Geospatial Analysis of Environmental Atmospheric Risk Factors in Neurodegenerative Diseases: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Identification, Screening, and Assessment
3.2. Qualitative Synthesis
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Appendix A
Ref | Country (Year) | Title | Authors | Exclusion Reasons |
---|---|---|---|---|
[43] | Poland (1969) | Epidemiological study of multiple sclerosis in western Poland | W. Cendrowski, M. Wender, W. Dominik, Z. Flejsierowicz, M. Owsianowski, M. Popiel | No ENV |
[44] | Germany (1969) | Multiple sclerosis in Europe | R. C. Behrend | No ENV |
[45] | Republic of South Africa (1975) | Comparative epidemiological studies of multiple sclerosis in South Africa and Japan | A. V. Bird, E. Satoyoshi | No ENV |
[46] | Germany (1984) | Epidemiological investigations into multiple sclerosis in Southern Hesse | Klaus Lauer, Wolfgang Firnhaber, Robert Reining, Brigitte Leuchtweis | No ENV |
[47] | Italy (1993) | Multiple sclerosis: does epidemiology contribute to providing etiological clues | Enrico Granieri, Ilaria Casetta, Maria R. Tola, Vittorio Govoni, Ezio Paolino, Susanna Malagù, Vincenza C. Monetti, Mirko Carreras | No ENV |
[48] | Czech Republic (1994) | Geographic aspects in the epidemiology of multiple sclerosis | P. Lenský | No full paper |
[49] | France (1995) | Epidemiology of Creutzfeldt-Jakob disease | N. Delasnerie-Laupretre, A. Alperovitch | No full paper |
[50] | Hungria (1997) | Monthly distribution of multiple sclerosis patients’ births | Padmanabhan Bharanidharan | No GEO |
[51] | USA (1997) | The Epidemiology of Multiple Sclerosis | W. E. Hogancamp, M. Rodriguez, B. G. Weinshenker | No ENV |
[52] | Canada (1999) | Parkinson’s disease, multiple sclerosis and amyotrophic lateral sclerosis: The iodine-dopachrome-glutamate hypothesis | Harold D. Foster | No ENV |
[53] | United Kingdom (2000) | Amyotrophic lateral sclerosis: toxins and environment | J. D. Mitchell | No ENV, No GEO |
[54] | Spain (2002) | Epidemiologia genetica de la esclerosis multiple | D.F. Uría | No ENV |
[55] | USA (2004) | Environmental risk factors in multiple sclerosis aetiology | Ruth Ann Marrie | No GEO |
[56] | Italy (2004) | Genes environment and susceptibility to multiple sclerosis | Stefano Sotgiu, Maura Pugliatti, Maria Laura Fois, Giannina Arru, Alessandra Sanna, Maria Alessandra Sotgiu, Giulio Rosati | No ENV |
[57] | USA (2005) | Autoimmunity: Multiple Sclerosis | Beau M. Ances, Nancy J. Newman, Laura J. Balcer | No ENV, No GEO |
[58] | USA (2006) | Studies of Multiple Sclerosis in Communities Concerned about Environmental Exposures | Dhelia M. Williamson | No ENV |
[59] | USA (2007) | Environmental risk factors for multiple sclerosis Part II Noninfectious factors | Alberto Ascherio, Kassandra L. Munger | No ENV, No GEO |
[60] | United Kingdom (2008) | Environmental factors and multiple sclerosis | George C. Ebers | No ENV |
[61] | France (2011) | Contribution of geolocalisation to neuroepidemiological studies incidence of ALS and environmental factors in Limousin France | F. Boumediène, M. Druet-Cabanac, B. Marin, Pierre-Marie Preux, P. Couratier | No ENV |
[62] | USA (2012) | Environmental risk factors | Gill Nelson, Brad A. Racette | No GEO |
[63] | USA (2012) | Predictors of Survival in Patients with Parkinson Disease | Allison W. Willis, Mario Schootman, Nathan Kung, Bradley A. Evanoff, Joel S. Perlmutter, Brad A. Racette | No ENV |
[64] | USA (2012) | Spatial clustering of amyotrophic lateral sclerosis and the potential role of BMAA | Tracie A. Caller, Nicholas C. Field, Jonathan W. Chipman, Xun Shi, Brent T. Harris, Elijah W. Stommel | No ENV |
