A national cohort study (2000–2018) of long-term air pollution exposure and incident dementia in older adults in the United States

We found elevated HRs for both dementia and AD in relation to PM2.5, and less markedly to NO2, while HRs for warm-season O3 were not elevated. We did this study in a large US cohort (12 million), with national coverage, and including non-urban areas. For both PM2.5 and NO2, we found a larger effect on AD compared to dementia, which may reflect the fact that dementia includes a wide range of diseases with distinct etiologies, some of which may be unrelated to air pollution, while AD is a subset of dementia and a single disease, for which we found a stronger association. On the other hand, we know of no pathophysiologic data, which indicate that air pollution might affect AD more than dementia; data relevant to disease mechanisms would suggest both AD and the broader category of dementia might be affected by air pollution22,23.

We also found that shorter time windows between exposure…

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