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Andrade A, D’Oliveira A, De Souza LC, Bastos ACRDF, Dominski FH, Stabile L, Buonanno G. Effects of Air Pollution on the Health of Older Adults during Physical Activities: Mapping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3506. [PMID: 36834200 PMCID: PMC9960154 DOI: 10.3390/ijerph20043506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/12/2023] [Accepted: 02/13/2023] [Indexed: 06/18/2023]
Abstract
Atmospheric pollutants present environmental threats to health and have been investigated in different environments, such as highways, squares, parks, and gyms. These environments are frequented by older adults, who are considered fragile to the harmful impacts of pollution present in the air. The aim was to analyze the state of the art on the effects of air pollution on the health of older adults during physical activities (PAs) through a mapping review. The search was performed in PubMed, Web of Science, Scopus, and Cinahl databases until June 2022. Of the 10,109 studies initially identified, 58 met the inclusion criteria. The most investigated health outcome was cardiovascular disease, followed by respiratory outcomes. Particulate matter (PM2.5 and PM10), nitrogen dioxide (NO2), and ozone (O3) were the most investigated pollutants. Of the 75 health outcomes investigated, in 29, air pollution had harmful effects on the health of the older adults during the practice of PA, more frequently in cardiovascular diseases. In 25 outcomes, the beneficial effects of PA to the health of the older adults remained, despite exposure to high and low concentrations of pollutants, most often in terms of mental disorders. We conclude that poor air quality is a harmful factor for the health of older adults during the practice of PAs, more frequently in cardiovascular and respiratory diseases. On the other hand, for mental-health-related outcomes (depression and cognition), in most studies, the beneficial effects of PA in older adults were maintained, even after exposure to pollutants.
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Affiliation(s)
- Alexandro Andrade
- Health and Sports Science Center, Department of Physical Education, CEFID, Santa Catarina State University, Florianópolis 88035-901, Brazil
| | - Anderson D’Oliveira
- Health and Sports Science Center, Department of Physical Education, CEFID, Santa Catarina State University, Florianópolis 88035-901, Brazil
| | - Loiane Cristina De Souza
- Health and Sports Science Center, Department of Physical Education, CEFID, Santa Catarina State University, Florianópolis 88035-901, Brazil
| | | | - Fábio Hech Dominski
- Department of Physical Education, Univille University, Joinville 89219-710, Brazil
| | - Luca Stabile
- Department of Civil and Mechanical Engineering, University of Cassino and Southern Lazio, Via Di Biasio 43, 03043 Cassino, Italy
| | - Giorgio Buonanno
- Department of Civil and Mechanical Engineering, University of Cassino and Southern Lazio, Via Di Biasio 43, 03043 Cassino, Italy
- International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane 4001, Australia
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Zhang L, Zhou S, Kwan MP. The temporality of geographic contexts: Individual environmental exposure has time-related effects on mood. Health Place 2023; 79:102953. [PMID: 36512953 DOI: 10.1016/j.healthplace.2022.102953] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 11/24/2022] [Accepted: 11/28/2022] [Indexed: 12/14/2022]
Abstract
Research on environmental exposure and its impacts on people's mood has attracted increasing attention. Most studies focus on the spatiality of geographic contexts, but they neglect the influence of temporality in the relationships between environments and mood. To this end, a survey was conducted in January 2019 in Guangzhou, China, and measured data (micro-environments, built environments, EMA records, GPS trajectories, and activity logs) covering a weekday were collected from 125 participants. Then, multiple linear regression models are employed to examine and compare the associations between environments and mood based on three possible types of temporal responses (cumulative response, momentary response, and time-lagged response). The results indicate that there are great differences in environmental mood effects based on different types of temporal responses. Specifically, (i) for three types of temporal responses, exposure to PM2.5 and noise have mood-blunting effects, whereas exposure to green spaces has mood-augmenting effects. (ii) For two types of temporal responses, higher temperature (in winter) may positively influence individual mood based on cumulative and time-lagged response, and higher POI density can positively affect mood based on cumulative and momentary response. (iii) Relative humidity may not have time-related effects on mood. Although all three types of temporal responses are observed in this study, the most significant manifestation is momentary response. These findings not only enrich theoretical research on environmental mood effects and temporality, but also inform the practice of more refined and humanistic urban planning, environmental governance, and public services.
