From: Environmental risk factors for dementia: a systematic review
Factor | N Studiesa | Overall Strength Of Evidenceb | Direction Of Associationc | ||
---|---|---|---|---|---|
C | X | R | |||
Air | |||||
 Nitrogen oxides (NOx) | 2 |  |  | Strong | ↑ |
 Carbon monoxide (CO) | 1 |  |  | Moderate | ↑ |
 Environmental tobacco smoke |  | 1 |  | Moderate | ↑ |
 Particulate matter (PM10&2.5) | 1 | 1 |  | Strong | ↑ |
 Ozone (O3) | 1 | 1 |  | Strong | ↑ |
Toxic heavy metals | |||||
 Arsenic |  | 2 |  | Moderate | ↕ |
 Lead |  | 1 |  | Weak | ↑ |
Other metals | |||||
 Aluminium | 1 | 15 |  | Moderate | ↕ |
 Calcium | 1 |  |  | Weak | – |
 Cobalt |  | 1 |  | Weak | – |
 Copper |  | 2 | 1 | Weak | ↕ |
 Iron |  | 2 | 1 | Weak | ↕ |
 Manganese |  | 1 |  | Weak | ↑ |
 Molybdenum |  | 1 |  | Weak | – |
 Nickel |  | 1 |  | Weak | – |
 Uranium |  | 1 |  | Weak | – |
 Zinc |  | 2 |  | Weak | ↕ |
Other trace elements | |||||
 Fluoride |  | 1 |  | Weak | ↑ |
 Selenium |  |  | 1 | Moderate | ↕ |
 Silicon (and silica) | 2 | 2 |  | Strong | ↕ |
Occupational | |||||
 Aluminium (occupational exposure) | 1 | 3 |  | Weak | ↕ |
 Defoliants/fumigants | 1 |  |  | Weak | ↑ |
 Diesel motor exhaust | 1 |  |  | Moderate | – |
 Electromagnetic fields | 1 |  |  | Moderate | ↕ |
 Excessive noise | 1 |  |  | Weak | ↓ |
 Glues/adhesives | 1 | 1 |  | Weak | ↕ |
 Pesticides/fertilizers/herbicides/insecticides | 5 | 2 | 2 | Strong | ↕ |
 Lead (occupational exposure) |  |  | 1 | Weak | – |
 Metals (occupational exposure) | 1 |  |  | Moderate | ↑ |
 Inks/dyes | 1 |  |  | Weak | – |
 Paints/stains/varnishes | 1 |  |  | Weak | – |
 Gasoline/fuels/oils | 1 |  |  | Weak | – |
 Solvents/degreasers | 2 | 1 | 1 | Strong | ↕ |
 Liquid plastics/rubbers | 1 |  |  | Weak | – |
 Vibratory tools | 1 |  |  | Weak | – |
 Radiation | 1 |  |  | Weak | ↑ |
Miscellaneous | |||||
 Climate |  | 1 |  | Weak | – |
 Electric and magnetic fields | 1 |  | 2 | Moderate | ↕ |
 Mobile phone use | 1 |  |  | Weak | ↓ |
 Vitamin D | 3 | 1 |  | Strong | ↑ |
 Water pH |  | 1 |  | Weak | ↑ |