Latest Research News
A large Chinese study involving 20,000 people has found that the longer people were exposed to air pollution, the worse their cognitive performance in verbal and math tests. The effect of air pollution on verbal tests became more pronounced with age, especially for men and the less educated.
The study followed the participants from 2010 to 2014, meaning that the same individuals could be assessed as air pollution varied from one year to the next.
The findings add to previous research showing the harmful effects of air pollution on cognitive performance in children.
Xin Zhang, Xi Chen, Xiaobo Zhang. 2018. The impact of exposure to air pollution on cognitive performance. Proceedings of the National Academy of Sciences Sep 2018, 115 (37) 9193-9197; DOI: 10.1073/pnas.1809474115
A Spanish study investigating the effects of traffic-related air pollution on children walking to school has found higher levels of particulate matter and black carbon were associated with decreased growth in working memory capacity. Working memory capacity grows during childhood (and tends to fall in old age).
The study involved 1,234 children aged 7-10, from 39 schools across the city of Barcelona. The children were tested four times over a year to establish their developmental trajectories in working memory and inattentiveness. Average particulate matter, black carbon, and nitrogen dioxide, were estimated for the children’s walking routes using standard measures.
None of the pollutants were associated with inattentiveness. The effect of NO2 on working memory was inconclusive. However, increased concentrations of particulate matter and black carbon were associated with a reduction in the annual growth of working memory of 4.6% and 3.9%, respectively. Boys were more affected than girls.
The study followed an earlier study showing that exposure to traffic-related pollutants in schools was associated with slower cognitive development. Research has previously shown that 20% of a child's daily dose of black carbon (which is directly related to traffic) is inhaled during urban commutes.
The finding emphasizes that even “short exposures to very high concentrations of pollutants can have a disproportionately high impact on health”, and this may be especially true for children, with their smaller lung capacity and higher breathing rate.
The researchers emphasize that the solution for parents is not to stop children walking to school, since those who commute by car or public transport are also exposed to the pollution. Rather, the aim should be to try and find (or make) less polluted, low-traffic paths to school.
(2017). Impact of commuting exposure to traffic-related air pollution on cognitive development in children walking to school.
Environmental Pollution. 231, 837 - 844.
Research using data from a population-based birth cohort from Rotterdam, in The Netherlands, has found that children exposed to higher levels of air pollution when they were in womb had significantly thinner cortex in several brain regions. Some of this appeared to be related to impaired inhibitory control.
The study involved 783 children aged 6 to 10, who were given brain imaging and cognitive tests. Levels of air pollution in the mother’s environment during pregnancy were estimated using a standardized procedure. Mean fine particle levels were 20.2 μg/m3, and nitrogen dioxide levels were 39.3μg/m3. Note that the EU limit for mean fine particles is actually above that (25μg/m3), while the NO2 level is at the EU limit (40μg/m3), with 45% of the Dutch population experiencing higher levels. The World Health Organization sets a much lower level for fine particles: 10 μg/m3.
Children whose mothers were smokers were excluded from the study, as were children from areas where pollution measures weren’t available. Children included tended to be from a higher socio-economic position compared to those not included. Moreover, children with ADHD, or developmental or behavioral problems, were also excluded.
Global brain volume was not affected by fetal exposure. However, several brain regions showed significantly thinner cortex — in particular, the precuneus and rostral middle frontal regions, which partially accounted for the observed association between fetal exposure to fine particles and impaired inhibitory control (the ability to control your own behavior, especially impulsive behavior). This sort of cognitive impairment at early ages could have significant long-term consequences in academic achievement, later career success, and even in risk of mental disorders.
The findings are consistent with other studies linking acceptable air pollution levels with problems including cognitive impairment and child development.
(2018). Air Pollution Exposure During Fetal Life, Brain Morphology, and Cognitive Function in School-Age Children.
The study involved 4,134 people (average age 59) who worked at the French national gas and electric company, of whom most worked at the company for their entire career. Their lifetime exposure to chlorinated solvents, petroleum solvents, benzene and non-benzene aromatic solvents was estimated, and they were given the Digit Symbol Substitution Test to assess cognitive performance. Cognitive impairment was defined as scoring below the 25th percentile. Most of the participants (88%) were retired.