[65] | United Kingdom (2013) | Epidemiology of neurologically disabling disorders | Alan Tennant | No ENV, No GEO |
[66] | Kuwait (2013) | Risk factors for multiple sclerosis in Kuwait a population-based case control study | Hanan H. Al-Afasy, Mohammed A. Al-Obaidan, Yousef A. Al-Ansari, Sarah A. Al-Yatama, Mohammed S. Al-Rukaibi, Nourah I. Makki, Anita Suresh, Saeed Akhtar | No ENV, No GEO |
[67] | Spain (2014) | Geographical analysis of the sporadic Creutzfeldt Jakob disease distribution in the autonomous community of the Basque Country for the period 1995 2008 | Saioa Chamosa, Ibon Tamayo, José M. Arteagoitia-Axpe, Ramón A. Juste, Ana Belém Rodríguez-Martínez, Juan J. Zarranz-Imirizaldu | No ENV |
[68] | USA (2015) | Association Between Alzheimer Dementia Mortality Rate and Altitude in California Counties | Stephen Thielke, Christopher G. Slatore, William A. Banks | No ENV |
[69] | United Kingdom (2015) | Geographical variation in dementia~: examining the role of environmental factors in Sweden and Scotland | Tom C. Russ, Margaret Gatz, Nancy L. Pedersen, Jean Hannah, Grant Wyper, G. David Batty, Ian J. Deary, John M. Starr | No ENV |
[70] | Norway (2015) | Socio economic factors and immigrant population studies of multiple sclerosis | P. Berg-Hansen, E. G. Celius | No ENV |
[71] | Canada (2015) | The EnvIMS Study Design and Methodology of an International Case Control Study of Environmental Risk Factors in Multiple Sclerosis | Sandra Magalhaes, Maura Pugliatti, Ilaria Casetta, Jelena Drulovic, Enrico Granieri, Trygve Holmøy, Margitta T. Kampman, Anne-Marie Landtblom, Klaus Lauer, Kjell-Morten Myhr, Maria Parpinel, Tatjana Pekmezovic, Trond Riise, David Wolfson, Bin Zhu, Christina Wolfson | No ENV, No GEO |
[72] | Sweden (2015) | Vitamin D and multiple sclerosis from epidemiology to prevention | P. Sundström, J. Salzer | No ENV |
[73] | USA (2016) | Environmental control of autoimmune inflammation in the central nervous system | Veit Rothhammer, Francisco J. Quintana | No NEURO |
[74] | USA (2016) | Epidemiology of Multiple Sclerosis From Risk Factors to Prevention An Update | Alberto Ascherio, Kassandra L. Munger | No ENV |
[75] | USA (2016) | Fine Particulate Matter Residential Proximity to Major Roads and Markers of Small Vessel Disease in a Memory Study Population | Elissa H. Wilker, Sergi Martinez-Ramirez, Itai Kloog, Joel Schwartz, Elizabeth Mostofsky, Petros Koutrakis, Murray A. Mittleman, Anand Viswanathan | No NEURO |
[76] | United Kingdom (2016) | Geographical Variation in Dementia Mortality in Italy New Zealand and Chile The Impact of Latitude Vitamin D and Air Pollution | Tom C. Russ, Laura Murianni, Gloria Icaza, Andrea Slachevsky, John M. Starr | No ENV |
[77] | Ecuador (2016) | Prevalence of multiple sclerosis in Latin America and its relationship with European migration | Edgar Correa, Víctor Paredes, Braulio Martínez | No ENV |
[1] | USA (2016) | Seeking environmental causes of neurodegenerative disease and envisioning primary prevention | Peter S. Spencer, Valerie S. Palmer, Glen E. Kisby | No ENV |
[78] | USA (2017) | Associations of Spatial Disparities of Alzheimer’s Disease Mortality Rates and Soil Selenium Sulfur Concentrations and Risk Factors in the United States | Hongbing Sun | No ENV |
[79] | Italy (2017) | Incidence of amyotrophic lateral sclerosis in the province of Novara Italy and possible role of environmental pollution | Marina Tesauro, Michela Consonni, Tommaso Filippini, Letizia Mazzini, Fabrizio Pisano, Adriano Chiò, Aniello Esposito, Marco Vinceti | No ENV |
[80] | France (2017) | Small area distribution of multiple sclerosis incidence in western France in search of environmental triggers | Karima Hammas, Jacqueline Yaouanq, Morgane Lannes, Gilles Edan, Jean-François Viel | No ENV |
