Occupational exposures to solvents and lead as risk factors for Alzheimer's disease: a collaborative re-analysis of case-control studies. EURODEM Risk Factors Research Group

Int J Epidemiol. 1991:20 Suppl 2:S58-61. doi: 10.1093/ije/20.supplement_2.s58.

Abstract

A meta-analysis, involving the secondary analysis of original data from 11 case-control studies of Alzheimer's disease, is presented for occupational exposures to solvents and lead. Three studies had data on occupational exposure to solvents. Among cases, 21.3% were reported to have been exposed; among controls, this figure was comparable (20.9%). This yielded a pooled matched relative risk of 0.76 (95% CI: 0.47-1.23). Four studies had data on exposure to lead. Exposure frequencies were 6.1% in cases and 8.3% in controls. This resulted in a pooled matched relative risk of 0.71 (95% CI: 0.36-1.41). The meta-analysis was particularly useful in validating negative results from individual studies and in increasing the statistical power for the analysis of lead exposure, where stratum-specific cell sizes were frequently smaller than five in individual studies. However, since exposure in the various studies was ascertained in a rather broad manner, prospective studies are recommended which focus on high-risk occupational populations and which determine the incidence of Alzheimer's disease in these and comparable unexposed populations.

Publication types

  • Meta-Analysis

MeSH terms

  • Alzheimer Disease / chemically induced*
  • Alzheimer Disease / epidemiology
  • Case-Control Studies
  • Humans
  • Lead Poisoning / complications*
  • Meta-Analysis as Topic
  • Occupational Diseases / chemically induced*
  • Risk Factors
  • Solvents / poisoning*
  • United States / epidemiology

Substances

  • Solvents