# Air pollution, Alzheimer's Disease and Related Outcomes

> **NIH NIH R01** · GEORGE WASHINGTON UNIVERSITY · 2020 · $629,276

## Abstract

PROJECT SUMMARY/ABSTRACT
The burden of Alzheimer’s disease and related dementia is substantial and growing. We have no disease-
modifying treatments for most dementia sub-types, including Alzheimer’s disease dementia, and recent
Alzheimer’s disease treatment trials have been disappointing. Thus, identifying ways to prevent or delay
Alzheimer’s disease and related dementia may be our best option for reducing disease burden. Ambient air
pollution exposure is a promising target for interventions to prevent or delay Alzheimer’s disease and related
dementia. While the existing evidence linking ambient air pollution exposures to cognitive health and dementia
is suggestive, it is insufficient to justify action. In order to recommend or develop effective interventions to
reduce dementia burden through reductions in ambient air pollution exposure, we must first establish whether
specific pollutants impact cognitive health, either overall or in susceptible subgroups. Thus, we propose to
estimate associations between ambient exposure to U.S. EPA-regulated criteria air pollutants (Aim 1) and
components of particulate matter air pollution (Aim 2) with incident Alzheimer’s disease and related dementia
and related outcomes, overall and in potentially susceptible subgroups (Aim 3). While we will consider multiple
air pollutants, our grant focuses on testing hypotheses that higher midlife and cumulative, mid- to late-life
exposures to fine particulate matter (PM2.5), ozone (O3), and specific metals (Cd, V, Mn, Ni, V, Cr, and Pb) are
associated with incident dementia and related outcomes. To complete these aims, we will use data from the
Atherosclerosis Risk in Communities (ARIC) study, a unique cohort with incredible longitudinal data collected
from midlife to late life. We will estimate exposure to air pollutants at each participant’s residential address
throughout 25 years of follow-up, from midlife to late life, using an ensemble/data-fusing approach combining
two chemical transport models (CMAQ, UCD/CTI), two emission inventories (NEI and EDGAR), available
monitor data, and a local dispersion model, to maximize prediction accuracy. We will then evaluate whether
midlife exposures or cumulative exposures from midlife to late life impact (i) cognitive decline from midlife to
late life (n=14,040), (ii) incident dementia systematically assessed according to research criteria during follow-
up (n=14,040), or (iii) neuroimaging evidence of dementia-related pathology in late life in a representative
subset of ARIC participants (n=1,841). We will also conduct extensive sensitivity analyses to address residual
confounding, selection bias, and measurement error/uncertainty due to use of estimated exposures.
Throughout we will leverage an External Advisory Panel to ensure the best possible science and lay the
groundwork for future collaboration. In order to recommend or develop effective interventions to reduce
dementia burden through reductions in ambient air pollution ...

## Key facts

- **NIH application ID:** 10020191
- **Project number:** 5R01ES029509-03
- **Recipient organization:** GEORGE WASHINGTON UNIVERSITY
- **Principal Investigator:** Melinda C Power
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $629,276
- **Award type:** 5
- **Project period:** 2018-09-30 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10020191

## Citation

> US National Institutes of Health, RePORTER application 10020191, Air pollution, Alzheimer's Disease and Related Outcomes (5R01ES029509-03). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/10020191. Licensed CC0.

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