Evidence map›Paper›PMID 31200706›Full record

ArticleEnvironmental health : a global access science source2019

Exposure to polychlorinated biphenyls and organochlorine pesticides and risk of dementia, Alzheimer's disease and cognitive decline in an older population: a prospective analysis from the Canadian Study of Health and Aging.

Thierry Comlan Marc Medehouenou, Pierre Ayotte, Pierre-Hugues Carmichael, Edeltraut Kröger, René Verreault, Joan Lindsay, Éric Dewailly, Suzanne L Tyas, Alexandre Bureau, Danielle Laurin

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Thierry Comlan Marc MedehouenouDépartement de Génie d'imagerie médicale et de radiobiologie, École Polytechnique d'Abomey-Calavi, University of Abomey-Calavi, P.O. Box 2009, Cotonou, Abomey-Calavi, Republic of Benin. thierry.medehouenou@epac.uac.bj.ORCID 0000-0001-9585-3935
Pierre AyotteDépartement de médecine sociale et préventive, Faculty of Medicine, Laval University, Québec, Canada.
Pierre-Hugues CarmichaelCentre d'excellence sur le vieillissement de Québec, CHU de Québec-Université Laval Research Center, and Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec, Canada.
Edeltraut KrögerCentre d'excellence sur le vieillissement de Québec, CHU de Québec-Université Laval Research Center, and Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec, Canada.
René VerreaultCentre d'excellence sur le vieillissement de Québec, CHU de Québec-Université Laval Research Center, and Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec, Canada.
Joan LindsayDépartement de médecine sociale et préventive, Faculty of Medicine, Laval University, Québec, Canada.
Éric DewaillyDépartement de médecine sociale et préventive, Faculty of Medicine, Laval University, Québec, Canada.
Suzanne L TyasSchool of Public Health and Health Systems, and Department of Psychology, University of Waterloo, Waterloo, Canada.
Alexandre BureauDépartement de médecine sociale et préventive, Faculty of Medicine, Laval University, Québec, Canada.
Danielle LaurinCentre d'excellence sur le vieillissement de Québec, CHU de Québec-Université Laval Research Center, and Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Québec, Canada.
Institut National de Santé Publique du Québec · CAThe Quebec Population Health Research Network · CAUniversité Laval · CAInstitut Universitaire en Santé Mentale de Québec · CAUniversité d'Abomey-Calavi · BJUniversity of Ottawa · CAUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle attention has been paid to neurotoxicants on the risk of dementia. Exposure to known neurotoxicants such as polychlorinated biphenyls (PCBs) and organochlorine (OC) pesticides is suspected to have adverse cognitive effects in older populations.

objectiveTo assess whether plasma concentrations of PCBs and OC pesticides are associated with the risk of cognitive decline, Alzheimer's disease (AD) and of all-cause dementia in the Canadian older population.

methodsAnalyses were based on data from the Canadian Study of Health and Aging, a 3-phase, 10-year population-based study of individuals aged 65+ years. Analyses included 669 clinically assessed subjects, of which 156 developed dementia including 108 incident cases of AD. Subjects were screened at each phase with the 100-point Modified Mini-Mental State Examination (3MS), a measurement of global cognitive function. Statistical analyses included Cox proportional hazards model when the outcome was dementia or AD, and a repeated-measure mixed model when the outcome was the 3MS score.

resultsNo association of PCB and OC pesticides with the risk of dementia and AD was observed. Elevated concentrations of PCB congeners nos 118, 153, 156, 163, and OC pesticides 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (p,p'-DDT) and its metabolite 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (p,p'-DDE) were significantly associated with cognitive decline as assessed with the 3MS. A posteriori analyses suggested that only p,p'-DDE was significantly related to a higher cognitive decline in time based on the 3MS among incident cases of dementia compared to subjects remaining nondemented.

conclusionPCB and OC pesticide plasma concentrations were not related to the incident diagnosis of neither dementia, nor AD. Using the 3MS scores as the outcome, higher concentrations of four PCB congeners and two OC pesticides were associated with lower cognitive performances in subjects. The association of p,p'-DDE with cognitive decline in time in incident cases of dementia merits further investigation.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseCanadaCognitive DysfunctionDementiaFemaleHumansHydrocarbons, ChlorinatedIncidenceMalePesticidesPolychlorinated BiphenylsPrevalenceProspective StudiesRisk FactorsHydrocarbons, ChlorinatedPesticidesPolychlorinated BiphenylsAlzheimer’s diseaseCognitive declineDementiaOrganochlorine pesticidePolychlorinated biphenyl

Identifiers

PMID31200706
PMCPMC6570931
OpenAlexW2949679953

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.