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decisions for treatments in patients with MCI are needed. Previous studies have assessed limited cognitive domains with relatively short exposure to air pollutants, and studies in Asia are limited. This study aims to explore the association between long-term exposure to air pollutants and cognition in community-dwelling older adults. This four-year prospective cohort study recruited 605 older adults at baseline (2011-2013) and 360 participants remained at four-year follow-up. Global and domain-specific cognition were assessed biennially.