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    275 points rntn | 19 comments | | HN request time: 0.766s | source | bottom
    1. firesteelrain ◴[] No.45158651[source]
    Dementia rates in Miami Dade are among the highest in the country while Utah is on the low end. What is striking is that Utah has worse air quality, which is a known risk factor, yet still shows lower prevalence.

    Why is that?

    replies(9): >>45158724 #>>45158726 #>>45158754 #>>45158967 #>>45159195 #>>45159214 #>>45160034 #>>45160258 #>>45161024 #
    2. sleepyguy ◴[] No.45158724[source]
    Perhaps there are more elderly people in Miami-Dade.

    What we should be asking is why aren't countries like China, India, and a lot of others in Asia suffering catastrophic rates of Dementia?

    replies(2): >>45158747 #>>45158833 #
    3. Mistletoe ◴[] No.45158726[source]
    There are obviously lots more factors affecting dementia than air quality.

    Also Utah has worse air quality than Miami? Where in Utah? My trips to Utah I remember pristine air but of course I didn’t have an air monitor on board other than my nose.

    Edit: Oh I see

    >Utah, particularly in urban areas like the Wasatch Front, frequently experiences worse air quality than Miami. Utah's air quality issues are often caused by unique geographical and meteorological conditions. In winter, temperature inversions trap cold, polluted air in the valleys, leading to high levels of particulate matter (PM2.5) pollution. In the summer, heat and sunlight can create high levels of ground-level ozone. The American Lung Association has ranked cities in the Salt Lake City-Provo-Orem area among the worst for ozone and short-term particle pollution.

    >In contrast, Miami's air quality is generally "Good" throughout the year, with occasional exceptions. The primary pollutants are also PM2.5 and ozone, but the geographical and weather conditions do not contribute to the same level of pollutant trapping as in Utah. The city has programs in place for air quality monitoring and standards.

    replies(2): >>45159512 #>>45160926 #
    4. firesteelrain ◴[] No.45158747[source]
    Good point. If air quality is a risk factor then how much?
    5. ◴[] No.45158754[source]
    6. idiotsecant ◴[] No.45158833[source]
    China's population skew heavily to middle age, whereas the US population pyramid is more like a population rectangle. It's entirely possible that they have an epidemic of dementia, but for a combination of social and demographic reasons that doesn't show in the data. Getting honest health data out of China, for example, is going to be pretty difficult.

    https://en.m.wikipedia.org/wiki/File:China_population_sex_by...

    https://www.populationpyramid.net/united-states-of-america/2...

    7. chongli ◴[] No.45158967[source]
    Gotta control for age. Even if air pollution is a major cause of dementia, the disease takes decades to appear.

    Utah has the highest birth rate and therefore the youngest population of the 50 states (median age 31.5 years). Florida is not the oldest state, but it's near the top (median age 42.7 years).

    replies(1): >>45159959 #
    8. maldonad0 ◴[] No.45159195[source]
    Life is psychologically worse in the cities.
    replies(2): >>45159638 #>>45160224 #
    9. AvAn12 ◴[] No.45159214[source]
    Also need to adjust for moving. A lot of people retire to Florida but would have accumulated exposures in wherever they lived most of their working life.
    10. gausswho ◴[] No.45159512[source]
    Salt Lake is a ticking time bomb as it evaporates and exposes heavy metals downwind to major population centers.
    11. bichiliad ◴[] No.45159638[source]
    I'd argue that's only true if you ignore loneliness in areas outside of cities. I would have a hard time living somewhere that I didn't run into people.

    https://pmc.ncbi.nlm.nih.gov/articles/PMC6179015/

    12. biophysboy ◴[] No.45159959[source]
    Dementia by state comparisons that look at prevalence above age 65 give the conclusion for Utah & Florida
    13. dragonwriter ◴[] No.45160034[source]
    Because where people live in retirement doesn’t always reflect where they lived while gathering exposure, and particularly Florida is a place that attracts retirees and perhaps most especially retirees with respiratory health issues (which, like dementia, are influenced by air quality they qere exposee to over their earlier life.)
    14. t-writescode ◴[] No.45160224[source]
    My sorrow and sadness from being in a place where I can't walk to go do things is substantially worse than places where I can.

    I can walk in cities.

    replies(2): >>45160601 #>>45165584 #
    15. biophysboy ◴[] No.45160258[source]
    https://www.cdc.gov/nchs/state-stats/deaths/alzheimers.html

    That's strange, because the dementia mortality rate is high...

    16. ◴[] No.45160601{3}[source]
    17. 7952 ◴[] No.45160926[source]
    And probably getting far more use of wood burners in areas like the Wasatch Front than Miami.
    18. Aurornis ◴[] No.45161024[source]
    Dementia isn’t caused by one single factor, as far as we know.

    Studies like this show that air quality is correlated with dementia in general, but we don’t know if that means air quality directly contributes to dementia or if air quality just happens to be correlated with something else that contributes to dementia.

    As for Utah: They have lower rates of drinking and drug use and higher levels of physical fitness and outdoor activity, among other factors.

    Utah’s average air quality also isn’t as bad as you hear about. The mountain geography can trap pollution on certain winter days, but the average air quality in Salt Lake City is surprisingly better than most metro areas with 500K or more people: https://www.axios.com/local/salt-lake-city/2024/03/26/air-qu...

    > In 2023, Salt Lake had the 11th-lowest average particulate matter levels, known as PM2.5, of 103 cities reviewed by IQAir, a Swiss air quality technology company.

    19. ninalanyon ◴[] No.45165584{3}[source]
    Why can't you walk outside of cities? At least where I live and mostly travel, northern Europe, walking outside of cities is easy.