[81] | Spain (2017) | The Geography of the Alzheimer’s Disease Mortality in Spain Should We Focus on Industrial Pollutants Prevention | Èrica Martínez-Solanas, Montse Vergara-Duarte, Miquel Ortega Cerdà, Juan Carlos Martín-Sánchez, Maria Buxó, Eduard Rodríguez-Farré, Joan Benach, Glòria Pérez | No ENV |
[82] | Iran (2017) | The relationship between the amount of radiation, relative humidity, and temperature with the risk of multiple sclerosis in Isfahan province, Iran, during the years 2001-2014 | A. Karimi, A. Delpisheh, F. Ashtari, K. Sayehmiri, R. Meamar | No full paper |
[83] | Netherlands (2018) | Assessment of residential environmental exposure to pesticides from agricultural fields in the Netherlands | Maartje Brouwer, Hans Kromhout, Roel Vermeulen, Jan Duyzer, Henk Kramer, Gerard Hazeu, Geert de Snoo, Anke Huss | No ENV |
[84] | France (2018) | Environmental factors in the development of multiple sclerosis | L. Michel | No ENV, No GEO |
[85] | Iran (2018) | Estimated incidence rate of multiple sclerosis and its relationship with geographical factors in Isfahan province between the years 2001 and 2014 | Fereshteh Ashtari, Arezoo Karimi, Ali Delpisheh, Rokhsareh Meamar, Kourosh Sayehmiri, Salman Daliri | No ENV |
[86] | Australia (2018) | Health outcomes and lifestyle in a sample of people with multiple sclerosis HOLISM Longitudinal and validation cohorts | Tracey J. Weiland, Alysha M. De Livera, Chelsea R. Brown, George A. Jelinek, Zoe Aitken, Steve L. Simpson Jr., Sandra L. Neate, Keryn L. Taylor, Emily O’Kearney, William Bevens, Claudia H. Marck | No ENV |
[87] | USA (2019) | ALS and environment Clues from spatial clustering | P. S. Spencer, E. Lagrange, W. Camu | No ENV |
[88] | Italy (2019) | Amyotrophic Lateral Sclerosis Descriptive Epidemiology: The Origin of Geographic Difference | Giancarlo Logroscino, Marco Piccininni | No ENV |
[89] | Iran (2019) | Can environmental factors increase the risk of multiple sclerosis A narrative review | Hoda Naghshineh, Seyed Mohammad Masood Hojjati, Ali Alizadeh Khatir, Payam Saadat, Alijan Ahmadi Ahangar | No ENV |
[90] | USA (2019) | Increased Dementia Mortality in West Virginia Counties with Mountaintop Removal Mining | A. K. Salm, Michael J. Benson | No ENV |
[7] | China (2019) | The interplay of aging genetics and environmental factors in the pathogenesis of Parkinson’s disease | Shirley Yin-Yu Pang, Philip Wing-Lok Ho, Hui-Fang Liu, Chi-Ting Leung, Lingfei Li, Eunice Eun Seo Chang, David Boyer Ramsden, Shu-Leong Ho | No ENV |
[91] | Turkey (2002) | The etiology and the epidemiology of multiple sclerosis | Meral Mirza | No GEO |
[92] | Russia (2009) | Risk factors of multiple sclerosis development in the population of the Rostov region | Z.A. Goncharova, V.A. Baliazin | No full paper |
[93] | China (2011) | Reference value of left atrial diameter of presenile women and geographical factors based on principal component analysis | J. Jing, M. Ge, A.Z. Zhao, G.Z. Liu, S.T. Xiang, X. Wang, Y.P. Zhang | No full paper |
[94] | Russia (2014) | Multiple sclerosis in the Bashkortostan Republic and the Rostov region: A comparative epidemiologic study | K. Z. Bakhtiyarova, Z. A. Goncharova | No full paper |
[95] | China (2015) | Clinical features of amyotrophic lateral sclerosis in south–west China | Qianqian Wei, Xueping Chen, Zhenzhen Zheng, Rui Huang, Xiaoyan Guo, Bei Cao, Bi Zhao, Huifang Shang | No ENV |
[96] | USA (2016) | Multiple Sclerosis Epidemiology | M.T.Wallin, J.F.Kurtzke | No ENV |
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Number of Studies | Percentage of Total Entries | |
---|---|---|
Neurodegenerative Disease | ||
Amyotrophic lateral sclerosis | 2 | 5.9 |
