This study is related to the interest area outlined in PA-18-591, specifically, the expansion of projects to include work related to Alzheimer?s Disease and Related Dementias (ADRD). There is increasing evidence that Alzheimer?s disease and related dementias have their origins much earlier in the life course than when symptoms occur. An individual?s occupation and work life are often their longest and most frequent social exposures; risk factors that occur or cumulate during working years represent an important area of focus in understanding potential dementia prevention or intervention. Still, data limitations have rendered study difficult.
The aim of this project is to use the rich administrative data available from the Alcoa cohort to examine occupational and individual risk factors and working conditions during midlife on the risk of Alzheimer?s disease and dementia in later-life. Specifically, we will explore four risk factors that occur and/or cumulate during working years: the role of depression and depressive symptoms; hearing impairment; chronic sleep deprivation, as measured by long working hours; and cumulative exposure to particulate matter. The detailed and longitudinal nature of these data?often spanning over a decade of a workers? tenure?represent a significant contribution to the efforts to understand the role of occupational risk factors to ADRD. This research will shed light on potentially modifiable risk factors of ADRD that occur in midlife and as a part of one?s occupational context. Given the importance of work and working conditions in shaping health, understanding the contribution of such factors offers new opportunities for prevention and intervention of ADRD.

Public Health Relevance

The Alcoa research infrastructure?linking quantitative exposure measures to myriad hazards of active workers whose behavior, social environment and health status from pre-employment through retirement to death are fully observed?has recently acquired a sizeable data linkage that now makes it possible to identify Alzheimer?s disease and dementia in previously-employed workers. This project examines a number of occupational risk factors associated with ADRD risk using longitudinally rich data. We expect that this project will elucidate the relationship between work in mid-life and later-life ADRD risk.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
3R01AG026291-12S1
Application #
9718035
Study Section
Social Sciences and Population Studies B Study Section (SSPB)
Program Officer
Patmios, Georgeanne E
Project Start
2006-06-01
Project End
2022-05-31
Budget Start
2018-09-06
Budget End
2019-05-31
Support Year
12
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Stanford University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94304
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