Nine risk factors may contribute to two thirds of Alzheimer's cases worldwide

http://goo.gl/W07Y0K

Out of almost 17,000 studies, 323, covering 93 different potential risk factors and more than 5000 people, were suitable for inclusion in the analysis. The researchers pooled the data from each of the studies and graded the evidence according to its strength.

They found grade 1 level evidence in favour of a protective effect for the female hormone oestrogen,cholesterol lowering drugs (statins), drugs to lower high blood pressure, and anti-inflammatory drugs (NSAIDs).

They found the same level of evidence for folatevitamins C and E, and coffee, all of which were associated with helping to stave off the disease.

Similarly, the pooled data indicated a strong association between high levels of homocysteine - an amino acid manufactured in the body - and depression and a significantly heightened risk of developing Alzheimer's disease.

The evidence also strongly pointed to the complex roles of pre-existing conditions as either heightening or lowering the risk.

The factors associated with a heightened risk included frailty, carotid artery narrowing, high and low blood pressure, and type 2 diabetes (in the Asian population). Those associated with a lowered risk included a history of arthritisheart disease, metabolic syndrome, and cancer.