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Zhao T, Markevych I, Fuertes E, de Hoogh K, Accordini S, Boudier A, Casas L, Forsberg B, Garcia Aymerich J, Gnesi M, Holm M, Janson C, Jarvis D, Johannessen A, Jörres RA, Karrasch S, Leynaert B, Maldonado Perez JA, Malinovschi A, Martínez-Moratalla J, Modig L, Nowak D, Potts J, Probst-Hensch N, Sánchez-Ramos JL, Siroux V, Urrutia Landa I, Vienneau D, Villani S, Jacquemin B, Heinrich J. Impact of long-term exposure to ambient ozone on lung function over a course of 20 years (The ECRHS study): a prospective cohort study in adults. THE LANCET REGIONAL HEALTH. EUROPE 2023; 34:100729. [PMID: 37691742 PMCID: PMC10482740 DOI: 10.1016/j.lanepe.2023.100729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/17/2023] [Accepted: 08/21/2023] [Indexed: 09/12/2023]
Abstract
Background While the adverse effects of short-term ambient ozone exposure on lung function are well-documented, the impact of long-term exposure remains poorly understood, especially in adults. Methods We aimed to investigate the association between long-term ozone exposure and lung function decline. The 3014 participants were drawn from 17 centers across eight countries, all of which were from the European Community Respiratory Health Survey (ECRHS). Spirometry was conducted to measure pre-bronchodilation forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) at approximately 35, 44, and 55 years of age. We assigned annual mean values of daily maximum running 8-h average ozone concentrations to individual residential addresses. Adjustments were made for PM2.5, NO2, and greenness. To capture the ozone-related change in spirometric parameters, our linear mixed effects regression models included an interaction term between long-term ozone exposure and age. Findings Mean ambient ozone concentrations were approximately 65 μg/m³. A one interquartile range increase of 7 μg/m³ in ozone was associated with a faster decline in FEV1 of -2.08 mL/year (95% confidence interval: -2.79, -1.36) and in FVC of -2.86 mL/year (-3.73, -1.99) mL/year over the study period. Associations were robust after adjusting for PM2.5, NO2, and greenness. The associations were more pronounced in residents of northern Europe and individuals who were older at baseline. No consistent associations were detected with the FEV1/FVC ratio. Interpretation Long-term exposure to elevated ambient ozone concentrations was associated with a faster decline of spirometric lung function among middle-aged European adults over a 20-year period. Funding German Research Foundation.
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Affiliation(s)
- Tianyu Zhao
- Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Munich, Germany
- Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany
| | - Iana Markevych
- Institute of Psychology, Jagiellonian University, Krakow, Poland
- “Health and Quality of Life in a Green and Sustainable Environment”, SRIPD, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Elaine Fuertes
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
- MRC Centre for Environment & Health, London, UK
| | - Kees de Hoogh
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Simone Accordini
- Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy
| | - Anne Boudier
- University Grenoble Alpes, Inserm U 1209, CNRS UMR 5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, Grenoble, France
- Pediatric Department, CHU Grenoble Alpes, Grenoble, France
| | - Lidia Casas
- Social Epidemiology and Health Policy, Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Institute for Environment and Sustainable Development (IMDO), University of Antwerp, Belgium
| | - Bertil Forsberg
- Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Judith Garcia Aymerich
- ISGlobal, Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Marco Gnesi
- Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Mathias Holm
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Christer Janson
- Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
| | - Deborah Jarvis
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
- MRC Centre for Environment & Health, London, UK
| | - Ane Johannessen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Rudolf A. Jörres
- Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Munich, Germany
| | - Stefan Karrasch
- Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Munich, Germany
- Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany
| | - Benedicte Leynaert
- Université Paris-Saclay, UVSQ, University Paris-Sud, Inserm, Center for Epidemiology and Population Health (CESP) - Integrative Respiratory Epidemiology Team, 94807, Villejuif, France
| | | | - Andrei Malinovschi
- Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden
| | | | - Lars Modig
- Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
| | - Dennis Nowak
- Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Munich, Germany
| | - James Potts
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Nicole Probst-Hensch
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | | | - Valerie Siroux
- University Grenoble Alpes, Inserm U 1209, CNRS UMR 5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, Grenoble, France
| | | | - Danielle Vienneau
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
| | - Simona Villani
- Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
| | - Bénédicte Jacquemin
- University Rennes, Inserm, EHESP, Irset (Institut de recherche en Santé, Environnement et travail), UMR_S 1085, F-35000 Rennes, France
| | - Joachim Heinrich
- Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, LMU Munich, Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), German Center for Lung Research (DZL), Munich, Germany