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Affiliation(s)
- Lin Zhang
- Institute of Studies for the Greater Bay Area (Guangdong, Hong Kong, Macau), Guangdong University of Foreign Studies, Guangzhou, China
| | - Suhong Zhou
- School of Geography and Planning, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Engineering Research Center for Public Security and Disaster, Guangzhou, China.
| | - Mei-Po Kwan
- Department of Geography and Resource Management and Institute of Space and Earth Information Science, The Chinese University of Hong Kong, Hong Kong, China
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Yang X, Orjuela JP, McCoy E, Vich G, Anaya-Boig E, Avila-Palencia I, Brand C, Carrasco-Turigas G, Dons E, Gerike R, Götschi T, Nieuwenhuijsen M, Panis LI, Standaert A, de Nazelle A. The impact of black carbon (BC) on mode-specific galvanic skin response (GSR) as a measure of stress in urban environments. ENVIRONMENTAL RESEARCH 2022; 214:114083. [PMID: 35995220 DOI: 10.1016/j.envres.2022.114083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
Previous research has shown that walking and cycling could help alleviate stress in cities, however there is poor knowledge on how specific microenvironmental conditions encountered during daily journeys may lead to varying degrees of stress experienced at that moment. We use objectively measured data and a robust causal inference framework to address this gap. Using a Bayesian Doubly Robust (BDR) approach, we find that black carbon exposure statistically significantly increases stress, as measured by Galvanic Skin Response (GSR), while cycling and while walking. Augmented Outcome Regression (AOR) models indicate that greenspace exposure and the presence of walking or cycling infrastructure could reduce stress. None of these effects are statistically significant for people in motorized transport. These findings add to a growing evidence-base on health benefits of policies aimed at decreasing air pollution, improving active travel infrastructure and increasing greenspace in cities.
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Affiliation(s)
- Xiuleng Yang
- Department of Mathematics, Imperial College London, London, United Kingdom
| | - Juan Pablo Orjuela
- Transport Studies Unit (TSU), School of Geography and the Environment, University of Oxford, United Kingdom
| | - Emma McCoy
- Department of Mathematics, Imperial College London, London, United Kingdom
| | - Guillem Vich
- Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Esther Anaya-Boig
- Centre for Environmental Policy, Imperial College London, London, United Kingdom
| | | | - Christian Brand
- Transport Studies Unit (TSU), School of Geography and the Environment, University of Oxford, United Kingdom; Environmental Change Institute, University of Oxford, Oxford, United Kingdom
| | - Glòria Carrasco-Turigas
- Institute for Global Health (ISGlobal), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Evi Dons
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium; Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Regine Gerike
- TU Dresden, Institute of Transport Planning and Road Traffic, Germany
| | - Thomas Götschi
- School of Planning, Public Policy & Management (PPPM), University of Oregon, Eugene, USA
| | - Mark Nieuwenhuijsen
- Institute for Global Health (ISGlobal), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Luc Int Panis
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium; Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Arnout Standaert
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Audrey de Nazelle
- Centre for Environmental Policy, Imperial College London, London, United Kingdom; MRC-PHE Centre for Environment and Health, Imperial College London, United Kingdom.
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Wang W, Guo T, Guo H, Chen X, Ma Y, Deng H, Yu H, Chen Q, Li H, Liu Q, Shan A, Li Y, Pang B, Shi J, Wang X, Chen J, Deng F, Sun Z, Guo X, Wang Y, Tang N, Wu S. Ambient particulate air pollution, blood cell parameters, and effect modification by psychosocial stress: Findings from two studies in three major Chinese cities. ENVIRONMENTAL RESEARCH 2022; 210:112932. [PMID: 35176316 DOI: 10.1016/j.envres.2022.112932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 01/04/2022] [Accepted: 02/07/2022] [Indexed: 06/14/2023]
Abstract
The associations between particulate matter (PM) exposure, psychosocial stress and blood cell parameters are bringing novel insights to characterize the early damage of multiple diseases. Based on two studies conducted in three Chinses cities using cross-sectional (Beijing, 425 participants) and panel study (Tianjin and Shanghai, 92 participants with 361 repeated measurements) designs, this study explored the associations between short-term exposure to ambient PM and blood cell parameters, and the effect modification by psychosocial stress. Increasing PM2.5 exposure was significantly associated with decreases in red blood cell (RBC) count and mean corpuscular hemoglobin concentration (MCHC), and increases in mean corpuscular volume (MCV), platelets count (PLT) and platelet hematocrit (PCT) in both studies. For instance, a 10 μg/m3 increment in PM2.5 concentration was associated with a 1.04% (95%CI: 0.16%, 1.92%) increase in PLT (4-d) and a 1.09% (95%CI: 0.31%, 1.87%) increase in PCT (4-d) in the cross-sectional study, and a 0.64% (95%CI: 0.06%, 1.22%) increase in PLT (1-d) and a 0.72% (95%CI: 0.33%, 1.11%) increase in PCT (1-d) in the panel study, respectively. In addition, stronger increases in MCV, PLT, and PCT associated with PM2.5 exposure were found in higher psychosocial stress group compared to lower psychosocial stress group (p for interaction <0.10), indicating that blood cell parameters of individuals with higher psychosocial stress might be more susceptible to the early damages of PM2.5 exposure.
