title: Trace element levels in drinking water and cognitive function among elderly Chinese.
abstract: The relation between trace element levels in drinking water and cognitive function was investigated in a population-based study of elderly residents (n = 1,016) in rural China in 1996-1997. Cognitive function was measured using a Chinese translation of the Community Screening Interview for Dementia. A mixed effects model was used to evaluate the effect of each of the elements on cognitive function while adjusting for age, sex, and educational level. Several of the elements examined had a significant effect on cognitive function when they were assessed in a univariate context. However, after adjustment for other elements, many of these results were not significant. There was a significant quadratic effect for calcium and a significant zinc-cadmium interaction. Cognitive function increased with calcium level up to a certain point and then decreased as calcium continued to increase. Zinc showed a positive relation with cognitive function at low cadmium levels but a negative relation at high levels.
authors.affiliation: Department of Medicine, Indiana University School of Medicine, Indianapolis 46202, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Emsley
authors.forename: S
authors.initials: S
authors.lastname: Gao
authors.forename: Y
authors.initials: Y
authors.lastname: Li
authors.forename: C
authors.initials: C
authors.lastname: Liang
authors.forename: R
authors.initials: R
authors.lastname: Ji
authors.forename: K S
authors.initials: KS
authors.lastname: Hall
authors.forename: J
authors.initials: J
authors.lastname: Cao
authors.forename: F
authors.initials: F
authors.lastname: Ma
authors.forename: Y
authors.initials: Y
authors.lastname: Wu
authors.forename: P
authors.initials: P
authors.lastname: Ying
authors.forename: Y
authors.initials: Y
authors.lastname: Zhang
authors.forename: S
authors.initials: S
authors.lastname: Sun
authors.forename: F W
authors.initials: FW
authors.lastname: Unverzagt
authors.forename: C W
authors.initials: CW
authors.lastname: Slemenda
authors.forename: H C
authors.initials: HC
authors.lastname: Hendrie
mesh_terms: D017677:Age Distribution; D000368:Aged; D002104:Cadmium / Q000032:analysis / Q000494:pharmacology; D002118:Calcium / Q000032:analysis / Q000494:pharmacology; D002681:China / Q000453:epidemiology; D003071:Cognition / Q000187:drug effects*; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology*; D004522:Educational Status; D004784:Environmental Monitoring / Q000706:statistics & numerical data*; D062665:Epidemiological Monitoring; D005260:Female; D006801:Humans; D008297:Male; D008452:Maximum Allowable Concentration; D015233:Models, Statistical; D015999:Multivariate Analysis; D011581:Psychological Tests; D017678:Sex Distribution; D014131:Trace Elements / Q000032:analysis* / Q000494:pharmacology* / Q000592:standards; D014881:Water Supply / Q000032:analysis*; D015032:Zinc / Q000032:analysis / Q000494:pharmacology
chemical_list: D014131:Trace Elements; D002104:Cadmium; D015032:Zinc; D002118:Calcium