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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Lukasová V, Bičárová S, Buchholcerová A, Adamčíková K. Low sensitivity of Pinus mugo to surface ozone pollution in the subalpine zone of continental Europe. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2022; 66:2311-2324. [PMID: 36107252 DOI: 10.1007/s00484-022-02359-2] [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: 02/25/2022] [Revised: 07/25/2022] [Accepted: 08/28/2022] [Indexed: 06/15/2023]
Abstract
High altitudes have been exposed to enhanced levels of surface ozone (O3) concentrations over recent decades compared to the pre-industrial era. The responses of vegetation to this toxic pollutant are species-specific and depend on the climate conditions. In this paper, we explored the reaction of Pinus mugo (P. mugo) to O3-induced stress in the continental climate of an ozone-rich mountain area in the High Tatra Mountains (Western Carpathians). The effects of O3 doses modelled by a deposition model, O3 concentrations and other factors on P. mugo were identified from (a) satellite-based data via NDVI (normalised differenced vegetation index) over 2000-2020 and (b) visible injury on needle samples gathered from P. mugo individuals at ground-truth sites in 2019 and 2020. Analysing the NDVI trend, we observed non-significant changes (p > 0.05) in the greenness of P. mugo despite growing in an environment with the average seasonal O3 concentration around 51.6 ppbv, the maximum hourly concentrations more than 90 ppbv and increasing trend of O3 doses by 0.1 mmol m-2 PLA (plant leaf area) year-1. The visible O3 injury of samples collected at study sites was low (mean injury observed on 1-10% of needles' surface), and the symptoms of injury caused by other biotic and abiotic factors prevailed over those caused by O3. In addition, the correlation analyses between NDVI and the climatic factors indicated a significant (p < 0.05) and positive relationship with photosynthetic active radiation (R = 0.45) in July, and with stomatal conductance (R = 0.52) and temperature factor (R = 0.43) in August. Therefore, we concluded that the positive effect of climate conditions, which support the growth processes of P. mugo, may suppress the negative effect of the mean O3 doses of 17.8 mmol m-2 PLA accumulated over the growing season.
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Affiliation(s)
- Veronika Lukasová
- Earth Science Institute, Slovak Academy of Sciences, Tatranská Lomnica, 059 60, Slovakia.
| | - Svetlana Bičárová
- Earth Science Institute, Slovak Academy of Sciences, Tatranská Lomnica, 059 60, Slovakia
| | - Anna Buchholcerová
- Faculty of Mathematics, Physics and Informatics, Comenius University in Bratislava, Mlynská dolina, Bratislava, 842 48, Slovakia
| | - Katarína Adamčíková
- Institute of Forest Ecology, Department of Plant Pathology and Mycology, Slovak Academy of Sciences, Akademická 2, Nitra, 949 01, Slovakia
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Yang X, Wang Y, Zhao C, Fan H, Yang Y, Chi Y, Shen L, Yan X. Health risk and disease burden attributable to long-term global fine-mode particles. CHEMOSPHERE 2022; 287:132435. [PMID: 34606897 DOI: 10.1016/j.chemosphere.2021.132435] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 08/11/2021] [Accepted: 09/15/2021] [Indexed: 06/13/2023]
Abstract
Particulate matter 2.5 (PM2.5) pollution has long been a global environmental problem and still poses a great threat to public health. This study investigates global spatiotemporal variations in PM2.5 using the newly developed satellite-derived PM2.5 dataset from 1998 to 2018. An integrated exposure-response (IER) model was employed to examine the characteristics of PM2.5-related deaths caused by chronic obstructive pulmonary disease (COPD), ischemic heart disease (IHD), lung cancer (LC), and stroke in adults (age≥25), as well as lower respiratory infection (LRI) in children (age≤5). The results showed that high annual PM2.5 concentrations were observed mainly in East Asia and South Asia. Over the 19-year period, PM2.5 concentrations constantly decreased in developed regions, but increased in most developing regions. Approximately 84% of the population lived in regions where PM2.5 concentrations exceeded 10 μg/m3. Meanwhile, the vast majority of the population (>60%) in East and South Asia was consistently exposed to PM2.5 levels above 35 μg/m3. PM2.5 exposure was linked to 3.38 (95% UI: 3.05-3.70) million premature deaths globally in 2000, a number that increased to 4.11 (95% UI: 3.55-4.69) million in 2018. Premature deaths related to PM2.5 accounted for 6.54%-7.79% of the total cause of deaths worldwide, with a peak in 2011. Furthermore, developing regions contributed to the majority (85.95%-95.06%) of PM2.5-related deaths worldwide, and the three highest-ranking regions were East Asia, South Asia, and Southeast Asia. Globally, IHD and stroke were the two main contributors to total PM2.5-related deaths, followed by COPD, LC, and LRI.
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Affiliation(s)
- Xingchuan Yang
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Yuan Wang
- Division of Geological and Planetary Sciences, California Institute of Technology, Pasadena, CA, USA
| | - Chuanfeng Zhao
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China.
| | - Hao Fan
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Yikun Yang
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Yulei Chi
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Lixing Shen
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
| | - Xing Yan
- State Key Laboratory of Earth Surface Processes and Resource Ecology, and College of Global Change and Earth System Science, Beijing Normal University, Beijing, China
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