Get help now — free helplines

You can call any of these for free. You do not need a diagnosis, an appointment, or a crisis to call — questions and plain exhaustion are reasons enough.

  • Alzheimer's Association 24/7 Helpline 800-272-3900 24 hours a day, 365 days a year Free, confidential support and information for people with dementia, caregivers, families and the public. Master's-level clinicians. Also Spanish.
  • 988 Suicide & Crisis Lifeline 988 24/7 Call or text 988, or chat at 988lifeline.org. For anyone in emotional distress or a mental-health crisis, including caregivers.
  • Alzheimer's Foundation of America (AFA) Helpline 866-232-8484 9:00 am - 9:00 pm ET, seven days a week Licensed social workers providing support, info and referrals. Also text message and web chat. Text: 646-586-5283

In a medical emergency, call 911. More numbers, and what each line does, on the help page.

Each study has a usefulness score out of 100 (rubric version 4.0). Tap a score to see what makes it up.

Highest usefulness score first. Studies without a score come last.

  1. Air Pollution and Incidence of Dementia: A Systematic Review and Meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 84 out of 100. Neurology 2022-10-26 Risk factors

    A total of 20 studies were included in the systematic review, and 17 provided data for the meta-analysis.

  2. Impact of air pollution and climate change on mental health outcomes: an umbrella review of global evidence

    ✓ Peer-reviewed alzhub usefulness score 81 out of 100. World psychiatry : official journal of the World Psychiatric Association (WPA) 2024-06-01 Risk factors

    Regarding exposures to air pollution, there was convincing (class I) evidence for the association between long-term exposure to solvents and a higher incidence of dementia or cognitive impairment (odds ratio, OR=1.139), and highly suggestive (class II) evidence for the association between long-term exposure to some pollutants and higher risk for cognitive disorders (higher incidence of dementia with high vs. low levels of carbon monoxide, CO: OR=1.587; higher incidence of vascular dementia per 1 μg/m 3 increase of nitrogen oxides, NO x : hazard ratio, HR=1.004).

  3. Exposure to Air Pollutants and Lewy Body and Parkinson Disease-Related Dementias

    ✓ Peer-reviewed alzhub usefulness score 77 out of 100. JAMA network open 2026-05-01 Risk factors

    Among 2 184 847 Danish citizens aged between 65 and 95 years, there were 3024 individuals with DLB (mean [SD] age, 78 [6], 1894 [62.6%] male) and 3808 with PDD (mean [SD] age, 78 [6], 2400 [63.0%] male) who were matched with 30 240 and 38 080 controls, respectively.

  4. Hypertension and Stroke as Mediators of Air Pollution Exposure and Incident Dementia

    ✓ Peer-reviewed alzhub usefulness score 73 out of 100. JAMA network open 2023-09-05 Risk factors

    Among 27 857 participants (mean [SD] age at baseline, 61 [10] years; 15 747 female participants [56.5%]; 19 249 non-Hispanic White participants [69.1%]), 4105 (14.7%) developed dementia during the follow-up period (mean [SD], 10.2 [5.6] years).

  5. Pesticide exposure and risk of Alzheimer's disease: a systematic review and meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 72 out of 100. Scientific reports 2016-09-01 Risk factors

    Evidence suggests that lifelong cumulative exposure to pesticides may generate lasting toxic effects on the central nervous system and contribute to the development of Alzheimer's disease (AD).

  6. Ambient Air Pollution and Parkinson's Disease and Alzheimer's Disease: An Updated Meta-Analysis

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. Toxics 2025-02-15 Risk factors

    In total, 42 eligible studies were included.

  7. Residential greenness, air pollution and incident neurodegenerative disease: A cohort study in China

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. The Science of the total environment 2023-03-31 Risk factors

    During the follow-up period, we identified a total of 617 incident neurodegenerative diseases, 301 PD and 182 AD.

  8. Fine Particulate Matter and Markers of Alzheimer's Disease Neuropathology at Autopsy in a Community-Based Cohort

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. Journal of Alzheimer's disease : JAD 2021 Risk factors

    10-year average (SD) PM2.5 from death across the autopsy cohort was 8.2 (1.9) μg/m3.

  9. Fine particulate matter is a potential determinant of Alzheimer's disease: A systemic review and meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. Environmental research 2019-08-08 Risk factors

    Air pollution is a modifiable and preventable factor, and it is a possible risk factor for dementia.

  10. Are noise and air pollution related to the incidence of dementia? A cohort study in London, England

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. BMJ open 2018-09-11 Risk factors

    We have found evidence of a positive association between residential levels of air pollution across London and being diagnosed with dementia, which is unexplained by known confounding factors.

  11. Association of Lithium in Drinking Water With the Incidence of Dementia

    ✓ Peer-reviewed alzhub usefulness score 71 out of 100. JAMA Psychiatry 2017-08-25 Drug development

    A total of 73 731 patients with dementia and 733 653 controls (median age, 80.3 years; interquartile range, 74.9-84.6 years; 44 760 female [60.7%] and 28 971 male [39.3%]) were included in the study.