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Affiliation(s)
- Wanzhou Wang
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Tongjun Guo
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Huaqi Guo
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xi Chen
- Department of Occupational and Environmental Health, Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China
| | - Yating Ma
- Institute of Social Psychology, School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Hongyan Deng
- Qinglongqiao Community Health Service Center, Haidian District, Beijing, China
| | - Hengyi Yu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qiao Chen
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Hongyu Li
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Qisijing Liu
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Anqi Shan
- Department of Occupational and Environmental Health, Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China
| | - Yaoyan Li
- Department of Occupational and Environmental Health, Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China
| | - Bo Pang
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Jiazhang Shi
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Xinmei Wang
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Juan Chen
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Furong Deng
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Zhiwei Sun
- Department of Toxicology and Sanitary Chemistry, School of Public Health, Capital Medical University, Beijing, China; Beijing Key Laboratory of Environmental Toxicology, Capital Medical University, Beijing, China
| | - Xinbiao Guo
- Department of Occupational and Environmental Health Sciences, School of Public Health, Peking University, Beijing, China
| | - Yan Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China; The Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| | - Naijun Tang
- Department of Occupational and Environmental Health, Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China.
| | - Shaowei Wu
- Department of Occupational and Environmental Health, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China; Key Laboratory for Disease Prevention and Control and Health Promotion of Shaanxi Province, Xi'an, Shaanxi, China; Key Laboratory of Trace Elements and Endemic Diseases in Ministry of Health, Xi'an, Shaanxi, China.
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Hu X, Han W, Wang Y, Aunan K, Pan X, Huang J, Li G. Does air pollution modify temperature-related mortality? A systematic review and meta-analysis. ENVIRONMENTAL RESEARCH 2022; 210:112898. [PMID: 35181304 DOI: 10.1016/j.envres.2022.112898] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 02/01/2022] [Accepted: 02/03/2022] [Indexed: 06/14/2023]
Abstract
INTRODUCTION There is an increasing interest in understanding whether air pollutants modify the quantitative relationships between temperature and health outcomes. The results of available studies were, however, inconsistent. This study aims to sum up the current evidence and provide a comprehensive understanding of this topic. METHODS We conducted an electronic search in PubMed (MEDLINE), EMBASE, Web of Science Core Collection, and ProQuest Dissertations and Theses. The modified Navigation Guide was applied to evaluate the quality and strength of evidence. We calculated pooled temperature-related mortality at low and high pollutant levels respectively, using the random-effects model. RESULTS We identified 22 eligible studies, eleven of which were included in the meta-analysis. Significant effect modification was observed on heat effects for all-cause and non-accidental mortality by particulate matter with an aerodynamic diameter of <10 μm (PM10) and ozone (O3) (p < 0.05). The excess risks (ERs) for all-cause and non-accidental mortality were 5.4% (4.4%, 6.4%) and 6.3% (4.8%, 7.8%) at the low PM10 level, 8.8% (7.5%, 10.1%) and 11.4% (8.7%, 14.2%) at the high PM10 level, respectively. As for O3, the ERs for all-cause and non-accidental mortality were 5.1% (3.9%, 6.3%) and 3.6% (0.1%, 7.2%) at the low O3 level, 7.6% (6.3%, 9.0%) and 12.5% (4.7%, 20.9%) at the high O3 level, respectively. Surprisingly, the heat effects on cardiovascular mortality were found to be lower at high carbon monoxide (CO) levels [ERs = 5.4% (3.9%, 6.9%)] than that at low levels [ERs = 9.4% (7.0%, 11.9%)]. The heterogeneity varied, but the results of sensitivity analyses were generally robust. Significant effect modification by air pollutants was not observed for heatwave or cold effects. CONCLUSIONS PM10 and O3 modify the heat-related all-cause and non-accidental mortality, indicating that policymakers should consider air pollutants when establishing heat-health warning systems. Future studies with comparable designs and settings are needed.
