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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Association between environmental mold exposure and mild cognitive impairment in older adults: a case-control study
Raquel Rivera-Carvajal1, Diana Carolina Tiga-Loza1, D Jimena Roncancio2
1Facultad de Ciencias Médicas y de la Salud, Doctorado en Enfermedades Infecciosas, Instituto de Investigación MASIRA, Universidad de Santander, Bucaramanga, Colombia.
Introduction:
Cognitive disorders have been associated with exposure to environmental molds in case series and animal experimental models. Older adults spend a substantial proportion of their time indoors, where they may be exposed to household mold contamination.
Objective:
To determine the association between indoor environmental mold exposure and amnestic mild cognitive impairment (aMCI) among older adults in Bucaramanga during 2024-2025.
Methods:
A case-control study (1:1 ratio) was conducted, including 60 cases and 60 controls, matched by sex, age, and neighborhood of residence. Cases were selected from the INTERCOG study and controls from the general population. Data collection included participant and housing characterization, the Dampness and Mold Assessment Tool for General Buildings (DMAT), and an assessment of Sick Building Syndrome (SBS) related symptoms. Air culture samples were collected from bedrooms, living rooms, and kitchens. Indoor CO2, relative humidity, and temperature, mold-specific serum IgE levels were measured. Multivariable analyses were performed using conditional logistic regression.
Results:
Most participants were female, with a median age of 69 years. aMCI was significantly associated with increased odds of SBS-related nasal irritation (OR = 5.84; 95%CI: 1.20-28.37). The presence of Fusarium spp. in kitchen samples (OR = 3.86; 95%CI: 0.85-17.30) and history of diabetes mellitus (DM) showed a positive but non-significant association with aMCI (OR = 7.68; 95%CI: 0.95-61.16). Higher indoor temperature and greater frequency of household cleaning exhibited a protective trend against aMCI.
Conclusion:
Nasal irritation experienced indoor and relieved upon leaving the home was significantly associated with aMCI. Positive but non-significant associations were observed for the presence of Fusarium spp. and a history of DM. Higher indoor temperature and more frequent household cleaning showed inverse, non-significant associations with aMCI. These findings highlight the need for further research to elucidate the role of residential environmental exposures with aMCI.
Insights
Indoor mold exposure, particularly nasal irritation, is linked to amnestic mild cognitive impairment (aMCI) in older adults. Higher indoor temperatures and frequent cleaning may offer protection against cognitive decline.
Area of Science:
- Environmental Health
- Neuroscience
- Gerontology
Background:
- Cognitive disorders are increasingly linked to environmental factors, including mold exposure.
- Older adults are particularly vulnerable due to significant indoor time and potential household mold contamination.
Purpose of the Study:
- To investigate the association between indoor environmental mold exposure and amnestic mild cognitive impairment (aMCI) in older adults.
- To identify specific mold species and environmental factors contributing to cognitive impairment.
Main Methods:
- A case-control study involving 60 cases of aMCI and 60 matched controls.
- Data collection included housing assessments (DMAT), Sick Building Syndrome (SBS) symptoms, air/serum mold analysis, and environmental monitoring (CO2, humidity, temperature).
Main Results:
- aMCI was significantly associated with SBS-related nasal irritation (OR = 5.84).
- Presence of *Fusarium* spp. in kitchens (OR = 3.86) and diabetes mellitus showed non-significant positive associations with aMCI.
- Higher indoor temperature and frequent cleaning suggested a protective trend against aMCI.
Conclusions:
- Indoor nasal irritation is a significant risk factor for aMCI in older adults.
- Further research is needed to confirm the role of *Fusarium* spp. and other environmental exposures in cognitive decline.
- Residential environmental factors warrant closer examination for their impact on cognitive health in aging populations.
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