For analysis, participants were divided into two groups based on whether they had less than a secondary school education or not. This revealed an interesting finding: higher rates of solvent exposure were associated with cognitive impairment, in a dose-dependent relationship — but only in those with less than a high school education. Recency of solvent exposure also predicted worse cognition among the less-educated (suggesting that at least some of the damage was recoverable).
However, among those with secondary education or higher, there was no significant association between solvent exposure (quantity or recency) and cognition.
Over half the participants (58%) had less than a high school education. Of those, 32% had cognitive impairment — twice the rate in those with more education.
The type of solvent also made a difference, with non-benzene aromatic solvents the most dangerous, followed by benzene solvents, and then chlorinated and petroleum solvents (the rates of cognitive impairment among highly-exposed less-educated, was 36%, 24%, and 14%, respectively).
The findings point to the value of cognitive reserve, but I have several caveats. (Unfortunately, this study appears in a journal to which I don’t have access, so it’s possible the first of this at least is answered in the paper.) The first is that those with less education had higher rates of exposure, which raises the question of a threshold effect. Second is that the cognitive assessment is only at one point of time, lacking both a baseline (do we know what sort of average score adults of this age and with this little education would achieve? A quick online search threw up no such appropriate normative data) and a time-comparison that would give a rate of decline. Third, is that the cognitive assessment is very limited, being based on only one test.
In other words, the failure to find an effect among those with at least a high school education may well reflect the lack of sensitivity in the test (designed to assess brain damage). More sensitive tests, and test comparisons over time, may well give a different answer.
On its own, then, this finding is merely another data-point. But accumulating data-points is how we do science! Hopefully, in due course there’ll be a follow-up that will give us more information.
(2012). Occupational Solvent Exposure and Cognition Does the Association Vary by Level of Education?.
Neurology. 78(22), 1754 - 1760.
Data from the Nurses' Health Study Cognitive Cohort, involving 19,409 older women (70-81), has found that higher levels of long-term exposure to air pollution were associated with faster rates of cognitive decline over a four-year period.
For each 10 micrograms per cubic meter of air increase in pollutants, cognitive decline was comparable to two years of age-related decline.
Pollution exposure was estimated from geography. Cognition was tested by three telephone interviews, administered at roughly two-year intervals.
Air pollution linked to heart attack risk
Given the association between cardiovascular risk factors and cognitive decline (“What’s good for the heart is good for the brain”), it’s worth noting that a review of 34 studies has found that every main air pollutant, with the exception of ozone, was significantly associated with greater risk of heart attack. For most of the pollutants, an increase in concentration of 10 micrograms per cubic meter of air – barely noticeable – was associated with a 1-3% increase in the chance of having a heart attack in the next week.
The size of the risk is small compared with traditional risk factors such as smoking status or hypertension or diabetes, but is something that those with other cardiovascular risk factors may want to consider. There’s also growing evidence that high levels of pollution increase stroke risk.
(2012). Exposure to Particulate Air Pollution and Cognitive Decline in Older Women.
Arch Intern Med. 172(3), 219 - 227.
(2012). Main Air Pollutants and Myocardial Infarction A Systematic Review and Meta-Analysis.
JAMA: The Journal of the American Medical Association. 307(7), 713 - 721.
So-called ‘Gulf War syndrome’ is a poorly understood chronic condition associated with exposure to neurotoxic chemicals and nerve gas, and despite its name is associated with three main syndromes: impaired cognition (syndrome 1); confusion-ataxia (syndrome 2); central neuropathic pain (syndrome 3). Those with syndrome 2 are the most severely affected. Note that the use of the term ‘impaired cognition’ for syndrome 1 is not meant to indicate that the other syndromes show no impaired cognition; rather, it signals the absence of other primary symptoms such as ataxia and pain.
Symptoms of Gulf War syndrome include fatigue, neuropathic pain, memory and concentration deficits, balance disturbances and depression. Many of these symptoms suggest impairment of the hippocampus (among other regions, in particular the basal ganglia).
The new study follows up on an earlier study, with many of the same participants involved. A new, more sensitive, technique for assessing blood flow in the hippocampus was used to assess 35 patients with Gulf War syndromes and 13 controls. In the study of eleven years previous, those with syndrome 1 (impaired cognition) showed similar responses as the controls, while those with syndrome 2 (confusion-ataxia) showed abnormal blood flow in the right hippocampus.
