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Aluminum and silica in drinking water and the risk of Alzheimer's disease or cognitive decline: findings from 15-year follow-up of the PAQUID cohort.
Rondeau V., Jacqmin-Gadda H., Commenges D., Helmer C., Dartigues J.-F.
American Journal of Epidemiology 169, 4 (2009) 489-96 - http://www.hal.inserm.fr/inserm-00346670/en/
 (19064650) 
Aluminum and silica in drinking water and the risk of Alzheimer's disease or cognitive decline: findings from 15-year follow-up of the PAQUID cohort.
Virginie Rondeau () 1, Hélène Jacqmin-Gadda1, Daniel Commenges1, Catherine Helmer1, 2, Jean-François Dartigues1, 2
1 :  Centre épidémiologie et biostatistique
INSERM : U897 – Université Victor Segalen - Bordeaux II
France
2 :  ISPED - Institut de Santé Publique, d'Epidémiologie et de Développement
Université Victor Segalen - Bordeaux II
146 rue Léo Signat 33076 Bordeaux Cedex
France
The authors examined associations between exposure to aluminum or silica from drinking water and risk of cognitive decline, dementia, and Alzheimer's disease among elderly subjects followed for 15 years (1988-2003). They actively searched for incident cases of dementia among persons aged 65 years or over living in 91 civil drinking-water areas in southern France. Two measures of exposure to aluminum were assessed: geographic exposure and individual exposure, taking into account daily consumption of tap water and bottled water. A total of 1,925 subjects who were free of dementia at baseline and had reliable water assessment data were analyzed. Using random-effects models, the authors found that cognitive decline with time was greater in subjects with a higher daily intake of aluminum from drinking water (>or=0.1 mg/day, P=0.005) or higher geographic exposure to aluminum. Using a Cox model, a high daily intake of aluminum was significantly associated with increased risk of dementia. Conversely, an increase of 10 mg/day in silica intake was associated with a reduced risk of dementia (adjusted relative risk =0.89, P=0.036). However, geographic exposure to aluminum or silica from tap water was not associated with dementia. High consumption of aluminum from drinking water may be a risk factor for Alzheimer's disease.
Sciences du Vivant/Santé publique et épidémiologie
Anglais
1476-6256

Articles dans des revues avec comité de lecture
10.1093/aje/kwn348
American Journal of Epidemiology (Am J Epidemiol)
Publisher Oxford University Press (OUP)
ISSN 0002-9262 (eISSN : 1476-6256)
internationale
15/02/2009
08/12/2008
169
4
489-96

Aged – 80 and over – Aluminum – Alzheimer Disease – Cognition Disorders – Drinking – Environmental Exposure – Female – Follow-Up Studies – France – Humans – Incidence – Male – Proportional Hazards Models – Psychiatric Status Rating Scales – Questionnaires – Rural Population – Silicon Dioxide – Urban Population – Water Pollutants – Chemical – Water Supply
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