of physical activity provided a modest improvement in cognition over an 18-month follow-up period. 3 key findings →
Design: randomized controlled trial
Participants: 170
Evidence: high
Full summary, score breakdown and related studies →
Original source
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80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
JAMA
·
2010-11-01
Epidemiological studies suggest that consumption of DHA is associated with a reduced incidence of Alzheimer disease. 5 key findings →
Participants: 102
Evidence: high
Full summary, score breakdown and related studies →
Original source
Free full text
80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
JAMA
·
2009-12-01
Tarenflurbil did not slow cognitive decline or the loss of activities of daily living in patients with mild AD. 3 key findings →
Design: clinical trial
Participants: 1,684
Evidence: high
Full summary, score breakdown and related studies →
Original source
Free full text
Memantine is a moderate affinity uncompetitive antagonist of glutamate NMDA receptors. 4 key findings →
Design: post-hoc analysis
Participants: 10,000
Evidence: high
Full summary, score breakdown and related studies →
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.