In the present study, that abnormal hippocampal blood flow had progressed to the left hippocampus for those with syndrome 2 and to both hippocampi for those with syndrome 3. The results indicate that this alteration of hippocampal blood flow persists and can even worsen.
Around a quarter of U.S. military personnel deployed to the 1991 Persian Gulf War are estimated to be affected by Gulf War syndrome. Previous research has suggested genetic variation may underlie individuals’ vulnerability to neurotoxins.
(2011). Hippocampal Dysfunction in Gulf War Veterans: Investigation with ASL Perfusion MR Imaging and Physostigmine Challenge.
Radiology. 261(1), 218 - 225.
In yet another study of the effects of pollution on growing brains, it has been found that children who grew up in Mexico City (known for its very high pollution levels) performed significantly worse on cognitive tests than those from Polotitlán, a city with a strong air quality rating.
The study involved 30 children aged 7 or 8, of whom 20 came from Mexico City, and 10 from Polotitlán. Those ten served as controls to the Mexico City group, of whom 10 had white matter hyperintensities in their brains, and 10 had not. Regardless of the presence of lesions, MC children were found to have significantly smaller white matter volumes in right parietal and bilateral temporal regions. Such reduced volumes were correlated with poorer performance on a variety of cognitive tests, especially those relating to attention, working memory, and learning.
It’s suggested that exposure to air pollution disturbs normal brain development, resulting in cognitive deficits.
(Submitted). Exposure to severe urban air pollution influences cognitive outcomes, brain volume and systemic inflammation in clinically healthy children.
Brain and Cognition.
In the first mouse study, when young and old mice were conjoined, allowing blood to flow between the two, the young mice showed a decrease in neurogenesis while the old mice showed an increase. When blood plasma was then taken from old mice and injected into young mice, there was a similar decrease in neurogenesis, and impairments in memory and learning.
Analysis of the concentrations of blood proteins in the conjoined animals revealed the chemokine (a type of cytokine) whose level in the blood showed the biggest change — CCL11, or eotaxin. When this was injected into young mice, they indeed showed a decrease in neurogenesis, and this was reversed once an antibody for the chemokine was injected. Blood levels of CCL11 were found to increase with age in both mice and humans.
The chemokine was a surprise, because to date the only known role of CCL11 is that of attracting immune cells involved in allergy and asthma. It is thought that most likely it doesn’t have a direct effect on neurogenesis, but has its effect through, perhaps, triggering immune cells to produce inflammation.
Exercise is known to at least partially reverse loss of neurogenesis. Exercise has also been shown to produce chemicals that prevent inflammation. Following research showing that exercise after brain injury can help the brain repair itself, another mouse study has found that mice who exercised regularly produced interleukin-6 (a cytokine involved in immune response) in the hippocampus. When the mice were then exposed to a chemical that destroys the hippocampus, the interleukin-6 dampened the harmful inflammatory response, and prevented the loss of function that is usually observed.
One of the actions of interleukin-6 that brings about a reduction in inflammation is to inhibit tumor necrosis factor. Interestingly, I previously reported on a finding that inhibiting tumor necrosis factor in mice decreased cognitive decline that often follows surgery.
This suggests not only that exercise helps protect the brain from the damage caused by inflammation, but also that it might help protect against other damage, such as that caused by environmental toxins, injury, or post-surgical cognitive decline. The curry spice cucurmin, and green tea, are also thought to inhibit tumor necrosis factor.
(2011). The ageing systemic milieu negatively regulates neurogenesis and cognitive function.
Nature. 477(7362), 90 - 94.
(2011). Voluntary exercise protects hippocampal neurons from trimethyltin injury: Possible role of interleukin-6 to modulate tumor necrosis factor receptor-mediated neurotoxicity.
Brain, Behavior, and Immunity. 25(6), 1063 - 1077.
Following several recent studies pointing to the negative effect of air pollution on children’s cognitive performance (see this April 2010 news report and this May 2011 report), a study of public schools in Michigan has found that 62.5% of the 3660 schools in the state are located in areas with high levels of industrial pollution, and those in areas with the highest industrial air pollution levels had the lowest attendance rates and the highest proportions of students who failed to meet state educational testing standards in English and math. Attendance rates are a potential indicator of health levels.
