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Association between aluminium levels and cognitive decline in environmentally exposed elders

dc.contributor.authorGerardo, Bianca
dc.contributor.authorPinto, Marina Cabral
dc.contributor.authorNogueira, Joana
dc.contributor.authorAlmeida, Agostinho
dc.contributor.authorPinto, Edgar
dc.contributor.authorSimões, Mário Rodrigues
dc.contributor.authorFreitas, Sandra
dc.date.accessioned2025-01-07T17:12:07Z
dc.date.available2025-01-07T17:12:07Z
dc.date.issued2023-12-25
dc.description.abstractNormal brain functioning depends on metals homeostasis, as imbalances may increase oxidative stress and cause other detrimental intracellular events that lead to cell loss. Furthermore, environmental exposure to toxic metals is hypothesized to induce neuroinflammation and neuropathology, paving the way to neurodegeneration. The aim of this study was to examine whether such Potentially Toxic Elements (PTE) are associated with cognitive performance over time in a sample of elderly individuals of environmentally contaminated regions. A total of 146 elders permanently residing in environmental risk areas were recruited. Participants completed the Mini Mental State Examination (MMSE) for cognitive assessment and were biomonitored for several PTE through hair and urine analysis. After 5 years, the cognitive assessment was repeated. Cognitive performance significantly declined from baseline to follow-up (p < 0.001), with participants scoring on average 4.41 less points on MMSE (Baseline: M = 25.79, SD = 3.520, Md = 27.00; Follow-up: M = 21.38, SD = 5.343, Md = 21.00). Regression analysis on the relationship between PTE and cognitive performance revealed that Aluminium (β = -0.322, p = 0.32) and Zinc (β = -0.372, p = 0.15) in hair and Aluminium in urine (β = -0.368, p = 0.010) significantly predicted MMSE scores past 5 years of biomonitoring (p = 0.002). Higher contents of these PTE were associated with worse cognitive performance at follow-up, after controlling the effects of age, education and supplement intake. Higher levels of Aluminium significantly predict worse general cognitive performance 5 years after biomonitoring across different biological samples. Environmental exposure to this metal may constitute a risk factor for cognitive decline.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGerardo, B., Pinto, M. C., Nogueira, J., Almeida, A., Pinto, E., Simões, M. R., & Freitas, S. (2023). Association between aluminium levels and cognitive decline in environmentally exposed elders. Alzheimer’s & Dementia, 19(S18), e077585. https://doi.org/10.1002/alz.077585pt_PT
dc.identifier.doi10.1002/alz.077585pt_PT
dc.identifier.issn1552-5279
dc.identifier.urihttp://hdl.handle.net/10400.22/27026
dc.language.isoengpt_PT
dc.publisherWilleypt_PT
dc.relation.publisherversionhttps://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.077585pt_PT
dc.subjectAluminium levelspt_PT
dc.subjectCognitive declinept_PT
dc.titleAssociation between aluminium levels and cognitive decline in environmentally exposed elderspt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.startPage1pt_PT
oaire.citation.titleAlzheimer's & Dementia - The Journal of the Alzheimer's associationpt_PT
oaire.citation.volume19 (S18)pt_PT
person.familyNamePinto
person.givenNameEdgar
person.identifier.ciencia-id271F-B7DF-8FAB
person.identifier.orcid0000-0002-8021-4783
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublicationeaf9fc86-1a1c-437f-adee-d28040aa7f2f
relation.isAuthorOfPublication.latestForDiscoveryeaf9fc86-1a1c-437f-adee-d28040aa7f2f

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