Evidence map›Paper›PMID 40703161›Full record

Observational studyFrontiers in public health2025

Association between insecticide exposomics and cognitive function in older adults: an observational study based on NHANES 2011-2014.

Mengfan Zhang, Xiaofang Guo, Yuanjun Chen, Xinghua Liu, Xingdong Lin

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mengfan ZhangGuangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Xiaofang GuoGuangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Yuanjun ChenGuangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Xinghua LiuThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Xingdong LinThe Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to investigate the association between exposure to insecticide exposomics and cognitive function, among adults aged 60 and above. Methods: We employed a multi-stage probability sampling method to analyze data derived from the National Health and Nutrition Examination Survey (NHANES) conducted between 2011 and 2014. The study investigated the impact of insecticides exposure on cognitive performance, as measured by the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Word Learning Test (CERAD-WL), CERAD Delayed Recall Test (CERAD-DR), Animal Fluency Test (ATF), and Digit Symbol Substitution Test (DSST). Logistic regression models were used to evaluate the impact, with adjustments for sociodemographic and lifestyle variables, and subgroup analyses were conducted to further elucidate the findings. Results: A total of 1,544 participants were included after applying strict exclusion criteria. Logistic regression analysis disclosed a significant association between insecticides exposure and the risk of cognitive impairment. Specifically, for CERAD-WL, the unadjusted model showed an Odds Ratio (OR) of 0.68 (95% CI: 0.49-0.93), Conclusion: Our study indicates an association between insecticides exposure and cognitive impairment, particularly affecting memory and delayed recall. Yet, the cross-sectional design prevents conclusive causality claims. Future research should adopt longitudinal approaches, utilize biological markers for precise exposure measurement, and apply advanced statistical techniques to better understand the exposure-outcome relationship. Including a broader age range and detailed confounder data will also strengthen causal inferences. While our findings offer preliminary evidence, more robust studies are necessary to confirm causality and guide preventive measures.

Indexed as

CognitionCognitive DysfunctionEnvironmental ExposureInsecticidesAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeuropsychological TestsNutrition SurveysInsecticidescognitive declinecognitive functioninsecticide exposomicsNHANES dataolder adult populationpesticide exposurepublic health research

Identifiers

PMID40703161
PMCPMC12283784

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.