Minority students were especially hit by this — 81.5% of African American and 62.1% of Hispanic students attend schools in the top 10% of the most polluted areas, compared to 44.4% of white students.
Almost all (95%) of the industrial air pollution around schools comes from 12 chemicals (diisocyanates, manganese, sulfuric acid, nickel, chlorine, chromium, trimethylbenzene, hydrochloric acid, molybdenum trioxide, lead, cobalt and glycol ethers) that are all implicated in negative health effects, including increased risk of respiratory, cardiovascular, developmental and neurological disorders, as well as cancer.
There are potentially two issues here: the first is that air pollution causes health issues which lower school attendance and thus impacts academic performance; the other is that the pollution also directly effects the brain, thus affecting cognitive performance.
A new mouse study looking at the effects of air pollution on learning and memory has now found that male mice exposed to polluted air for six hours a day, five days a week for 10 months (nearly half their lifespan), performed significantly more poorly on learning and memory tasks than those male mice living in filtered air. They also showed more signs of anxiety- and depressive-like behaviors.
These changes in behavior and cognition were linked to clear differences in the hippocampus — those exposed to polluted air had fewer dendritic spines in parts of the hippocampus (CA1 and CA3 regions), shorter dendrites and overall reduced cell complexity. Previous mouse research has also found that such pollution causes widespread inflammation in the body, and can be linked to high blood pressure, diabetes and obesity. In the present study, the same low-grade inflammation was found in the hippocampus. The hippocampus is particularly sensitive to damage caused by inflammation.
The level of pollution the mice were exposed to was equivalent to what people may be exposed to in some polluted urban areas.
(2011). Air Pollution Around Schools Is Linked To Poorer Student Health And Academic Performance.
Health Affairs. 30(5), 852 - 862.
(2011). Air pollution impairs cognition, provokes depressive-like behaviors and alters hippocampal cytokine expression and morphology.
A study in which mice were exposed to polluted air for three 5-hour sessions a week for 10 weeks, has revealed that such exposure damaged neurons in the hippocampus and caused inflammation in the brain. The polluted air was laden with particles collected from an urban freeway.
Another recent study found that, of 215 children, those whose cord blood showed high levels of combustion-related pollutants such as polycyclic aromatic hydrocarbons (PAH), had more attention (and anxiety) problems at ages 5 and 7. The children were born to nonsmoking African-American and Dominican women residing in New York City.
(2011). Glutamatergic Neurons in Rodent Models Respond to Nanoscale Particulate Urban Air Pollutants In Vivo and In Vitro.
Environmental Health Perspectives.
(2011). PAH/Aromatic DNA Adducts in Cord Blood and Behavior Scores in New York City Children.
Environmental Health Perspectives.
Increased awareness and changes in diagnostic criteria can’t entirely explain the massive increase in autism — the U.S. Centers for Disease Control reported a 57% increase between 2002 and 2006. Another factor may involve environmental pollutants.
A Californian study involving 304 autism cases and 259 typically developing controls has found that living within 309 meters of a freeway at birth or during the third trimester was associated with a two-fold increase in autism risk. This association held after adjustment for gender, ethnicity, parental education, maternal age, or prenatal smoking. The researchers found no consistent pattern of association of autism with proximity to a major road.
The finding is consistent with other evidence that oxidative stress and inflammation are involved in the pathogenesis of autism. This is likely to be only one of many environmental factors that are involved.
(2010). Residential Proximity to Freeways and Autism in the CHARGE study.
Environmental Health Perspectives.
Manganese exposure in the workplace is known to have neurotoxic effects, but manganese occurs naturally in soil and sometimes in groundwater. One region where the groundwater contains naturally high levels of manganese is Quebec. A study involving 362 Quebec children, aged 6-13, has measured both the concentrations of metals (manganese, iron, copper, lead, zinc, arsenic, magnesium and calcium) in their tap water, and their cognitive abilities.
