Building the evidence for an ecological model of cognitive health |
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Institution: | 1. University of Cologne, Research Training Group SOCLIFE, Albertus-Magnus-Platz, 50923 Cologne, Germany;2. University of Cologne, Institute of Sociology and Social Psychology, Albertus-Magnus-Platz, 50923 Cologne, Germany;3. Oslo and Akershus University College of Applied Sciences, Norwegian Social Research, P.O. Box 4 St. Olavs Plass, 0130 Oslo, Norway;4. VU University Amsterdam, Medical Center, Department of Epidemiology and Biostatistics, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands;5. VU University Amsterdam, Department of Sociology, De Boelelaan 1081, 1081 HV Amsterdam, The Netherlands;1. Barcelonaβeta Brain Research Center (BBRC), Pasqual Maragall Foundation, Barcelona, Spain;2. CIBER Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain;3. IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain;4. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA;5. Universitat Pompeu Fabra (UPF), Barcelona, Spain;6. ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain;7. CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain;8. CIBER Bioingeniería, Biomateriales y Nanomedicina, Madrid, Spain;1. Institute for Health and Ageing, Australian Catholic University, Melbourne, Victoria, Australia;2. School of Public Health, The University of Hong Kong, Hong Kong, China;3. School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia;4. Sir James McCusker Alzheimer''s Disease Research Unit (Hollywood Private Hospital), Perth, Western Australia, Australia;5. Centre of Excellence for Alzheimer''s Disease Research and Care, School of Medical Sciences, Edith Cowan University, Perth, Western Australia, Australia;6. Academic Unit for Psychiatry of Old Age, Department of Psychiatry, The University of Melbourne, Parkville, Victoria, Australia;7. National Ageing Research Institute, Parkville, Victoria, Australia;8. CSIRO Food and Nutrition, Parkville, Victoria, Australia;9. The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Victoria, Australia;10. Austin Health, Heidelberg, Victoria, Australia;11. Cogstate Ltd., Melbourne, Victoria, Australia |
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Abstract: | This is a commentary on Besser and colleagues’ article “Associations between neighbourhood built environment and cognition vary by apolipoprotein E genotype: Multi-Ethnic Study on Atherosclerosis” published in Health & Place. Unlike previous studies, the authors found significant environment-cognition associations in apolipoprotein E (APOE) ε2 carriers and no significant associations in ε4 carriers. This commentary discusses the possible reasons for these findings and, in doing so, proposes an ecological model of cognitive health. The model highlights the importance of accounting for multiple environmental influences including the built and natural environment and air and noise pollution indicators. It also stresses the importance of studying the underlying biological mechanisms explaining differences in environment-cognition associations across APOE genotype categories. |
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Keywords: | Built environment Natural environment Apolipoprotein E genotype Walkability Cognitive function |
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