Evidence map›Paper›PMID 39576060›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Midlife and late-life environmental exposures on dementia risk in the Wisconsin Longitudinal Study: The modifying effects of ApoE.

Victoria J Williams, Ralph Trane, Kamil Sicinski, Pamela Herd, Michal Engelman, Sanjay Asthana

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Multidimensional workplace stressors differentially impact cognitive trajectories.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Identification of chemicals targeting dementia genes and pathways in the Comparative Toxicogenomics Database.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Dementia prevalence in the Wisconsin Longitudinal Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  8. Article
  9. Article
  10. Article
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

6 authors.

Victoria J WilliamsDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin at Madison, School of Medicine and Public Health, Madison, Wisconsin, USA.
Ralph TraneDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin at Madison, School of Medicine and Public Health, Madison, Wisconsin, USA.
Kamil SicinskiCenter for Demography of Health and Aging, University of Wisconsin at Madison, Madison, Wisconsin, USA.
Pamela HerdMcCourt School of Public Policy, Georgetown University, Washington, District of Columbia, USA.
Michal EngelmanCenter for Demography of Health and Aging, University of Wisconsin at Madison, Madison, Wisconsin, USA.
Sanjay AsthanaDivision of Geriatrics and Gerontology, Department of Medicine, University of Wisconsin at Madison, School of Medicine and Public Health, Madison, Wisconsin, USA.

Funding

Wisconsin longitudinal study: Initial lifetime's impact on Alzheimer's disease and related disorders (WLS-ILIAD)R01AG060737 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Sanjay Asthana, Michal Engelman · 2018 to 2026
$56.8M
NIA NIH HHS R01 AG060737NIH HHS R01 AG060737
6 · The paper itself

Abstract

introductionLate-life air pollution exposure is associated with an increased risk for dementia, with this effect exacerbated among apolipoprotein E-4 (ApoE-4) carriers. However, whether midlife occupational exposures likewise influence dementia outcomes, and varies as a function of ApoE-4 status is unknown.

methodsUsing data from 3814 participants in the Wisconsin Longitudinal Study (WLS), we employed weighted logistic regression to evaluate associations between midlife occupational respiratory exposures and late-life air pollution on all-cause dementia risk, stratified by ApoE-4 status.

resultsMidlife occupational exposure was associated with increased odds of all-cause dementia preferentially among ApoE-4 noncarriers (odds ratio [OR] = 1.59, p = 0.01), whereas higher late-life urban air pollution exposure was associated with increased dementia risk among ApoE-4 carriers (OR = 1.258, p = 0.029). DISCUSSION: Associations between environmental exposures and dementia risk vary based on the timing of exposure and ApoE-4 status. While late-life environmental exposures are associated with dementia among ApoE-4 carriers, for noncarriers midlife environmental exposure confers the greatest risk. HIGHLIGHTS: The effect of adult environmental respiratory exposures on subsequent dementia risk varies as a function of both ApoE-4 carrier status and exposure timing. Midlife occupational exposure to respiratory hazards is preferentially associated with increased dementia odds among ApoE-4 noncarriers. Late-life exposure to ambient air pollution is associated with dementia risk, but only among ApoE-4 carriers. While higher exposure to PM

Indexed as

Air PollutionApolipoprotein E4DementiaEnvironmental ExposureOccupational ExposureAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsWisconsinApolipoprotein E4ApoEdementiaenvironmental exposurelifecourse

Identifiers

PMID39576060
PMCPMC11667516

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LicenceCC BY-NC-ND
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Registered trials

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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.