Although manganese concentrations were well below current guidelines, the average IQ of those whose tap water was in the upper 20% was 6.2 points below children whose water contained little or no manganese. The association was more marked for Performance IQ than Verbal IQ (Performance IQ reflects perceptual organization and processing speed). The analysis took into account factors such as family income, maternal intelligence, maternal education, and the presence of other metals in the water. No association was found between manganese in their food and IQ.
(2010). Intellectual Impairment in School-Age Children Exposed to Manganese from Drinking Water.
Environmental Health Perspectives.
A study following over 300 Mexican-American children living in an agricultural community has found that their prenatal exposure to organophosphate pesticides (measured by metabolites in the mother’s urine during pregnancy) was significantly associated with attention problems at age 5. This association was stronger among boys, and stronger with age (at 3 ½ the association, although present, did not reach statistical significance — perhaps because attention disorders are much harder to recognize in toddlers). Based on maternal report, performance on attention tests, and a psychometrician’s report, 8.5% of 5-year-olds were classified as having ADHD symptoms. Each tenfold increase in prenatal pesticide metabolites was linked to having five times the odds of scoring high on the computerized tests at age 5. The child’s own level of phosphate metabolites was not linked with attention problems.
Organophosphate pesticides disrupt acetylcholine, which is important for attention and short-term memory. While the exposure of these children to pesticides is presumably higher and more chronic than that of the general U.S. population, food is a significant source of pesticide exposure among the general population.
Marks AR, Harley K, Bradman A, Kogut K, Barr DB, Johnson C, et al. 2010. Organophosphate Pesticide Exposure and Attention in Young Mexican-American Children. Environ Health Perspect :-. doi:10.1289/ehp.1002056
Full text available at http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3...
A five-year study involving 214 children born to healthy, non-smoking Caucasian women in Krakow, Poland, has found that those prenatally exposed to high levels of polycyclic aromatic hydrocarbons (PAHs) had a significant reduction in scores on a standardized test of reasoning ability and intelligence at age 5 (an estimated average decrease of 3.8 IQ points). The mothers wore small backpack personal air monitors for 48 hours during pregnancy to estimate their babies' PAH exposure. The finding persisted after mother’s intelligence, secondhand smoke exposure, lead and dietary PAH were taken into account. Previously, prenatal exposure to PAHs was found to adversely affect children's IQ at age 5 in children of nonsmoking African American and Dominican American women in New York City. PAHs are released into the air from the burning of fossil fuels.
(2010). Prenatal Exposure to Airborne Polycyclic Aromatic Hydrocarbons and Children’s Intelligence at Age 5 in a Prospective Cohort Study in Poland.
Environmental Health Perspectives.
Older news items (pre-2010) brought over from the old website
Prenatal exposure to urban air pollutants affects cognitive development
A study of 183 three-year-old children of non-smoking African-American and Dominican women residing in New York City has found that exposure during pregnancy to combustion-related urban air pollutants (specifically, polycyclic aromatic hydrocarbons) was linked to significantly lower scores on mental development tests and more than double the risk of developmental delay at age three.
(2006). Effect of Prenatal Exposure to Airborne Polycyclic Aromatic Hydrocarbons on Neurodevelopment in the First 3 Years of Life among Inner-City Children.
Environmental Health Perspectives. 114(8), 1287 - 1292.
Full text available at http://www.ehponline.org/members/2006/9084/9084.pdf
Prenatal exposure to secondhand smoke increases risk of developmental delay
A new study funded by the National Institute of Environmental Health Sciences has found that children whose mothers are exposed during pregnancy to second-hand smoke have reduced scores on tests of cognitive development at age two, when compared to children from smoke-free homes. In addition, the children exposed to second-hand smoke during pregnancy are approximately twice as likely to have developmental scores below 80, which is indicative of developmental delay. These differences were magnified for children whose mothers lived in inadequate housing or had insufficient food or clothing during pregnancy. The combined effect results in a developmental deficit of about seven points in tests of cognitive performance.
Rauh, V.A., Whyatt, R.M., Garfinkel, R., Andrews, H., Hoepner, L., Reyes, A., Diaz, D., Camann, D. & Perera, F.P. 2004. Developmental effects of exposure to environmental tobacco smoke and material hardship among inner-city children. Neurotoxicology and Teratology, 26 (3), 373-385.