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Affiliation(s)
- Xin Hu
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Wenxing Han
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Yuxin Wang
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Kristin Aunan
- CICERO Center for International Climate Research, N-0318, Oslo, Norway
| | - Xiaochuan Pan
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Jing Huang
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Guoxing Li
- Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
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Gignac F, Righi V, Toran R, Paz Errandonea L, Ortiz R, Mijling B, Naranjo A, Nieuwenhuijsen M, Creus J, Basagaña X. Short-term NO 2 exposure and cognitive and mental health: A panel study based on a citizen science project in Barcelona, Spain. ENVIRONMENT INTERNATIONAL 2022; 164:107284. [PMID: 35576732 DOI: 10.1016/j.envint.2022.107284] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 04/28/2022] [Accepted: 05/04/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND The association between short-term exposure to air pollution and cognitive and mental health has not been thoroughly investigated so far. OBJECTIVES We conducted a panel study co-designed with citizens to assess whether air pollution can affect attention, perceived stress, mood and sleep quality. METHODS From September 2020 to March 2021, we followed 288 adults (mean age = 37.9 years; standard deviation = 12.1 years) for 14 days in Barcelona, Spain. Two tasks were self-administered daily through a mobile application: the Stroop color-word test to assess attention performance and a set of 0-to-10 rating scale questions to evaluate perceived stress, well-being, energy and sleep quality. From the Stroop test, three outcomes related to selective attention were calculated and z-score-transformed: response time, cognitive throughput and inhibitory control. Air pollution was assessed using the mean nitrogen dioxide (NO2) concentrations (mean of all Barcelona monitoring stations or using location data) 12 and 24 h before the tasks were completed. We applied linear regression with random effects by participant to estimate intra-individual associations, controlling for day of the week and time-varying factors such as alcohol consumption and physical activity. RESULTS Based on 2,457 repeated attention test performances, an increase of 30 μg/m3 exposure to NO2 12 h was associated with lower cognitive throughput (beta = -0.08, 95% CI: -0.15, -0.01) and higher response time (beta = 0.07, 95% CI: 0.01, 0.14) (increase inattentiveness). Moreover, an increase of 30 μg/m3 exposure to NO2 12 h was associated with higher self-perceived stress (beta = 0.44, 95% CI: 0.13, 0.77). We did not find statistically significant associations with inhibitory control and subjective well-being. CONCLUSIONS Our findings suggest that short-term exposure to air pollution could have adverse effects on attention performance and perceived stress in adults.
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Affiliation(s)
- Florence Gignac
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | | | - Raül Toran
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | | | - Rodney Ortiz
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Bas Mijling
- Royal Netherlands Meteorological Institute (KNMI), De Bilt, the Netherlands
| | | | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | | | - Xavier Basagaña
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
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Trushna T, Dhiman V, Raj D, Tiwari RR. Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence. REVIEWS ON ENVIRONMENTAL HEALTH 2021; 36:501-521. [PMID: 34821119 DOI: 10.1515/reveh-2020-0125] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 11/22/2020] [Indexed: 06/13/2023]
Abstract
OBJECTIVES Ambient air pollution (AAP) is an important risk factor for increased mental health morbidity. Studies have highlighted the effect of AAP on psychological stress and anxiety disorder. However, existing evidence regarding this is largely equivocal. This systematic review with meta-analysis aims to synthesize published evidence to calculate the pooled estimate of the effect of AAP on psychological stress and anxiety disorder. CONTENT A systematic bibliographic search was undertaken using PubMed, JGateplus, Google Scholar, and Cochrane Library for observational human studies published in English till 31st March 2020 reporting the effect of AAP on psychological stress and anxiety disorder. Study quality was assessed using the Joanna Briggs Institute critical appraisal tools. Meta-analysis was performed adopting a random-effects model using Meta-XL. Of 412 articles retrieved, a total of 30 articles [AAP and anxiety disorders, (n=17, 57%); AAP and psychological stress, (n=9, 30%) and AAP and both psychological stress and anxiety disorders, (n=4, 13%)] fulfilled the inclusion criteria covering a total population of 973,725 individuals. The pooled estimate (OR) of the effects of PM10 on psychological stress was 1.03 [(95% CI: 1.00, 1.05) (p=0.17, I 2=41%)]. The pooled estimate of the effects of NO2 and PM10 on anxiety disorder was 0.93 [(95% CI: 0.89, 0.97) (p=0.91, I 2=0%)] and 0.88 [(95% CI: 0.78, 0.98) (p=0.01, I 2=59%)] respectively. The pooled estimate of the effects of PM2.5 on anxiety Disorder was 0.88 [(95% CI: 0.72, 1.06) (p=0.00, I 2=80%)]. SUMMARY AND OUTLOOK The present study provides the most updated pooled estimate of the effect of AAP on psychological stress and anxiety disorder. Future studies should focus on longitudinal studies conducted in LIC and LMIC countries using uniform and standardized criteria for exposure and outcome assessment as well as robust adjustment for confounders to minimize methodological heterogeneity resulting in reliable and comparable estimation of environmental mental health burden.
