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dc.rights.licenseopenen_US
dc.contributor.authorMORTAMAIS, Marion
dc.contributor.authorGUTIERREZ, Laure-Anne
dc.contributor.authorDE HOOGH, Kees
dc.contributor.authorCHEN, Jie
dc.contributor.authorVIENNEAU, Danielle
dc.contributor.authorCARRIERE, Isabelle
dc.contributor.authorLETELLIER, Noemie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHELMER, Catherine
dc.contributor.authorGABELLE, Audrey
dc.contributor.authorMURA, Thibault
dc.contributor.authorSUNYER, Jordi
dc.contributor.authorBENMARHNIA, Tarik
dc.contributor.authorJACQUEMIN, Benedicte
dc.contributor.authorBERR, Claudine
dc.date.accessioned2021-04-21T11:14:17Z
dc.date.available2021-04-21T11:14:17Z
dc.date.issued2021-03
dc.identifier.issn1873-6750 (Electronic) 0160-4120 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/27005
dc.description.abstractEnBACKGROUND: Emerging epidemiological evidence suggests a relationship between exposure to air pollution and dementia. However, most of the existing studies relied on health administrative databases for the diagnosis of dementia. In a large French population-based cohort (the 3C Study), we assessed the effects of particulate matter ≤2.5 µm (PM2.5), nitrogen dioxide (NO(2)) and black carbon (BC) on the risk of dementia diagnosed with reliable tools. METHODS: Participants aged ≥65 years were recruited between 1999 and 2001 and followed for 12 years. At baseline and every 2 years, dementia was suspected on the basis of the neuropsychological and neurological examination and confirmed by an independent committee of clinicians. Exposure to NO(2), BC and PM2.5 at the participants' residential address was estimated using land use regression models. For each pollutant and year of follow-up, the 10-year moving average of past exposure was estimated. Multilevel spatial random-effects Cox proportional hazards models were used in which exposure was included as a time-varying variable. Analyses were adjusted for individual (age, sex, education, APOE4 genotype, health behaviours) and contextual (neighbourhood deprivation index) confounders. RESULTS: At baseline, the median age of the 7066 participants was 73.4 years, and 62% were women. The median follow-up duration was 10.0 years during which 791 participants developed dementia (n = 541 Alzheimer's disease (AD) and n = 155 vascular/mixed dementia (VaD)). The 10-year moving average of PM2.5 concentrations ranged from 14.6 to 31.3 µg/m(3). PM2.5 concentration was positively associated with dementia risk: HR = 1.20, 95% CI (1.08-1.32) for all-cause dementia, 1.20 (1.09-1.32) for AD, and 1.33 (1.05-1.68) for VaD per 5 µg/m(3) PM2.5 increase. No association was detected between NO(2) or BC exposure and dementia risk. CONCLUSION: In this large cohort of older adults, long-term PM2.5 exposure was associated with increased dementia incidence. Reducing PM2.5 emissions might lessen the burden of dementia in aging populations.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enCohort
dc.subject.enDementia
dc.subject.enIncidence
dc.subject.enElderly
dc.subject.enAir pollution
dc.subject.enFine particulate matter
dc.subject.enNitrogen dioxide
dc.subject.enBlack carbon
dc.title.enLong-term exposure to ambient air pollution and risk of dementia: Results of the prospective Three-City Study
dc.title.alternativeEnviron Inten_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.envint.2020.106376en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed33484961en_US
bordeaux.journalEnvironment internationalen_US
bordeaux.page106376en_US
bordeaux.volume148en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDFondation de Franceen_US
bordeaux.identifier.funderIDInstitut National de la Santé et de la Recherche Médicaleen_US
bordeaux.identifier.funderIDUniversité de Bordeauxen_US
bordeaux.identifier.funderIDFondation pour la Recherche Médicaleen_US
bordeaux.identifier.funderIDMutuelle Générale de l'Education Nationaleen_US
bordeaux.identifier.funderIDAgence Nationale de la Rechercheen_US
bordeaux.identifier.funderIDAgence Française de Sécurité Sanitaire des Produits de Santéen_US
bordeaux.identifier.funderIDConseil Régional Aquitaineen_US
bordeaux.identifier.funderIDConseil régional de Bourgogne-Franche-Comtéen_US
bordeaux.identifier.funderIDConseil Régional Languedoc-Roussillonen_US
bordeaux.identifier.funderIDCaisse nationale de solidarité pour l'autonomieen_US
bordeaux.identifier.funderIDFondation Plan Alzheimeren_US
bordeaux.identifier.funderIDAgence Nationale de Sécurité Sanitaire de l’Alimentation, de l’Environnement et du Travailen_US
hal.exportfalse
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