Dementia (includes Alzheimer’s disease) | 3 | 8.8 |
Motor neuron disease | 1 | 2.9 |
Multiple sclerosis | 19 | 55.9 |
Paediatric multiple sclerosis | 2 | 5.9 |
Parkinson’s disease | 7 | 20.6 |
Environmental Pollutant/Factor | ||
Arsenic (As) | 1 | 1.2 |
Benzopyrene (C₂OH₁₂) | 1 | 1.2 |
Benzene (C₆H₆) | 1 | 1.2 |
Cadmium (Cd) | 1 | 1.2 |
Carbon monoxide (CO) | 5 | 6.1 |
Cooper (Cu) | 2 | 2.4 |
Hydrogen sulphide (H₂S) | 1 | 1.2 |
Humidity | 3 | 3.7 |
Index | 2 | 2.4 |
Magnesium (Mg) | 2 | 2.4 |
Manganese (Mn) | 1 | 1.2 |
Nickel (Ni) | 1 | 1.2 |
Nitrogen dioxide (NOₓ) | 10 | 12.2 |
Ozone (O₃) | 4 | 4.9 |
Lead (Pb) | 5 | 6.1 |
PM₁₀ | 6 | 7.3 |
PM₂₅ | 8 | 9.8 |
Precipitation | 6 | 7.3 |
Pressure | 5 | 6.1 |
Radon (Rn) | 1 | 1.2 |
Sulphur dioxide (SO₂) | 6 | 7.3 |
Sun exposure | 13 | 15.9 |
Temperature | 8 | 9.8 |
Geographic Factors | ||
Administrative division | 16 | 24.2 |
Clustering | 2 | 3.0 |
GIS | 14 | 21.2 |
Latitude | 5 | 7.6 |
Longitude | 1 | 1.5 |
Remote sensing | 13 | 19.7 |
Residence | 14 | 21.2 |
Spatial interpolation | 1 | 1.5 |
Number of Studies | Percentage of Total Entries | |
---|---|---|
Study Design | ||
Case-control | 9 | 26.5 |
Cohort | 4 | 11.8 |
Cross-sectional | 12 | 35.3 |
Ecological | 6 | 17.6 |
Methodological | 2 | 5.9 |
Review | 1 | 2.9 |
Study Limitations | ||
Conflict of interests | 1 | 1.1 |
Confounding | 15 | 16.1 |
Ecological bias | 3 | 3.2 |
Exposure assessment | 18 | 19.4 |
Interpolation | 3 | 3.2 |
Recall bias | 3 | 3.2 |
Migration | 4 | 4.3 |
None is given by the author | 5 | 5.4 |
Referral bias | 2 | 2.2 |
Sampling | 7 | 7.5 |
Statistics | 13 | 14.0 |
Study design | 3 | 3.2 |
Survival bias | 1 | 1.1 |
Time-related | 9 | 9.7 |
Unassessed patients | 6 | 6.5 |
Statistical Methods | ||
ANOVA | 2 | 2.6 |
Chi-squared | 5 | 6.5 |
Clustering | 2 | 2.6 |
Correlation | 22 | 28.6 |
Cox regression | 4 | 5.2 |
Linear regression | 11 | 14.3 |
Logistic regression | 10 | 13.0 |
None | 2 | 2.6 |
Poisson regression | 3 | 3.9 |
Sensitivity analysis | 10 | 13.0 |
Spatial autoregressive model | 1 | 1.3 |
T-test | 5 | 6.5 |
Effect Measures | ||
Coefficients | 14 | 24.1 |
Correlation | 19 | 32.8 |
Hazard ratio | 3 | 5.2 |
None | 3 | 5.2 |
Odds ratio | 11 | 19.0 |
Prevalence | 4 | 6.9 |
Relative risk | 4 | 6.9 |
Ref | Country (year) | Neurodege-Generative Disease | Environmental Factor | Geographic Factor | Study Design | Study Limitations | Statistical Methods | Outcome |
---|---|---|---|---|---|---|---|---|
[97] | Canada (2012) | Multiple sclerosis | Sun exposure | GIS, Remote Sensing | Methodological | Exposure assessment | None | None |
[98] | Israel (1971) | Multiple sclerosis | Sun exposure, Temperature, Precipitation, Humidity | Residence | Review | None given by the authors | None | None |
[99] | Bulgaria (1987) | Multiple sclerosis | Sun exposure, Temperature, Precipitation | Administrative division, Latitude | Cross-sectional | Unassessed patients | Correlation, Chi-squared, Linear regression | Correlation, Coefficients |
[100] | Australia (2001) | Multiple sclerosis | Sun exposure, Temperature, Precipitation | Administrative division, Latitude, Remote Sensing | Ecological | Confounding, Exposure assessment | Correlation, Poisson regression | Prevalence, Correlation |
[101] | Canada (2011) | Multiple sclerosis | Sun exposure | Latitude, Longitude, Remote Sensing | Cross-sectional | None given by the authors | Correlation, Linear regression | Correlation |
[102] | England (2011) | Multiple sclerosis | Sun exposure | GIS, Remote Sensing | Cross-sectional | Confounding, Sampling, Statistics | Correlation, Linear regression | Correlation, Coefficients |
[103] | USA (2017) | Multiple sclerosis | Sun exposure, Temperature | Administrative division, GIS, Remote Sensing | Cross-sectional | Confounding, Statistics | Correlation, Linear regression | Correlation, Coefficients |