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Affiliation(s)
- Tanwi Trushna
- Department of Environmental Health and Epidemiology, ICMR-National Institute for Research in Environmental Health (NIREH), Bhopal, Madhya Pradesh, India
| | - Vikas Dhiman
- Department of Environmental Health and Epidemiology, ICMR-National Institute for Research in Environmental Health (NIREH), Bhopal, Madhya Pradesh, India
| | - Dharma Raj
- Department of Biostatistics and Bioinformatics, ICMR-National Institute for Research in Environmental Health (NIREH), Bhopal, Madhya Pradesh, India
| | - Rajnarayan R Tiwari
- ICMR-National Institute for Research in Environmental Health (NIREH), Bhopal, Madhya Pradesh, India
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8
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Lamichhane DK, Jung DY, Shin YJ, Lee KS, Lee SY, Ahn K, Kim KW, Shin YH, Suh DI, Hong SJ, Kim HC. Association between ambient air pollution and perceived stress in pregnant women. Sci Rep 2021; 11:23496. [PMID: 34873215 PMCID: PMC8648786 DOI: 10.1038/s41598-021-02845-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Accepted: 11/17/2021] [Indexed: 11/23/2022] Open
Abstract
Air pollution may influence prenatal maternal stress, but research evidence is scarce. Using data from a prospective cohort study conducted on pregnant women (n = 2153), we explored the association between air pollution and perceived stress, which was assessed using the 14-item Perceived Stress Scale (PSS), among pregnant women. Average exposures to particulate matter with an aerodynamic diameter of < 2.5 µm (PM2.5) or < 10 µm (PM10), nitrogen dioxide (NO2), and ozone (O3) for each trimester and the entire pregnancy were estimated at maternal residential addresses using land-use regression models. Linear regression models were applied to estimate associations between PSS scores and exposures to each air pollutant. After adjustment for potential confounders, interquartile-range (IQR) increases in whole pregnancy exposures to PM2.5, PM10, and O3 in the third trimester were associated with 0.37 (95% confidence interval [CI] 0.01, 0.74), 0.54 (95% CI 0.11, 0.97), and 0.30 (95% CI 0.07, 0.54) point increases in prenatal PSS scores, respectively. Furthermore, these associations were more evident in women with child-bearing age and a lower level of education. Also, the association between PSS scores and PM10 was stronger in the spring. Our findings support the relationship between air pollution and prenatal maternal stress.
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Affiliation(s)
- Dirga Kumar Lamichhane
- grid.202119.90000 0001 2364 8385Department of Occupational and Environmental Medicine, Inha University School of Medicine, Incheon, Republic of Korea
| | - Dal-Young Jung
- grid.202119.90000 0001 2364 8385Department of Occupational and Environmental Medicine, Inha University School of Medicine, Incheon, Republic of Korea
| | - Yee-Jin Shin
- grid.15444.300000 0004 0470 5454Department of Psychiatry, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Kyung-Sook Lee
- grid.444037.00000 0000 9208 7123Department of Rehabilitation, Hanshin University, Osan, Gyeonggi-do Republic of Korea
| | - So-Yeon Lee
- grid.413967.e0000 0001 0842 2126Department of Pediatrics, Childhood Asthma Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
| | - Kangmo Ahn
- grid.414964.a0000 0001 0640 5613Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea ,grid.414964.a0000 0001 0640 5613Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - Kyung Won Kim
- grid.15444.300000 0004 0470 5454Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Youn Ho Shin
- grid.413793.b0000 0004 0624 2588Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea
| | - Dong In Suh
- grid.31501.360000 0004 0470 5905Department of Pediatrics, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Soo-Jong Hong
- Department of Pediatrics, Childhood Asthma Atopy Center, Humidifier Disinfectant Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
| | - Hwan-Cheol Kim
- Department of Occupational and Environmental Medicine, Inha University School of Medicine, Incheon, Republic of Korea.
