Background: The aging rate in Taiwan is the second highest in the world. As the population ages quickly, the prevalence of dementia increases rapidly. There are some studies that have explored the association between air pollution and cognitive decline, but the association between air pollution and dementia has not been directly evaluated.Methods: This was a case‐control study comprising 249 Alzheimer's disease (AD) patients, 125 vascular dementia (VaD) patients, and 497 controls from three teaching hospitals in northern Taiwan from 2007 to 2010. Data of particulate matter <10 μm in diameter (PM10) and ozone were obtained from the Taiwan Environmental Protection Administration for 12 and 14 years, respectively. Blood samples were collected to determine the apolipoprotein E (APOE) ɛ4 haplotype. Bayesian maximum entropy was used to estimate the individual exposure level of air pollutants, which was then tertiled for analysis. Conditional logistic regression models were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals between the association of PM10 and ozone exposure with AD and VaD risk.Results: The highest tertile of PM10 (≥49.23 μg/m3) or ozone (≥21.56 ppb) exposure was associated with increased AD risk (highest vs. lowest tertile of PM10: AOR = 4.17; highest vs. lowest tertile of ozone: AOR = 2.00). Similar finding was observed for VaD. The association with AD and VaD risk remained for the highest tertile PM10 exposure after stratification by APOE ɛ4 status and gender.Conclusions: Long‐term exposure to the highest tertile of PM10 or ozone was significantly associated with an increased risk of AD and VaD.
With the rapid development of the Internet of things (IoTs) and modern industrial society, forecasting air pollution concentration, e.g., the concentration of PM2.5, is of great significance to protect human health and the environment. Accurate prediction of PM2.5 concentrations is limited by the number and the data quality of air quality monitoring stations. In Taiwan, the spatial and temporal data of PM2.5 concentrations are measured by 77 national air quality monitoring stations (built by Taiwan EPA). However, the national stations are costly and scarce because of the highly precise instrument and their size. Therefore, many places are still out of coverage of the monitoring network. Recently, under the framework of IoTs, there are hundreds of portable air quality sensors called "AirBox" developed jointly by the Taiwan local government and a private company. By virtue of its low price and portability, the AirBox can provide a higher resolution of space-time PM2.5 measurement. However, the spatiotemporal distribution is different between AirBox and EPA stations, and data quality and accuracy of AirBox is poorer than national air quality monitoring stations. Thus, to integrate the heterogeneous PM2.5 data, the data fusion technique should be used before further analysis. In this study, we propose a new data fusion method called multi-sensor space-time data fusion framework. It is based on the Optimum Linear Data Fusion theory and integrating with a multi-time step Kriging method for spatial-temporal estimation. The method is used to do heterogeneous data fusion from different sources and data qualities. It is able to improve the estimation of PM2.5 concentration in space and time. Results have shown that by combining PM2.5 concentration data from 1176 low-cost AirBoxes as additional information in our model, the estimation of spatial-temporal PM2.5 concentration becomes better and more reasonable. The r2 of the validation regression model is 0.89. Under the approach proposed in this study, we made the information of the micro-sensors more reliable and improved the higher spatial-temporal resolution of air quality monitoring. It could provide very useful information for better spatial-temporal data analysis and further environmental management, such as air pollution source localization, health risk assessment, and micro-scale air pollution analysis.