Dissecting the effect of long-term exposure to air pollution on risk of dementia in UK Biobank
摘要
Mounting evidence links air pollution to dementia, the most prevalent cause of cognitive impairment in older people. Here we investigated individual and compound effects of particulate matters (PM10, PM2.5, PMcoarse, PMabs) and nitric oxides (NO2, NO) on risk of all-cause dementia, and its most common subtypes, Alzheimer’s disease (AD) and vascular dementia (VAD), using data from UK Biobank. We addressed factors that hinder causal interpretation of associations previously shown in the literature and their translation into clear public health policies. Specifically: 1) spatial confounding by area-level covariates, 2) collinearity among and identification of the most relevant air pollutants, and 3) the time window for pollution exposure. Furthermore, we used chronic obstructive pulmonary disease (COPD) and frequency of oily fish intake in positive and negative control analyses. We found NO2 to be the strongest risk factor for dementia, especially when considering participants with longer permanence at residential address as proxy for longer periods (