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Ni N, Chi X, Liu W, Cui X. Air Pollution and Adolescent Development: Evidence from a 3-Year Longitudinal Study in China. CHILDREN (BASEL, SWITZERLAND) 2021; 8:children8110987. [PMID: 34828699 PMCID: PMC8620088 DOI: 10.3390/children8110987] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 10/15/2021] [Accepted: 10/26/2021] [Indexed: 11/30/2022]
Abstract
This study aimed to investigate the impact of air pollution on the development of adolescents and the mediating role of students’ emotional disorders. Participants came from a longitudinal sample group of adolescents (n = 1301) in Southern China from the years 2016 to 2018. They were assessed for the Positive Youth Development and emotional disorders, and air pollution was measured by the Air Quality Index. The results show that students’ higher degree of exposure to air pollution was negatively associated with their positive development. Three out of four emotional disorders (i.e., anxiety, neuroticism, and withdrawal) mediate this association. The results suggest that the physical environment can have a paramount influence on the emotional status and overall development of adolescents, calling for intervention programs by policymakers.
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Affiliation(s)
- Na Ni
- Webank Institute of Fintech, Shenzhen Audencia Business School, Shenzhen University, Shenzhen 518060, China
- Correspondence:
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen 518060, China;
| | - Wei Liu
- School of Management, Xiamen University, Xiamen 361005, China;
| | - Xiumin Cui
- College of Education for the Future, Beijing Normal University, Zhuhai 519087, China;
- The Affiliated Kindergarten of Meilian Primary School, Shenzhen 518035, China
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10
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Jo Y, Lee JW, Lee D. Silent but Damaging: Exploring the Link Between Air Pollution and Vocational and General Well-Being. JOURNAL OF CAREER ASSESSMENT 2021. [DOI: 10.1177/10690727211054335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Air pollution has become a daunting challenge with the potential to endanger people’s lives across the globe. However, little is known about the psychological and vocational implications of air pollution. Drawing on feeling-as-information theory, we investigate the within-person relationships of ambient air pollution with vocational and general well-being outcomes (i.e., career choice anxiety and state optimism) through the mediating mechanism of mood state. We tested our hypotheses using an experience sampling method (ESM) with survey data from 67 undergraduate students in South Korea collected over 10 consecutive days. Results showed that daily ambient air pollution predicted higher career choice anxiety and lower state optimism via an increased negative mood. Furthermore, the indirect relation of air pollution with career choice anxiety was found to be stronger for individuals with lower family socioeconomic status. In a supplementary study, we interviewed 16 undergraduate students in South Korea to explain the ESM results in greater depth. Theoretical and practical implications, as well as study limitations, are discussed.
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Affiliation(s)
- Yeseul Jo
- Korea University Business School, Seoul, South Korea
| | - Jeong Won Lee
- Department of Business Administration, Kyonggi University, Suwon, South Korea
| | - Dongseop Lee
- Korea University Business School, Seoul, South Korea
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11
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Zhang L, Zhou S, Kwan MP, Shen M. Assessing individual environmental exposure derived from the spatiotemporal behavior context and its impacts on mental health. Health Place 2021; 71:102655. [PMID: 34482159 DOI: 10.1016/j.healthplace.2021.102655] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 07/23/2021] [Accepted: 08/12/2021] [Indexed: 11/29/2022]
Abstract
Research on the associations between environmental exposures and mental health has attracted considerable attention. Most studies to date have mainly estimated environmental health effects based on static geographic contexts (e.g., residential neighborhoods, administrative units), ignoring the dynamic nature of individual spatiotemporal behavior, which may lead to unreliable results. To address this limitation, this study collects survey data from 1003 adults in Guangzhou, China. Then, it delineates dynamic geographic context to capture individual daily activity and travel and assesses individual exposure to environmental factors derived from the home buffer (HB) and the time-weighted activity and travel buffer (TATB). Finally, multiple linear regression models are used in this paper to examine and compare the relationships between individual environmental exposure and mental health based on the HB and TATB. The results of this study indicate that there are great differences in individual environmental exposure levels based on the HB and TATB. The explanatory power of the environmental factors obtained from the TATB on mental health is greater than that derived from the HB. Specifically, exposures to some environmental factors (i.e., green space coverage, blue space coverage, fitness facility density, and recreational facility density) derived from the TATB have mental health-promoting effects, while exposures to the other environmental factors (i.e., public transit station density) have mental health-constraining effects. These findings enrich our knowledge of spatiotemporal behavior and the effects of the dynamic contextual environment on mental health, as well as provide valuable implications for urban planning and public health service.
