MID-LIFE AND LATE-LIFE ENVIRONMENTAL EXPOSURES ON DEMENTIA RISK: THE MODIFYING EFFECTS OF APOE
2024

Environmental Exposures and Dementia Risk

Sample size: 3814 publication Evidence: moderate

Author Information

Author(s): Williams, Trane, Sicinski, Herd, Engleman, Asthana

Primary Institution: University of Wisconsin Madison

Hypothesis

How do mid-life and late-life environmental exposures affect dementia risk, particularly in relation to ApoE-4 status?

Conclusion

ApoE-4 status influences the relationship between environmental exposures and dementia risk, with different effects based on the timing of exposure.

Supporting Evidence

  • Mid-life occupational exposure was associated with 1.64 times greater odds of all-cause dementia among ApoE-4 noncarriers.
  • Late-life air pollution exposure increased dementia risk only in ApoE-4 carriers.
  • ApoE-4 appears protective against the adverse effects of hazardous respiratory exposures in mid-life.

Takeaway

Breathing bad air when you're older can make you more likely to get dementia, especially if you have a certain gene, while exposure to harmful work conditions in middle age affects those without that gene.

Methodology

The study used prospective life course data from the Wisconsin Longitudinal Study to evaluate the effects of occupational and air pollution exposures on dementia risk.

Participant Demographics

Participants were from the Wisconsin Longitudinal Study, with a focus on mid-life and late-life exposures.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1358

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