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Air Pollution and Dementia : Evidence from Epidemiological Studies

Oudin, Anna LU orcid (2025) p.135-156
Abstract

This chapter reviews the growing body of epidemiological evidence linking long-term exposure to ambient air pollution with increased risk of dementia, including Alzheimer’s disease (AD) and vascular dementia (VaD). With air pollution now recognized as a potentially modifiable risk factor, the chapter explores mechanistic pathways, such as neuroinflammation and oxidative stress, through which pollutants like PM2.5 and NO₂ may contribute to neurodegeneration. It discusses dementia subtypes, highlighting the need for subtype-specific analyses given their differing pathologies and risk factors. The chapter also emphasizes the importance of life course exposure assessment and the potential roles of co-exposures such as noise and lack of... (More)

This chapter reviews the growing body of epidemiological evidence linking long-term exposure to ambient air pollution with increased risk of dementia, including Alzheimer’s disease (AD) and vascular dementia (VaD). With air pollution now recognized as a potentially modifiable risk factor, the chapter explores mechanistic pathways, such as neuroinflammation and oxidative stress, through which pollutants like PM2.5 and NO₂ may contribute to neurodegeneration. It discusses dementia subtypes, highlighting the need for subtype-specific analyses given their differing pathologies and risk factors. The chapter also emphasizes the importance of life course exposure assessment and the potential roles of co-exposures such as noise and lack of green space, which are often correlated with air pollution but understudied in relation to cognitive decline. A review of systematic reviews and meta-analyses reveals consistent associations between PM2.5 and dementia risk, though evidence remains limited for other pollutants. The chapter calls for future studies to adopt multi-exposure frameworks, improve exposure and outcome assessments, and include underrepresented populations in high-pollution areas, particularly in low- and middle-income countries. Establishing a causal link between air pollution and dementia could significantly strengthen the case for environmental interventions as a public health strategy to reduce the burden of dementia worldwide.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Air pollution, Alzheimer’s disease, Cognitive decline, Dementia, Environmental epidemiology, Vascular dementia
host publication
Air Pollution and the Brain
pages
22 pages
publisher
Springer Science and Business Media B.V.
external identifiers
  • scopus:105022329489
ISBN
9783031993022
9783031993015
DOI
10.1007/978-3-031-99302-2_7
language
English
LU publication?
yes
id
081f0d34-3766-418d-b7f0-a2fe0836a65c
date added to LUP
2026-02-09 13:57:12
date last changed
2026-02-09 13:58:03
@inbook{081f0d34-3766-418d-b7f0-a2fe0836a65c,
  abstract     = {{<p>This chapter reviews the growing body of epidemiological evidence linking long-term exposure to ambient air pollution with increased risk of dementia, including Alzheimer’s disease (AD) and vascular dementia (VaD). With air pollution now recognized as a potentially modifiable risk factor, the chapter explores mechanistic pathways, such as neuroinflammation and oxidative stress, through which pollutants like PM2.5 and NO₂ may contribute to neurodegeneration. It discusses dementia subtypes, highlighting the need for subtype-specific analyses given their differing pathologies and risk factors. The chapter also emphasizes the importance of life course exposure assessment and the potential roles of co-exposures such as noise and lack of green space, which are often correlated with air pollution but understudied in relation to cognitive decline. A review of systematic reviews and meta-analyses reveals consistent associations between PM2.5 and dementia risk, though evidence remains limited for other pollutants. The chapter calls for future studies to adopt multi-exposure frameworks, improve exposure and outcome assessments, and include underrepresented populations in high-pollution areas, particularly in low- and middle-income countries. Establishing a causal link between air pollution and dementia could significantly strengthen the case for environmental interventions as a public health strategy to reduce the burden of dementia worldwide.</p>}},
  author       = {{Oudin, Anna}},
  booktitle    = {{Air Pollution and the Brain}},
  isbn         = {{9783031993022}},
  keywords     = {{Air pollution; Alzheimer’s disease; Cognitive decline; Dementia; Environmental epidemiology; Vascular dementia}},
  language     = {{eng}},
  month        = {{01}},
  pages        = {{135--156}},
  publisher    = {{Springer Science and Business Media B.V.}},
  title        = {{Air Pollution and Dementia : Evidence from Epidemiological Studies}},
  url          = {{http://dx.doi.org/10.1007/978-3-031-99302-2_7}},
  doi          = {{10.1007/978-3-031-99302-2_7}},
  year         = {{2025}},
}