  12. Particulate air pollution from different emission sources, cognitive performance, and cognitive declines in India

    ✓ Peer-reviewed alzhub usefulness score 70 out of 100. Environment international 2025-09-27 Risk factors

    Among 5,699 participants (mean age: 70±8 years), we observed total PM2.5 concentrations ranging from 16 to 206 μg/m3.

  13. Traffic-related air pollution and dementia incidence in the Adult Changes in Thought Study

    ✓ Peer-reviewed alzhub usefulness score 70 out of 100. Environment international 2024-01-03 Risk factors

    We identified 1,041 incident all-cause dementia cases in 4,283 participants over 37,102 person-years of follow-up.

  14. Associations of Air Pollution and Genetic Risk With Incident Dementia: A Prospective Cohort Study

    ✓ Peer-reviewed alzhub usefulness score 70 out of 100. American journal of epidemiology 2023-02-01 Risk factors

    Evidence on the association between air pollution and dementia is accumulating but still inconclusive, and the potential effect modification by genetics is unclear.

  15. Long-term particulate matter 2.5 exposure and dementia: a systematic review and meta-analysis

    ✓ Peer-reviewed alzhub usefulness score 70 out of 100. Public health 2022-10-03 Risk factors

    In total, 20 articles were selected for review; 18 included results on the long-term effects of PM2.5 on dementia, 13 on AD, and eight on VaD.

  16. Comparison of Particulate Air Pollution From Different Emission Sources and Incident Dementia in the US

    ✓ Peer-reviewed alzhub usefulness score 69 out of 100. JAMA internal medicine 2023-10-01 Risk factors

    In this cohort study, higher residential PM2.5 levels, especially from agriculture and wildfires, were associated with higher rates of incident dementia, providing further evidence supporting PM2.5 reduction as a population-based approach to promote healthy cognitive aging.

  17. Occupational Exposures and Neurodegenerative Diseases-A Systematic Literature Review and Meta-Analyses

    ✓ Peer-reviewed alzhub usefulness score 69 out of 100. International journal of environmental research and public health 2019-01-26 Risk factors

    Based on 19 studies the weighted RR for occupational exposure to EMFs was 1.26 (95% confidence interval (CI) 1.07⁻1.50) for ALS, 1.33 (95% CI 1.07⁻1.64) for Alzheimer's disease and 1.02 (95% CI 0.83⁻1.26) for Parkinson's disease.

  18. The Effects of Air Pollution on the Brain: a Review of Studies Interfacing Environmental Epidemiology and Neuroimaging

    ✓ Peer-reviewed alzhub usefulness score 69 out of 100. Current environmental health reports 2018-09-01 Risk factors

    An emerging body of evidence has raised concern regarding the potentially harmful effects of inhaled pollutants on the central nervous system during the last decade.

  19. Road traffic noise, air pollution, and risk of dementia - results from the Betula project

    ✓ Peer-reviewed alzhub usefulness score 69 out of 100. Environmental research 2018-06-14 Risk factors

    We found no evidence that exposure to road traffic noise, either independently or in combination with traffic air pollution, was associated with risk of dementia in our study area.

  20. Ozone, particulate matter, and newly diagnosed Alzheimer's disease: a population-based cohort study in Taiwan

    ✓ Peer-reviewed alzhub usefulness score 69 out of 100. Journal of Alzheimer's disease : JAD 2015-01-01 Risk factors

    Several studies with animal research associate air pollution in Alzheimer's disease (AD) neuropathology, but the actual impact of air pollution on the risk of AD is unknown.

  21. Long-Term Exposure to Ambient Particulate Matter and Structural Brain Changes in Older Adults

    ✓ Peer-reviewed alzhub usefulness score 68 out of 100. Stroke 2025-05-12 Risk factors

    At study entry, the mean (SD) age of the participants was 70 (SD, 8.9) years and 41% were males.

  22. Associations between air pollution and mental health service use in dementia: a retrospective cohort study

    ✓ Peer-reviewed alzhub usefulness score 68 out of 100. BMJ mental health 2023-07 Risk factors

    In the first year of follow-up, increased exposure to all air pollutants was associated with an increase in the use of CMHTs in a dose-response manner.

  23. Exposure to ultrafine particles and cognitive decline among older people in the United States

    ✓ Peer-reviewed alzhub usefulness score 68 out of 100. Environmental research 2023-03-24 Risk factors

    This study included 5646 participants (mean age 76 years, 65% female).

  24. Fine Particulate Matter and Dementia Incidence in the Adult Changes in Thought Study

    ✓ Peer-reviewed alzhub usefulness score 68 out of 100. Environmental health perspectives 2021-08-04 Risk factors

    We report 1,136 cases of incident dementia among 4,166 individuals with nonmissing APOE status.

  25. Health Impacts from Ambient Particle Exposure in Southern Sweden

    ✓ Peer-reviewed alzhub usefulness score 68 out of 100. International journal of environmental research and public health 2020-07-14 Risk factors

    A health impact assessment (HIA) is an important tool for making informed decisions regarding the design and evaluation of environmental interventions.

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