Objectives The purpose of the present report was to assess whether occ
upational magnetic field exposure is a risk factor for dementia, in pa
rticular for Alzheimer's disease. Methods Case-control analyses were a
pplied to 77 dementia cases, 55 of whom had Alzheimer's disease, ascer
tained from the population-based Swedish twin register. Two reference
groups were derived, with 228 and 238 persons, respectively. Occupatio
ns were linked to a job-exposure matrix based on magnetic field measur
ements. Primary occupation, last occupation before reference date, and
the occupation with the highest magnetic field exposure during the su
bject's lifetime were evaluated. Results For primary occupation, all r
elative risk estimates were close to unity. For last occupation, at th
e exposure level greater than or equal to 0.2 mu T, a relative risk wa
s found for dementia estimated at 3.3 [95% confidence interval (95% CI
) 1.3-8.6] and 3.8 (95% CI 1.4-10.2) for reference groups 1 and 2, res
pectively. The relative risk for Alzheimer's disease was estimated at
2.4 (95% CI 0.8-6.9) and 2.7 (95% CI 0.9-7.8), respectively. For the o
ccupation with the highest magnetic field exposure, the relative risk
estimates were close to unity for reference group 1 and slightly eleva
ted for reference group 2. The relative risk estimates were greater fo
r the subjects who were younger at onset (less than or equal to 75 yea
rs). Conclusions These results only partially support previous finding
s, but they indicate that occupational magnetic field exposure may pos
sibly influence the development of dementia.