Ultrafine particulate air pollution from wildfires and late‐life cognitive function in the KHANDLE and STAR cohorts

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Publicado en:Alzheimer's & Dementia vol. 21 (Dec 1, 2025)
Autor principal: Conlon, Kathryn C
Otros Autores: Goodrich, Amanda, Alexeeff, Stacey, Tsai, Ai‐Lin, Gilsanz, Paola, Kleeman, Mike, Whitmer, Rachel A.
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John Wiley & Sons, Inc.
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Acceso en línea:Citation/Abstract
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022 |a 1552-5260 
022 |a 1552-5279 
024 7 |a 10.1002/alz70860_103903  |2 doi 
035 |a 3285997065 
045 0 |b d20251201 
100 1 |a Conlon, Kathryn C  |u University of California, Davis, Davis, CA, USA, 
245 1 |a Ultrafine particulate air pollution from wildfires and late‐life cognitive function in the KHANDLE and STAR cohorts 
260 |b John Wiley & Sons, Inc.  |c Dec 1, 2025 
513 |a Journal Article 
520 3 |a Background Substantial research has linked fine particulate matter (PM<2.5 μm in diameter, PM2.5) to cardiovascular disease and dementia, however, the role of ultrafine particulate matter (PM<0.1 μm in diameter, PM0.1), which is more readily absorbed into the bloodstream due to its smaller size, remains underexplored, especially in diverse populations. Method The study included data from n&#xa0;=&#xa0;1648 adults aged ≥65 in the ethnically diverse Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) study, and n&#xa0;=&#xa0;746 African Americans in the Study of Healthy Aging in African‐Americans (STAR). Three domains of cognitive outcomes (semantic memory, verbal episodic memory, and executive function were measured using the Spanish and English Neuropsychological Assessment Scales and Z‐scored. Total PM0.1, and the fraction of PM0.1 from two sources (biomass combustion and wildland urban interface (WUI)), during 2000‐2020 were generated using a chemical transport model and linked to geocoded residential addresses. We used linear regression to assess the association between long‐term exposure to PM0.1 (5‐, 10‐, and 17‐year averages) and domain‐specific cognitive function adjusting for age, self‐reported gender, education (≤High School, Trade/College, and Graduate School), marital status (married/living as married, not married, missing), neighborhood income, and study. Effect modification by race/ethnicity was assessed using a multiplicative term, with p&#xa0;<&#xa0;0.05 indicating significant effect modification. Result No associations were observed in main effects models (Figure 1). Effect modification by race and ethnicity was observed with 5‐year WUI PM0.1 exposures across all cognitive domains (p&#xa0;<&#xa0;0.05). Among non‐Latino white participants, an IQR increase in 5‐year average WUI PM0.1 was associated with a decrease in cognition across all cognitive domains (Figure 1). Among Latino participants, an IQR increase in 5‐year average total PM0.1 was associated with decreased verbal episodic memory. Associations were attenuated or null for 10‐ and 17‐year exposures. Conclusion Long‐term WUI PM0.1 exposure was associated with decreased cognitive function among non‐Latino white participants. Wildfires are an increasing threat in California, and more research on their impact on cognition is needed. 
653 |a Cognitive functioning 
653 |a Episodic memory 
653 |a Aging 
653 |a Semantic memory 
653 |a Function 
653 |a Dementia 
653 |a Secondary schools 
653 |a Race 
653 |a African Americans 
653 |a Cognition 
653 |a Ethnicity 
653 |a Cognitive ability 
653 |a Air pollution 
653 |a Hispanic Americans 
653 |a Cognition & reasoning 
653 |a Marital status 
653 |a Graduate studies 
653 |a Latin American cultural groups 
653 |a Life experiences 
653 |a Memory 
653 |a Multiculturalism & pluralism 
653 |a Spanish language 
653 |a Averages 
653 |a Neighborhoods 
653 |a Verbal memory 
653 |a Marriage 
653 |a Neuropsychological assessment 
653 |a Cardiovascular diseases 
653 |a Executive function 
653 |a Adults 
653 |a Forest & brush fires 
700 1 |a Goodrich, Amanda  |u University of California Davis, Davis, CA, USA, 
700 1 |a Alexeeff, Stacey  |u Kaiser Permanente Northern California Division of Research, Pleasanton, CA, USA, 
700 1 |a Tsai, Ai‐Lin  |u Kaiser Permanente Northern California Division of Research, Pleasanton, CA, USA, 
700 1 |a Gilsanz, Paola  |u Kaiser Permanente Northern California Division of Research, Pleasanton, CA, USA, 
700 1 |a Kleeman, Mike  |u UC Davis, Davis, CA, USA, 
700 1 |a Whitmer, Rachel A.  |u University of California, Davis, Davis, CA, USA, 
773 0 |t Alzheimer's & Dementia  |g vol. 21 (Dec 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
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