Evidence map›Paper›PMID 40346447›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2025

The role of per- and polyfluoroalkyl substances in cognitive impairment and dementia.

Hannah Gardener, Bonnie Levin, Kurunthachalam Kannan, Tatjana Rundek

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Environmental Pollution, Biomarkers, and Dementia: An Evidence Review.International journal of molecular sciences · 2026
    Review
  2. Review
  3. Combined Effects of PFAS and Metals on Cognitive Function.Environments (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. The role of per- and polyfluoroalkyl substances in cognitive impairment and dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
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

4 authors.

Hannah GardenerDepartment of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Bonnie LevinDepartment of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA.
Kurunthachalam KannanWadsworth Center, New York State Department of Health, Empire State Plaza, Albany, New York, USA.
Tatjana RundekDepartment of Neurology, University of Miami Miller School of Medicine, Miami, Florida, USA.

Funding

The role of PFAS in lipid-mediated vascular contributions to cognitive impairment and dementia: PFAS VascCog Longitudinal StudyR01AG086393 · NIA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Hannah Gardener · 2024 to 2026
$1.6M
NIA NIH HHS R01 AG086393NIA NIH HHS R01AG086393
6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances (PFAS) are ubiquitous persistent organic pollutants. The neurotoxic and cardiometabolic effects of PFAS are well documented, leading to the hypothesis that exposure increases dementia risk. However, empirical data on PFAS in relation to cognitive impairment and dementia are weak, limited, and inconsistent. This report reviews the literature on PFAS and cognitive impairment and provides a rationale and overview of the PFAS VascCog Longitudinal Study, a new study using the population-based Northern Manhattan Study cohort, to prospectively examine serum concentrations of 13 PFAS in relation to lipids, carotid atherosclerosis, cognitive impairment, and dementia. We hypothesize that PFAS deleteriously impact cognition through a pathway involving hyperlipidemia and atherosclerosis. Rigorous examination of PFAS exposure in relation to dementia is needed to inform public health policies on PFAS-containing products, support regulations to reduce community exposure, and provide new avenues to protect cognitive health and impact dementia at the individual and community levels. HIGHLIGHTS: PFAS exposure increases cardiometabolic risk factors and neurotoxicity. Data on PFAS in relation to cognitive health is limited, weak, and controversial. We hypothesize that PFAS exposure increases dementia risk. We hypothesize a mechanistic pathway involving hyperlipidemia and atherosclerosis. Rigorous study of PFAS exposure and dementia risk can inform public health policy.

Indexed as

Cognitive DysfunctionDementiaEnvironmental ExposureEnvironmental PollutantsFluorocarbonsHumansLongitudinal StudiesEnvironmental PollutantsFluorocarbonscognitive impairmentcohort studiesdementiaenvironmental toxinsepidemiologyper‐ and polyfluoroalkyl substancespersistent organic pollutants

Identifiers

PMID40346447
PMCPMC12064343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.