1. Household air pollution from solid fuel use as a dose-dependent risk factor for cognitive impairment in northern China
- Author
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Tseng, T-WJ, Carter, E, Yan, L, Chan, Q, Elliott, P, Ezzati, M, Kelly, F, Schauer, JJ, Wu, Y, Yang, X, Zhao, L, Baumgartner, J, and Wellcome Trust
- Subjects
China ,Multidisciplinary ,Risk Factors ,Air Pollution ,Air Pollution, Indoor ,Humans ,Cognitive Dysfunction ,Cooking ,Environmental Exposure ,Prospective Studies ,Aged - Abstract
The relationship between exposure to household air pollution (HAP) from solid fuel use and cognition remains poorly understood. Among 401 older adults in peri-urban northern China enrolled in the INTERMAP-China Prospective Study, we estimated the associations between exposure to HAP and z-standardized domain-specific and overall cognitive scores from the Montreal Cognitive Assessment. Interquartile range increases in exposures to fine particulate matter (53.2-µg/m3) and black carbon (0.9-µg/m3) were linearly associated with lower overall cognition [− 0.13 (95% confidence interval: − 0.22, − 0.04) and − 0.10 (− 0.19, − 0.01), respectively]. Using solid fuel indoors and greater intensity of its use were also associated with lower overall cognition (range of point estimates: − 0.13 to − 0.03), though confidence intervals included zero. Among individual cognitive domains, attention had the largest associations with most exposure measures. Our findings indicate that exposure to HAP may be a dose-dependent risk factor for cognitive impairment. As exposure to HAP remains pervasive in China and worldwide, reducing exposure through the promotion of less-polluting stoves and fuels may be a population-wide intervention strategy to lessen the burden of cognitive impairment.
- Published
- 2022