Evidence map›Paper›PMID 41830492›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2026

From cradle to cortex: An exposome- and equity-centered perspective of neurocognitive aging and dementia risk in the era of climate change.

Kelly E Perry, Jenna Merenstein

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Kelly E PerryNicholas School of the Environment, Duke University, Durham, USA.ORCID 0000-0002-8637-4729
Jenna MerensteinDepartment of Psychology, University of Utah, Salt Lake City, USA.ORCID 0000-0003-1631-1340

Funding

Robert Wood Johnson Foundation
6 · The paper itself

Abstract

The convergence of climate change, adverse environmental exposures, and rapid population aging necessitates an equity-based paradigm shift in safeguarding brain health across the life course. Older adults, especially those in marginalized and low-resource settings, face disproportionate exposure to air pollution, toxicants, and climate-related hazards. Emerging evidence links these biophysical, social, and cultural vulnerabilities to cognitive decline and a heightened risk of developing Alzheimer's disease and related dementias (ADRDs), underscoring the need to examine cumulative exposures across the life course. Exposome-informed research integrating magnetic resonance imaging biomarkers with socioenvironmental contexts remains limited in underrepresented populations but offers opportunities to detect subclinical markers of environmental harm and illuminate mechanistic pathways of ADRDs. Thus, future studies must adopt equity-centered approaches, inclusive recruitment, and community-driven interventions to address systemic inequities and cumulative exposures. Embedding environmental justice within neuroscience will advance preventative public health policies that mitigate inequities and protect brain health during climate change. HIGHLIGHTS: Marginalized communities remain underrepresented in brain health/ Alzheimer's disease and related dementias (ADRDs) research. Toxic environmental exposures worsen inequities in brain health across the life course. Exposome-informed neuroimaging may detect early neural markers of cognitive decline. Future equity-centered exposome/neuroimaging work will inform brain health policy. Need for life course interventions to mitigate environmental risk factors of ADRDs.

Indexed as

AgingClimate ChangeCognitive AgingDementiaEnvironmental ExposureExposomeAlzheimer DiseaseBrainHumansRisk FactorsSocioeconomic Disparities in HealthagingAlzheimer's diseasebrain healthdementiaenvironmental healthexposomehealth equitylife course

Identifiers

PMID41830492
PMCPMC13093629

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.