a negative trendgold
The positive association between diabetes and cognitive impairment is well established 20 ; some studies investigating the association between PFOA exposure and diabetes suggested the presence of an inverse association: a negative trend in diabetes occurrence by increasing serum PFOA deciles was found in a case–control study nested in a previous study based on the population investigated here, 21 22 but not in others. 23 24 From 1950 to 2005, a chemical plant in the Mid-Ohio Valley, West Virginia was responsible for emitting PFOA into the surrounding environment.