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Air Pollution and Alzheimer's Disease: A Systematic Review and Meta-Analysis
Ludovico Baiamonte1,2, Domenico Tarantino1,2, Manuela Lodico1,3
1Department of Diagnostic, Interventional and Stroke Radiology, UOC Neurology, AOUP 'P. Giaccone', 90100 Palermo, Italy.
Fine particulate matter exposure, specifically PM2.5, is linked to a higher risk of Alzheimer's disease (AD). This systematic review found PM2.5 significantly increases AD probability, while other common air pollutants showed no clear association.
Area of Science:
- Environmental Health
- Neuroscience
- Epidemiology
Background:
- Alzheimer's disease (AD) is the leading cause of dementia globally.
- Environmental factors, particularly air pollution, are increasingly investigated for their role in AD risk.
- Existing research on air pollution and AD risk is inconclusive due to study heterogeneity.
Purpose of the Study:
- To systematically review and meta-analyze studies examining the association between air pollutant exposure and Alzheimer's disease risk.
- To identify specific air pollutants linked to an increased probability of developing AD.
Main Methods:
- Systematic literature search conducted across PubMed, Embase, and Scopus databases.
- Inclusion criteria focused on studies quantitatively assessing the link between air pollutants and AD risk.
- Meta-analysis performed to calculate pooled risk estimates for various pollutants.
Main Results:
- A significant association was found between exposure to fine particulate matter (PM2.5) and increased Alzheimer's disease risk (HR 1.74, 95% CI 1.36-2.23).
- No significant association was supported for other analyzed pollutants: PM10 (HR 1.35), NO2 (HR 1.34), and O3 (HR 1.03).
- A total of 27 studies were included from 1081 retrieved records.
Conclusions:
- PM2.5 exposure is strongly associated with a higher risk of Alzheimer's disease, suggesting potential neurotoxic effects.
- The role of PM10, NO2, and O3 in AD risk was not clearly established in this analysis.
- Findings should be interpreted cautiously due to heterogeneity in AD definitions across studies; further research is warranted.
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