Exposure to lead and incidence of Alzheimer's disease and all‐cause dementia in the United States

We examined Medicare-linked National Health and Nutrition Examination Survey (NHANES) on lead exposure and incident Alzheimer's disease (AD) and dementia. Lead exposure was assessed by blood lead and algorithm-estimated bone lead levels. High estimated patella lead was linked to increased all-cause dementia incidence. Dementia cases drop by 18% if all patella lead levels reduce to the 25<sup>th</sup> percentile. Cumulative lead exposure may raise dementia risk, highlighting its potential impact.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2026-02-01
DOI
https://doi.org/10.1002/alz.71075
Primary Topic
Heavy Metal Exposure and Toxicity
Type
article
Field-Weighted Citation Impact
0.00

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article

Exposure to lead and incidence of Alzheimer's disease and all‐cause dementia in the United States

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Heavy Metal Exposure and Toxicity
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Exposure to lead and incidence of Alzheimer's disease and all‐cause dementia in the United States

Sung Kyun Park, Kelly M. Bakulski, Roger L Albin, Erika Walker, Hiroko Dodge, Henry Paulson, Bhramar Mukherjee, Xin Wang
article en

Abstract

We examined Medicare-linked National Health and Nutrition Examination Survey (NHANES) on lead exposure and incident Alzheimer's disease (AD) and dementia. Lead exposure was assessed by blood lead and algorithm-estimated bone lead levels. High estimated patella lead was linked to increased all-cause dementia incidence. Dementia cases drop by 18% if all patella lead levels reduce to the 25<sup>th</sup> percentile. Cumulative lead exposure may raise dementia risk, highlighting its potential impact.

Alzheimer s & DementiaVol. 22(2)
Michigan Department of Health and Human Services (US), Harvard University (US), University of Michigan (US), Yale University (US), Massachusetts General Hospital (US), VA Ann Arbor Healthcare System (US), Geriatric Research Education and Clinical Center (US), Michigan Medicine (US), Yale New Haven Health System (US)
Centers for Disease Control and Prevention
Zero hunger
Openalex Percentile: Top 61%
Heavy Metal Exposure and Toxicity
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