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Affiliation(s)
- Lin Zhang
- Institute of Studies for the Greater Bay Area (Guangdong, Hong Kong, Macau), Guangdong University of Foreign Studies, Guangzhou, China
| | - Suhong Zhou
- School of Geography and Planning, Sun Yat-sen University, Guangzhou, China; Guangdong Provincial Engineering Research Center for Public Security and Disaster, Guangzhou, China.
| | - Mei-Po Kwan
- Department of Geography and Resource Management and Institute of Space and Earth Information Science, The Chinese University of Hong Kong, Hong Kong, China; Department of Human Geography and Spatial Planning, Utrecht University, the Netherlands
| | - Minghao Shen
- Institute of Studies for the Greater Bay Area (Guangdong, Hong Kong, Macau), Guangdong University of Foreign Studies, Guangzhou, China
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12
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Li D, Ji S, Guo Y, Sang N. Ambient NO 2 exposure sex-specifically impairs myelin and contributes to anxiety and depression-like behaviors of C57BL/6J mice. JOURNAL OF HAZARDOUS MATERIALS 2021; 416:125836. [PMID: 34492793 DOI: 10.1016/j.jhazmat.2021.125836] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 03/27/2021] [Accepted: 04/04/2021] [Indexed: 06/13/2023]
Abstract
NO2 is a common indoor and outdoor air pollutant, but its health effects are still controversial. Beside respiratory injury, more epidemiological studies show that inhalation of NO2 is associated with an increased risk of anxiety and depression. However, the causal relationship at the molecular level remains unclear. In the present study, we exposed adult C57BL/6J mice to NO2 (2.5 ppm, 5 h/day) for four weeks, and found anxiety and depression-like behaviors in male mice, but not female mice. Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment indicated that differentially expressed genes (DEGs) in the prefrontal cortex and cerebellum were closely associated with signal transduction pathways, such as axon guidance. Importantly, NO2 inhalation damaged the ultrastructure of myelin sheath and caused the abnormal expression of related genes in males, which partially contributed to mental disorders. We also found that prolactin (Prl), through its anti-inflammatory activity and remyelination, might play a major role in the sex-specific neurobehavioral disorder in male mice caused by NO2 exposure.
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Affiliation(s)
- Dan Li
- College of Environment and Resource, Research Center of Environment and Health, Shanxi University, Taiyuan, Shanxi 030006, PR China
| | - Shaoyang Ji
- College of Environment and Resource, Research Center of Environment and Health, Shanxi University, Taiyuan, Shanxi 030006, PR China
| | - Yuqiong Guo
- College of Environment and Resource, Research Center of Environment and Health, Shanxi University, Taiyuan, Shanxi 030006, PR China
| | - Nan Sang
- College of Environment and Resource, Research Center of Environment and Health, Shanxi University, Taiyuan, Shanxi 030006, PR China.
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13
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Zhang W, Peng S, Fu J, Xu K, Wang H, Jin Y, Yang T, Cottrell RR. Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China. Front Public Health 2021; 9:685431. [PMID: 34277548 PMCID: PMC8283526 DOI: 10.3389/fpubh.2021.685431] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 05/19/2021] [Indexed: 11/25/2022] Open
Abstract
Background: Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels. Objectives: The objective of this study was to evaluate the association between air pollution and mental stress among university students. Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process conducted in 50 universities. Regional air pollution levels were retrieved from a national database, and mental stress was measured using a perceived stress scale. Both unadjusted and adjusted methods were utilized in the data analyses. Results: Mental stress prevalence was 36.9% (95% Confidence Interval: 24.4–49.5%). The final model indicated that regional air pollution levels were positively associated with students' mental stress. Conclusions: This study provided new and direct evidence of the health hazards of air pollution. The findings underscore the need to develop and implement stringent environmental protection policies, while simultaneously raising public awareness of environmental protection.
