Evidence map›Paper›PMID 40524437›Full record

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

Association of environmental exposome and cognitive function among older adults with and without preclinical Alzheimer's disease.

Kenan Li, Enbal Shacham, David Brown, Matthew Blake, Yiqi Zhu, Jean-Francois Trani, Ganesh M Babulal

Abstract read
In one paragraph

Article 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

7 authors.

Kenan LiDepartment of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, USA.
Enbal ShachamDepartment of Behavioral Science and Health Equity, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri, USA.
David BrownDepartment of Neurology, School of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Matthew BlakeDepartment of Neurology, School of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Yiqi ZhuDepartment of Neurology, School of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Jean-Francois TraniBrown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Ganesh M BabulalDepartment of Neurology, School of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.

Funding

Naturalistic driving as a functional neurobehavioral marker of preclinical and symptomatic Alzheimer diseaseR01AG068183 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$6.7M
The Impact of Depression and Preclinical Alzheimer Disease on Driving Among Older AdultsR01AG067428 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$4.0M
Aging Research Characterizing Health Exposome via Social drivers (ARCHES)R01AG074302 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2021 to 2025
$3.7M
NIA NIH HHS R01 AG067428NIA NIH HHS R01AG067428NIA NIH HHS R01 AG068183NIA NIH HHS R01AG068183NIA NIH HHS R01 AG074302NIA NIH HHS R01AG074302
6 · The paper itself

Abstract

introductionSociodemographic predictors are established risk factors for Alzheimer's disease (AD), a leading cause of cognitive decline. This study examines the influence of environmental exposures like walkability, green space, and light pollution among older adults.

methodsCross-sectional analysis examined associations between walkability, green space, tree canopy, light pollution, and cognitive functioning among participants with and without preclinical AD based on cerebrospinal fluid (CSF) and/or positron emission tomography (PET) biomarkers. Generalized additive mixed models (GAMMs) assessed their impact on cognitive performance, controlling for sex and race as categorical covariates, with age and education included as continuous variables modeled using smooth functions.

resultsWalkability, green space, and tree canopy were significantly associated with better cognitive performance, while light pollution negatively impacted cognition. Biomarker positivity was not a significant predictor. DISCUSSION: Our findings highlight the crucial role of environmental exposures on cognition, suggesting that urban design and environmental quality influence cognitive trajectories in older adults, regardless of biomarker status. HIGHLIGHTS: Walkability, green space, and tree canopy improve cognitive performance. Light pollution is linked to lower cognitive function in older adults. Biomarker positivity was not a significant predictor of cognitive outcomes. Urban design plays a key role in cognitive health and Alzheimer's risk.

Indexed as

Alzheimer DiseaseCognitionEnvironmental ExposureExposomeAgedAged, 80 and overBiomarkersCross-Sectional StudiesFemaleHumansMaleNeuropsychological TestsPositron-Emission TomographyRisk FactorsWalkingBiomarkersAlzheimer's diseasebiomarkerscognitive declinecognitive resilienceenvironmental exposuresexposomegreen spacelight pollutionpreclinicalurban designwalkability

Identifiers

PMID40524437
PMCPMC12170949

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.