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Roads and air pollution track neurologic disease

In Metro Vancouver, living near roads raised incidence of non-Alzheimer dementia, Parkinson’s, Alzheimer’s, and MS; air pollution linked to NAD and PD, noise was null.

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How many incident NAD, PD, AD, and MS cases were identified?

13,170 NAD, 4,201 PD, 1,277 AD, and 658 MS.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

What person-time did the NAD and PD cohorts contain?

7.3 and 7.4 million person-years.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

What happened to people living near major roads or highways?

Increased hazard ratios for both NAD and PD.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

Did greenness change road-proximity HRs for NAD/PD?

Yes—HRs fell 0.3–6.2% in all proximity categories after accounting for greenness.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

How much did greenness attenuate the AD–road association?

11–28% attenuation of the AD odds ratios.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

Which neurologic outcomes were linked to air pollution?

NAD and PD, but not AD or MS.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

What was the noise finding?

Impacts of noise were generally null.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

What median PM2.5 did NAD cases experience?

4.1 μg/m³ (IQR 1.5).

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

How was greenness measured?

Mean NDVI in a 100-m buffer around the residential address.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

What correlation existed between road proximity and black carbon?

r = 0.49 for major road <50 m or highway <150 m vs black carbon.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

Did greenness attenuate MS odds ratios?

No—greenness did not attenuate MS ORs and some estimates even increased.

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified

How were NAD/PD analyses modeled?

Each case matched to 10 controls by age and sex, analyzed with conditional logistic regression (plus Cox HRs for proximity).

Source: Road proximity, air pollution, noise, green space and neurologic disease incidence: a population-based cohort study · DOI · quote verified