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Affiliation(s)
- Weifang Zhang
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China
| | - Sihui Peng
- School of Medicine, Jinan University, Guangzhou, China
| | - Jialu Fu
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China
| | - Ke Xu
- Epidemiology Department, Emory University, Atlanta, GA, United States
| | - Huihui Wang
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China
| | - Yu Jin
- Zhejiang University Educational Foundation, Hangzhou, China
| | - Tingzhong Yang
- Women' s Hospital/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, China
| | - Randall R Cottrell
- Public Health Program, School of Health and Applied Human Sciences, University of North Carolina, Wilmington, NC, United States
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14
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Iasevoli F, Fornaro M, D'Urso G, Galletta D, Casella C, Paternoster M, Buccelli C, de Bartolomeis A. Psychological distress in patients with serious mental illness during the COVID-19 outbreak and one-month mass quarantine in Italy. Psychol Med 2021; 51:1054-1056. [PMID: 32423496 PMCID: PMC7261960 DOI: 10.1017/s0033291720001841] [Citation(s) in RCA: 85] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 05/13/2020] [Accepted: 05/16/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Felice Iasevoli
- Section of Psychiatry, Department of Neuroscience, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Michele Fornaro
- Section of Psychiatry, Department of Neuroscience, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Giordano D'Urso
- Section of Psychiatry, Department of Neuroscience, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Diana Galletta
- Section of Psychiatry, Department of Neuroscience, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Claudia Casella
- Legal Medicine Unit Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Mariano Paternoster
- Legal Medicine Unit Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Claudio Buccelli
- Legal Medicine Unit Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy
| | - Andrea de Bartolomeis
- Section of Psychiatry, Department of Neuroscience, School of Medicine, University of Naples Federico II, Naples, Italy
- Chair Staff for Health Education and Sustainable Development, UNESCO, Naples, Italy
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15
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Kim H, Kim WH, Kim YY, Park HY. Air Pollution and Central Nervous System Disease: A Review of the Impact of Fine Particulate Matter on Neurological Disorders. Front Public Health 2020; 8:575330. [PMID: 33392129 PMCID: PMC7772244 DOI: 10.3389/fpubh.2020.575330] [Citation(s) in RCA: 67] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 11/20/2020] [Indexed: 12/19/2022] Open
Abstract
Background: It is widely known that the harmful effects of fine dust can cause various diseases. Research on the correlation between fine dust and health has been mainly focused on lung and cardiovascular diseases. By contrast, the effects of air pollution on the central nervous system (CNS) are not broadly recognized. Findings: Air pollution can cause diverse neurological disorders as the result of inflammation of the nervous system, oxidative stress, activation of microglial cells, protein condensation, and cerebral vascular-barrier disorders, but uncertainty remains concerning the biological mechanisms by which air pollution produces neurological disease. Neuronal cell damage caused by fine dust, especially in fetuses and infants, can cause permanent brain damage or lead to neurological disease in adulthood. Conclusion: It is necessary to study the air pollution–CNS disease connection with particular care and commitment. Moreover, the epidemiological and experimental study of the association between exposure to air pollution and CNS damage is critical to public health and quality of life. Here, we summarize the correlations between fine dust exposure and neurological disorders reported so far and make suggestions on the direction future research should take.
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Affiliation(s)
- Hyunyoung Kim
- Division of Allergy and Respiratory Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Cheongju-si, South Korea
| | - Won-Ho Kim
- Division of Cardiovascular Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Cheongju-si, South Korea
| | - Young-Youl Kim
- Division of Allergy and Respiratory Disease Research, Department of Chronic Disease Convergence Research, Korea National Institute of Health, Cheongju-si, South Korea
| | - Hyun-Young Park
- Department of Precision Medicine, Korea National Institute of Health, Cheongju-si, South Korea
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16
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Wang Z, Xu N, Wei W, Zhao N. Social inequality among elderly individuals caused by climate change: Evidence from the migratory elderly of mainland China. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2020; 272:111079. [PMID: 32854885 DOI: 10.1016/j.jenvman.2020.111079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 06/27/2020] [Accepted: 07/09/2020] [Indexed: 06/11/2023]
Abstract
Faced with severe and growing social inequality among elderly individuals, a more complete understanding of the interconnection between the seasonal migration of the elderly and climate change is clearly needed. This paper tries to clarify the relation between the seasonal migration of the elderly and climate change from a multidimensional perspective. Our study adds to the research on population aging against the background of climate change. This study shows that climate change has a significant impact on regional population aging and that there are significant internal differences between the distribution and scale of the migratory elderly stemming from unequal environmental conditions. Advanced economic conditions and relatively comfortable environments have put some pressure on social endowment services in the three provinces of Northeast China, especially Liaoning Province. With their complex migration mechanism, the fate of the elderly in mainland China is closely intertwined with climatic factors, individual and socioeconomic conditions, traditional cultural backgrounds, etc. A comparatively advanced economy, well-developed endowment resources, and a comfortable environment will help in the development of regional aging resources. Regional inequality and the pursuit of a meaningful life have created different categories of migratory elderly.
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Affiliation(s)
- Zhibao Wang
- College of Geography and Environment, Shandong Normal University, Jinan, China
| | - Ning Xu
- College of Geography and Environment, Shandong Normal University, Jinan, China
| | - Wendong Wei
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.
| | - Nana Zhao
- College of Geography and Environment, Shandong Normal University, Jinan, China
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