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. 2024 Jul 17;132(7):077003. doi: 10.1289/EHP13588

Table 4.

Estimated proportion of association between midlife exposure to residential greenness [normalized difference vegetation index (NDVI), 1986–1994] and baseline cognitive function (1995–2001) explained by physical activity, air pollution exposure, social engagement, and mental health (n=16,962).

Mediator Proportion of association of cumulative average greenness and global cognition explained by mediator (95% CI) Proportion of association of cumulative average greenness and verbal memory explained by mediator (95% CI)
Total physical activity 0.02 (0.01, 0.06) 0.04 (0.17, 1.36)
Air pollution 0.01 (0.16, 0.08) 0.03 (4.02, 0.50)
Social engagement 0.00 (0.01, 0.01) 0.00 (0.04, 0.04)
Mental health 0.18 (0.07, 0.29) 0.33 (0.445, 1.16)

Note: Participants average age ranged from 61 to 69 y at midlife exposure to residential greenness and cognitive function was assessed at age 70+ years. Mediation analyses assume that there is no unmeasured exposure–outcome confounding, no unmeasured mediator–outcome confounding, no unmeasured exposure–mediator confounding, and no mediator–outcome confounder affected by exposure. CI, confidence interval.