[104] | USA (2018) | Multiple sclerosis | Sun exposure | Residence, Remote Sensing | Cohort | Confounding, Exposure assessment, Interpolation, Recall bias, Migration, Survival bias, Time related | Cox regression | Relative risk, Hazard ratio |
[105] | USA (1983) | Multiple sclerosis | Sun exposure, Temperature, Precipitation, Humidity | Latitude | Case-control | None given by the authors | Logistic regression | Relative risk |
[106] | Italy (2016) | Multiple sclerosis | Sun exposure | Administrative division, GIS | Cross-sectional | Confounding, Ecological bias, Time related | Correlation, Linear regression | Correlation, Odds ratio |
[107] | Canada (2018) | Multiple sclerosis | Sun exposure | Residence, Remote Sensing | Cohort | Confounding, Exposure assessment, Time related | Linear regression | Coefficients |
[108] | Norway (2010) | Multiple sclerosis | Sun exposure, Temperature, Precipitation | Administrative division | Cross-sectional | Migration, Statistics | ANOVA, Poisson regression | Prevalence |
[109] | Italy (2018) | Multiple sclerosis | PM2.5 | Residence, Remote Sensing | Cross-sectional | Conflict of interests, Confounding, Study design | Correlation, Chi-squared | Correlation, Coefficients |
[110] | USA (2008) | Multiple sclerosis | PM10, PM2.5, NOX, SO2, CO | Administrative division | Cross-sectional | None given by the authors | Correlation, T-test, Linear regression | Correlation, Coefficients |
[111] | Italy (2005) | Multiple sclerosis | SO2 | Administrative division, Latitude | Cross-sectional | Exposure assessment, Interpolation | Correlation, Linear regression | Correlation, Coefficients |
[112] | Iran (2014) | Multiple sclerosis | PM10, NOX, SO2 | Clustering, GIS | Cross-sectional | Confounding, Statistics, Study design | Correlation, Clustering | Correlation, Coefficients |
[113] | Iran (2018) | Multiple sclerosis | Index | Administrative division, GIS, Residence | Cross-sectional | Exposure assessment, Statistics | Correlation, Logistic regression | Odds ratio, Coefficients |
[114] | Norway (1997) | Multiple sclerosis | Mg | Administrative division | Methodological | Confounding | Correlation | None |
[115] | England (2016) | Multiple sclerosis | Rn | Residence | Ecological | Sampling, Statistics, Unassessed patients | Correlation, Chi-squared, Linear regression | Correlation, Coefficients |
[116] | USA (2017) | Paediatric Multiple sclerosis | Index | GIS, Residence | Case-control | Exposure assessment, Statistics, Time related, Unassessed patients | Logistic regression | Odds ratio, Coefficients |
[117] | USA (2018) | Paediatric Multiple sclerosis | PM10, PM2.5, NOX, SO2, CO, O3, Pb | Administrative division, GIS, Residence | Case-control | Exposure assessment, Referral bias, Time related | T-test, Logistic regression | Odds ratio |
[118] | USA (2010) | Parkinson’s disease | Cu, Pb, Mg | Administrative division | Ecological | Confounding, Exposure assessment, Statistics | Logistic regression, Sensitivity analysis | Relative risk, Odds ratio |
[119] | Spain (2016) | Parkinson’s disease | Pb | Administrative division, GIS | Ecological | Exposure assessment, Sampling, Unassessed patients | Correlation, T-test | Correlation, Coefficients |
[120] | Canada (2007) | Parkinson’s disease | NOX, Mn | Residence, Remote Sensing, Spatial interpolation | Case-control | Confounding, Exposure assessment, Interpolation, Study design, Time related | Correlation, Linear regression, Logistic regression, Cox regression, Sensitivity analysis | Prevalence, Correlation, Odds ratio |
[121] | USA (2016) | Parkinson’s disease | PM10, PM2.5, NOX | GIS, Residence | Case-control | Exposure assessment, Recall bias, Statistics, Time related | Correlation, Logistic regression, Sensitivity analysis | Correlation, Odds ratio |
[122] | Australia (2020) | Parkinson’s disease | PM2.5, NOX | Residence, Remote Sensing | Cross-sectional | Recall bias, Referral bias, Sampling | Logistic regression, Sensitivity analysis | Odds ratio |
[123] | Taiwan (2016) | Parkinson’s disease | NOX, CO | GIS, Residence | Case-control | Confounding, Sampling, Statistics | Correlation, Chi-squared, Logistic regression, Sensitivity analysis | Correlation, Odds ratio |
[124] | France (2017) | Parkinson’s disease | Sun exposure, PM2.5 | Administrative division, Remote Sensing | Ecological | Ecological bias, Exposure assessment, Migration | Correlation, Poisson regression, Sensitivity analysis | Correlation, Relative risk |
[125] | USA (2019) | Dementia | Temperature | Administrative division, Residence, Remote Sensing | Cohort | Confounding, Exposure assessment, Statistics | Correlation, Cox regression, Sensitivity analysis | Correlation, Hazard ratio |
[126] | Taiwan (2019) | Dementia | PM10, NOX, SO2, CO, O3 | Clustering | Case-control | Confounding, Exposure assessment, Statistics, Unassessed patients | Correlation, Logistic regression, Sensitivity analysis | Odds ratio |
[127] | Canada (2017) | Dementia | PM2.5, NOX, O3 | GIS, Residence, Remote Sensing | Cohort | Confounding, Exposure assessment, Time related, Unassessed patients | Cox regression, Sensitivity analysis | Hazard ratio |
[128] | Spain (2018) | Amyotrophic lateral sclerosis | PM10, PM25, NOX, SO2, CO, O3, Cu, Pb, As, Ni, Cd, C6H6, H2S, C6OH12 | GIS | Case-control | Ecological bias, Exposure assessment, Sampling, Statistics | T-test, Chi-squared, Linear regression, Sensitivity analysis | Prevalence, Odds ratio |
[129] | Taiwan (2013) | Amyotrophic lateral sclerosis | Sun exposure, Temperature, Precipitation, Humidity, Pressure | Administrative division | Case-control | Exposure assessment, Migration, Sampling, Time related | Correlation, Spatial autoregressive model, Clustering | Correlation, Coefficients |
[130] | Spain (2016) | Motor neuron disease | Pb | Administrative division, GIS | Ecological | None given by the authors | Correlation, T-test, ANOVA | Correlation, Coefficients |
Amyotrophic Lateral Sclerosis | Dementia | Motor Neuron Disease | Multiple Sclerosis | Paediatric Multiple Sclerosis | Parkinson | |
---|---|---|---|---|---|---|
Asia | [129] | [126] | [123] | |||
Australia | [100] | [122] | ||||
Europe | [128] | [130] | [99,102,106,108,109,111,114,115] | [119,124] | ||
Middle East | [98,112,113] | |||||
North America | [125,127] | [97,101,103,104,105,107,110] | [116,117] | [118,120,121] |
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Oliveira, M.; Padrão, A.; Ramalho, A.; Lobo, M.; Teodoro, A.C.; Gonçalves, H.; Freitas, A. Geospatial Analysis of Environmental Atmospheric Risk Factors in Neurodegenerative Diseases: A Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 8414. https://doi.org/10.3390/ijerph17228414
Oliveira M, Padrão A, Ramalho A, Lobo M, Teodoro AC, Gonçalves H, Freitas A. Geospatial Analysis of Environmental Atmospheric Risk Factors in Neurodegenerative Diseases: A Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17(22):8414. https://doi.org/10.3390/ijerph17228414
Chicago/Turabian StyleOliveira, Mariana, André Padrão, André Ramalho, Mariana Lobo, Ana Cláudia Teodoro, Hernâni Gonçalves, and Alberto Freitas. 2020. "Geospatial Analysis of Environmental Atmospheric Risk Factors in Neurodegenerative Diseases: A Systematic Review" International Journal of Environmental Research and Public Health 17, no. 22: 8414. https://doi.org/10.3390/ijerph17228414