Neighbourhood environments and cognitive health in the longitudinal Personality and Total Health (PATH) through life study: A 12-year follow-up of older Australians.

Autor: Cerin E; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia; School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR. Electronic address: Ester.Cerin@acu.edu.au., Soloveva MV; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Maria.Soloveva@acu.edu.au., Molina MA; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Miguel.Molina@acu.edu.au., Schroers RD; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Ralf-Dieter.Schroers@acu.edu.au., Knibbs LD; School of Public Health, The University of Sydney, New South Wales, Australia; Public Health Research Analytics and Methods for Evidence, Public Health Unit, Sydney Local Health District, Camperdown, New South Wales, Australia. Electronic address: luke.knibbs@sydney.edu.au., Akram M; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia., Wu YT; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom. Electronic address: yu-tzu.wu@newcastle.ac.uk., Mavoa S; Population Health, Murdoch Children's Research Institute, Melbourne School of Population & Global Health, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: Suzanne.mavoa@mcri.edu.au., Prina M; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom. Electronic address: matthew.prina@newcastle.ac.uk., Sachdev PS; Centre for Healthy Brain Ageing (CHeBA), School of Clinical Medicine, University of New South Wales, Sydney, Australia. Electronic address: p.sachdev@nnsw.edu.au., Sorensen Catts V; Centre for Healthy Brain Ageing (CHeBA), Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW, Sydney, Australia. Electronic address: v.catts@unsw.edu.au., Jalaludin B; School of Population Health, University of New South Wales, Randwick, New South Wales, Australia. Electronic address: b.jalaludin@unsw.edu.au., Poudel G; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Govinda.Poudel@acu.edu.au., Symmons M; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Mark.Symmons@acu.edu.au., Barnett A; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia. Electronic address: Anthony.Barnett@acu.edu.au., Hamidul Huque M; School of Psychology, University of New South Wales, Randwick, New South Wales, Australia; Neuroscience Research Australia (NeuRA), Sydney, Australia. Electronic address: MdHamidul.Huque@unsw.edu.au., Leung Y; School of Psychology, University of New South Wales, Randwick, New South Wales, Australia; Neuroscience Research Australia (NeuRA), Sydney, Australia; UNSW Ageing Futures Institute, Sydney, Australia. Electronic address: Yvonne.leung@unsw.edu.au., Cherbuin N; National Centre for Epidemiology and Population Health, Canberra, Australian Capital Territory, Australia. Electronic address: nicolas.cherbuin@anu.edu.au., Anstey KJ; School of Psychology, University of New South Wales, Randwick, New South Wales, Australia; Neuroscience Research Australia (NeuRA), Sydney, Australia; UNSW Ageing Futures Institute, Sydney, Australia. Electronic address: k.anstey@unsw.edu.au.
Jazyk: angličtina
Zdroj: Environment international [Environ Int] 2024 Sep; Vol. 191, pp. 108984. Date of Electronic Publication: 2024 Aug 25.
DOI: 10.1016/j.envint.2024.108984
Abstrakt: Background: Urban neighbourhood environments may impact older adults' cognitive health. However, longitudinal studies examining key environmental correlates of cognitive health are lacking. We estimated cross-sectional and longitudinal associations of neighbourhood built and natural environments and ambient air pollution with multiple cognitive health outcomes in Australian urban dwellers aged 60+ years.
Methods: The study included 1160 participants of the PATH Through Life study (60+ cohort) who were followed up for 12 years (four assessments; 2001/02 to 2013/15) and with data on socio-demographics, health, cognitive functions and diagnoses, and full residential address. Neighbourhood environmental features encompassed population and street-intersection densities, non-commercial land use mix, transit points, presence of blue space, percentages of commercial land, parkland and tree cover, and annual average PM 2.5 and NO 2 concentrations. All exposures except for tree cover were assessed at two time points. Generalised additive mixed models estimated associations of person-level average, and within-person changes in, exposures with cognitive functions. Multi-state hidden Markov models estimated the associations of neighbourhood attributes with transitions to/from mild cognitive impairment (MCI).
Results: Dense, destination-rich neighbourhoods were associated with a lower likelihood of transition to MCI and reversal to no MCI. Positive cross-sectional and longitudinal associations of non-commercial land use mix, street intersection density and percentage of commercial land were observed especially with global cognition and processing speed. While access to parkland and blue spaces were associated with a lower risk of transition to MCI, the findings related to cognitive functions were mixed and supportive of an effect of parkland on verbal memory only. Higher levels of PM 2.5 and NO 2 were consistently associated with steeper declines and/or decreases in cognitive functions and worse cognitive states across time.
Conclusion: To support cognitive health in ageing populations, neighbourhoods need to provide an optimal mix of environmental complexity, destinations and access to the natural environment and, at the same time, minimise ambient air pollution.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE