1
|
Chen X, Wang J, Zhang X, Xiao G, Luo S, Liu L, Kong W, Zhang X, Yan LL, Zhang S. Residential proximity to major roadways and hearing impairment in Chinese older adults: a population-based study. BMC Public Health 2023; 23:2462. [PMID: 38066478 PMCID: PMC10709848 DOI: 10.1186/s12889-023-17433-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 12/06/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND With rapid urban sprawl, growing people are living in the vicinity of major roadways. However, little is known about the relationship between residential proximity to major roadways and hearing impairment (HI). METHODS We derived data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey, and included 13,775 participants aged 65 years or older. Multivariate logistic regressions were employed to examine the association between residential proximity to major roadways and HI. The effects of corresponding potentially modifiable factors were studied by three-way interaction analyses. Sensitivity analyses were performed to verify the robustness of the results. RESULTS The prevalence of HI was 38.3%. Participants living near major roadways were more likely to have a higher socioeconomic status. An exposure-response relation between residential proximity to major roadways and HI was observed (Ptrend < 0.05). Compared with individuals living > 300 m away from major roadways, the adjusted odds ratios (OR) were 1.07 (95% CI: 0.96-1.24), 1.15 (95% CI: 1.07-1.34), and 1.12 (95% CI: 1.01-1.31) for those living 101-200 m, 50-100 m, and < 50 m away from the roadways, respectively. Particularly, the association was more pronounced among individuals exposed to carbon monoxide (CO) pollution or opening windows frequently (Pinteraction < 0.05). Three-way interaction analyses confirmed that participants exposed to CO pollution and frequently leaving windows open had the highest OR of 1.73 (95% CI: 1.58-1.89). CONCLUSIONS This nation-wide cohort study suggested that residential proximity to major roadways was significantly associated with an increased exposure-response risk of HI in Chinese older adults. Exposure to CO pollution and opening windows frequently might strengthen the relations.
Collapse
Affiliation(s)
- Xingxing Chen
- School of Public Health, Wuhan University, Wuhan, China
- Global Health Research Center, Duke Kunshan University, Kunshan, China
- National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
| | - Jun Wang
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Institute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xian Zhang
- Global Health Research Center, Duke Kunshan University, Kunshan, China
| | - Gui Xiao
- Xiangya School of Nursing, Central South University, Changsha, China
- Department of Health Management, The Third Xiangya Hospital, Central South University, Changsha, China
| | - Siran Luo
- Global Health Research Center, Duke Kunshan University, Kunshan, China
| | - Lei Liu
- The First People's Hospital of Kunshan, Suzhou, China
| | - Weijia Kong
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Institute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiaomin Zhang
- Department of Occupational and Environmental Health, State Key Laboratory of Environmental Health for Incubating, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
| | - Lijing L Yan
- School of Public Health, Wuhan University, Wuhan, China.
- Global Health Research Center, Duke Kunshan University, Kunshan, China.
- Duke Global Health Institute, Duke University, Durham, United States of America.
- Institute for Global Health and Management, Peking University, Beijing, China.
| | - Sulin Zhang
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
- Institute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
| |
Collapse
|
2
|
Brugge D, Lerman Ginzburg S, Hudda N, Sprague Martinez L, Meunier L, Hersey SP, Hochman I, Walker DI, Echevarria B, Thanikachalam M, Durant JL, Zamore W, Eliasziw M. A randomized crossover trial of HEPA air filtration to reduce cardiovascular risk for near highway residents: Methods and approach. Contemp Clin Trials 2021; 108:106520. [PMID: 34332159 DOI: 10.1016/j.cct.2021.106520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 07/01/2021] [Accepted: 07/26/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Near highway residents are exposed to elevated levels of traffic-related air pollution (TRAP), including ultrafine particles, which are associated with adverse health effects. The efficacy of using in-home air filtration units that reduce exposure and potentially yield health benefits has not been tested in a randomized controlled trial. METHODS We will conduct a randomized double-blind crossover trial of portable air filtration units for 200 adults 30 years and older who live in near-highway homes in Somerville, MA, USA. We will recruit participants from 172 households. The intervention periods will be one month of true or sham filtration, followed by a one-month wash out period and then a month of the alternate intervention. The primary health outcome will be systolic blood pressure (BP); secondary outcome measures will include diastolic and central BP, C-Reactive Protein (CRP) and D-dimer. Reasons for success or failure of the intervention will be evaluated in a subset of homes using indoor/outdoor monitoring for particulate pollution, personal monitoring, size and composition of particulate pollution, tracking of time spent in the room with the filter, and interviews for qualitative feedback. RESULTS This trial has begun recruitment and is expected to take 2-3 years to be completed. Recruitment has been particularly challenging because of additional precautions required by the COVID-19 pandemic. DISCUSSION This study has the potential to shed light on the value of using portable air filtration in homes close to highways to reduce exposure to TRAP and whether doing so has benefits for cardiovascular health.
Collapse
Affiliation(s)
- Doug Brugge
- Department of Public Health Sciences, University of Connecticut, Farmington, CT 06032, United States of America
| | - Shir Lerman Ginzburg
- UConn Health Department of Public Health Sciences, Farmington, CT 06032., United States of America.
| | - Neelakshi Hudda
- Department of Civil and Environmental Engineering, Tufts University, Medford, MA, 02476, United States of America
| | - Linda Sprague Martinez
- Macro Department, Boston University School of Social Work, Boston, MA 02215, United States of America
| | - Leigh Meunier
- UConn Health Department of Public Health Sciences, Farmington, CT 06032., United States of America
| | - Scott P Hersey
- Franklin W. Olin College of Engineering, Needham, MA 02492, United States of America
| | - Ira Hochman
- inTouch Technology Corp., Cambridge, MA 02142, United States of America
| | - Douglas I Walker
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029l, United States of America
| | - Ben Echevarria
- Welcome Project, Somerville, MA 02145, United States of America
| | - Mohan Thanikachalam
- Tufts University School of Medicine, Public Health and Community Medicine, 136 Harrison Avenue, Boston, MA 02111, United States of America
| | - John L Durant
- Department of Civil and Environmental Engineering, Tufts University, Medford, MA 02476, United States of America
| | - Wig Zamore
- Somerville Transportation Equity Partnership, Somerville, MA 02145, United States of America
| | - Misha Eliasziw
- Department of Public Health and Community Medicine, Tufts University, Boston, MA 02111, United States of America
| |
Collapse
|
3
|
Yao Y, Jin X, Cao K, Zhao M, Zhu T, Zhang J, Zeng Y. Residential proximity to major roadways and cognitive function among Chinese adults 65 years and older. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 766:142607. [PMID: 33097247 DOI: 10.1016/j.scitotenv.2020.142607] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Revised: 09/23/2020] [Accepted: 09/23/2020] [Indexed: 05/07/2023]
Abstract
Emerging evidence in North America and Europe suggests that traffic-related air pollution (TRAP) adversely affects cognition. However, little is known about this relationship in people living in low- and middle-income countries (LMICs). It is also unknown whether indoor air pollution can modify the effect of TRAP. We derived data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a prospective cohort study, including 11,187 individuals of 82.0 years old (53.9% female). We ascertained residential proximity to major roadways based on self-reports and assessed cognitive function using the Mini-Mental State Examination (MMSE). We used cooking fuel type and home ventilation as proxies for indoor air pollution. We examined the associations between major road proximity and cognitive impairment using multivariable logistic regressions, controlling for demographic, lifestyle, socioeconomic status, and chronic conditions. We did subgroup analyses and assessed the potential interaction effect. The prevalence of cognitive impairment was 33.4%. The adjusted odds ratios of cognitive impairment were 1.20 (1.05, 1.35), 1.26 (1.09, 1.46), 0.99 (0.84, 1.17), and 1.05 (0.88, 1.25) for individuals living <50 m, 50-100 m, 101-200 m, and 201-300 m compared to those living >300 m from a major roadway. In dichotomized analyses, the risk (OR) associated with living closer to roadways was greater in participants who did not implement any ventilation during cooking (compared to those using natural or mechanical ventilation, 1.86 [1.31-2.65] vs. 1.16 [1.03-1.26], P for interaction = 0.001) and in solid fuel users (compared to clean fuel users, 1.37 [1.13-1.67] vs. 1.13 [1.04-1.21], P for interaction = 0.028). The associations were robust in a set of sensitivity analyses. The results suggested that living closer to major roadways was associated with an increased risk for cognitive impairment in older adults in China, indicating an adverse TRAP effect. Indoor air pollution appeared to enhance the TRAP effect synergistically.
Collapse
Affiliation(s)
- Yao Yao
- Center for Healthy Aging and Development Studies, Raissun Institute for Advanced Studies, National School of Development, Peking University, Beijing, China; Center for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, Durham, NC, United States
| | - Xurui Jin
- Global Health Research Center, Duke Kunshan University, No. 8 Duke Avenue, Kunshan, Jiangsu, China
| | - Kaixi Cao
- Global Health Research Center, Duke Kunshan University, No. 8 Duke Avenue, Kunshan, Jiangsu, China
| | - Minghao Zhao
- Peking University Health Science Center, Beijing, China
| | - Tinglong Zhu
- Global Health Research Center, Duke Kunshan University, No. 8 Duke Avenue, Kunshan, Jiangsu, China
| | - Junfeng Zhang
- Nicholas School of the Environment and Duke Global Health Institute, Duke University, Durham, NC, United States.
| | - Yi Zeng
- Center for Healthy Aging and Development Studies, Raissun Institute for Advanced Studies, National School of Development, Peking University, Beijing, China; Center for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, Durham, NC, United States.
| |
Collapse
|
4
|
Verheyen VJ, Remy S, Lambrechts N, Govarts E, Colles A, Poelmans L, Verachtert E, Lefebvre W, Monsieurs P, Vanpoucke C, Nielsen F, Van den Eeden L, Jacquemyn Y, Schoeters G. Residential exposure to air pollution and access to neighborhood greenspace in relation to hair cortisol concentrations during the second and third trimester of pregnancy. Environ Health 2021; 20:11. [PMID: 33573648 PMCID: PMC7879652 DOI: 10.1186/s12940-021-00697-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Accepted: 02/01/2021] [Indexed: 05/14/2023]
Abstract
BACKGROUND Exposure to air pollution during pregnancy has been associated with adverse pregnancy outcomes in studies worldwide, other studies have described beneficial effects of residential greenspace on pregnancy outcomes. The biological mechanisms that underlie these associations are incompletely understood. A biological stress response, which implies release of cortisol, may underlie associations of air pollution exposure and access to neighborhood greenspaces with health. METHODS We explored residential exposure to air pollution and residential access to neighborhood greenspaces in relation to hair cortisol concentrations of participants in a prospective pregnancy cohort study in Flanders, Belgium. Hair samples were collected at the end of the second pregnancy trimester (n = 133) and shortly after delivery (n = 81). Cortisol concentrations were measured in 3-cm scalp-near hair sections, to reflect second and third pregnancy trimester cortisol secretion. We estimated long-term (3 months before sampling) residential exposure to fine particulate matter (PM2.5), nitrogen dioxide (NO2) and black carbon (BC), assessed residential distance to major roads and residential access to neighborhood greenspaces (NHGS). Associations between residential exposures and hair cortisol concentrations were studied using linear regression models while adjusting for season of sampling. RESULTS Three-month mean residential NO2 and BC concentrations were positively associated with third pregnancy trimester hair cortisol concentrations (p = 0.008 and p = 0.017). Access to a large NHGS (10 ha or more within 800 m from residence) was negatively associated with third trimester hair cortisol concentrations (p = 0.019). Access to a large NHGS significantly moderated the association between residential proximity to major roads and second trimester hair cortisol concentrations (p = 0.021). Residential distance to major roads was negatively associated with second trimester hair cortisol concentrations of participants without access to a large NHGS (p = 0.003). The association was not significant for participants with access to a large NHGS. The moderation tended towards significance in the third pregnancy trimester (p < 0.10). CONCLUSIONS Our findings suggest a positive association between long-term residential exposure to air pollution and biological stress during pregnancy, residential access to neighborhood greenspaces may moderate the association. Further research is needed to confirm our results. TRIAL REGISTRATION The IPANEMA study is registered under number NCT02592005 at clinicaltrials.gov .
Collapse
Affiliation(s)
- Veerle Josefa Verheyen
- Flemish Institute for Technological Research (VITO), Mol, Belgium
- Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium
| | - Sylvie Remy
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | | | - Eva Govarts
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Ann Colles
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Lien Poelmans
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Els Verachtert
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Wouter Lefebvre
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Pieter Monsieurs
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | | | - Flemming Nielsen
- The Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Lena Van den Eeden
- Department of Obstetrics and Gynecology, Antwerp University Hospital, Antwerp, Belgium
- People and Health, Thomas More University College, Lier, Belgium
| | - Yves Jacquemyn
- Department of Obstetrics and Gynecology, Antwerp University Hospital, Antwerp, Belgium
- Global Health Institute, Faculty of Medicine, University of Antwerp, Antwerp, Belgium
- Antwerp Surgical Training, Anatomy and Research Centre, University of Antwerp, Antwerp, Belgium
| | - Greet Schoeters
- Flemish Institute for Technological Research (VITO), Mol, Belgium
- Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium
- The Department of Public Health, University of Southern Denmark, Odense, Denmark
| |
Collapse
|
5
|
Rajagopalan S, Brauer M, Bhatnagar A, Bhatt DL, Brook JR, Huang W, Münzel T, Newby D, Siegel J, Brook RD. Personal-Level Protective Actions Against Particulate Matter Air Pollution Exposure: A Scientific Statement From the American Heart Association. Circulation 2020; 142:e411-e431. [PMID: 33150789 DOI: 10.1161/cir.0000000000000931] [Citation(s) in RCA: 113] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Since the publication of the last American Heart Association scientific statement on air pollution and cardiovascular disease in 2010, unequivocal evidence of the causal role of fine particulate matter air pollution (PM2.5, or particulate matter ≤2.5 μm in diameter) in cardiovascular disease has emerged. There is a compelling case to provide the public with practical personalized approaches to reduce the health effects of PM2.5. Such interventions would be applicable not only to individuals in heavily polluted countries, high-risk or susceptible individuals living in cleaner environments, and microenvironments with higher pollution exposures, but also to those traveling to locations with high levels of PM2.5. The overarching motivation for this document is to summarize the current evidence supporting personal-level strategies to prevent the adverse cardiovascular effects of PM2.5, guide the use of the most proven/viable approaches, obviate the use of ineffective measures, and avoid unwarranted interventions. The significance of this statement relates not only to the global importance of PM2.5, but also to its focus on the most tested interventions and viable approaches directed at particulate matter air pollution. The writing group sought to provide expert consensus opinions on personal-level measures recognizing the current uncertainty and limited evidence base for many interventions. In doing so, the writing group acknowledges that its intent is to assist other agencies charged with protecting public health, without minimizing the personal choice considerations of an individual who may decide to use these interventions in the face of ongoing air pollution exposure.
Collapse
|
6
|
Yao Y, Cao K, Zhang K, Zhu T, Yue D, Zhang H, Zhang J, Jin X, Zeng Y. Residential Proximity to Major Roadways and Prevalent Hypertension Among Older Women and Men: Results From the Chinese Longitudinal Healthy Longevity Survey. Front Cardiovasc Med 2020; 7:587222. [PMID: 33282919 PMCID: PMC7705226 DOI: 10.3389/fcvm.2020.587222] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Accepted: 10/12/2020] [Indexed: 01/29/2023] Open
Abstract
Background and Objectives: Prior studies suggested that residential proximity to major roadways was associated with increased risks of cardiovascular diseases in developed countries, for which one explanation is that road proximity could heighten the risks of hypertension. However, the association of residential distance to major roadways with hypertension is still unclear in low- and middle-income countries (LMICs) with levels of air pollution and socioeconomic development distinctively different from developed countries. Methods: We derived data from the eighth wave of the Chinese Longitudinal Healthy Longevity Survey, a nationwide prospective cohort. The present study included 12,881 individuals older than 65 years (mean age, 85.2 ± 11.7 years) with 55.8% of them being female. We ascertained the residential proximity to major roadways based on self-reports and hypertension was defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg. We then used logistic regression to examine the association between residential distance to major roadways and hypertension. Results: The odds ratios (ORs) of hypertension for participants living 50 to 100, 101 to 200, and ≥200 meters from major roads were 1.17 [95% confidence interval (95% CI) = 1.02-1.33], 1.21 (95% CI = 1.05-1.41), and 1.22 (95% CI = 1.10-1.34), respectively, compared to those living within 50 m (P for trend < 0.001). Significant effects of modifications from socioeconomic status and accessibility to health care resources were observed (Ps for interaction < 0.05). Compared to living within 50 m from a major roadway, the ORs of hypertension for living ≥50 m were higher in manual/agricultural workers, low-education groups, participants without household ventilation, and participants lacking in health education and health care resources. We observed considerable variations across geographic regions with the association in question attenuating in Eastern China but remaining significant in other regions. Conclusion: Residential proximity to major roadways was associated with lower odds of hypertension among older adults in China. The utility of residential proximity to major roadways as a marker of increased risks of hypertension and cardiovascular diseases may need to be revisited in LMICs.
Collapse
Affiliation(s)
- Yao Yao
- Center for Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China.,Center for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, Durham, NC, United States
| | - Kaixi Cao
- Global Health Research Center, Duke Kunshan University, Suzhou, China
| | - Kehan Zhang
- Global Health Research Center, Duke Kunshan University, Suzhou, China
| | - Tinglong Zhu
- Global Health Research Center, Duke Kunshan University, Suzhou, China
| | - Dahai Yue
- Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States
| | - Hao Zhang
- Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, NY, United States
| | - Jim Zhang
- Global Health Institute and the Nicholas School of Environment, Duke University, Durham, NC, United States
| | - Xurui Jin
- Global Health Research Center, Duke Kunshan University, Suzhou, China
| | - Yi Zeng
- Center for Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China.,Center for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, Durham, NC, United States
| |
Collapse
|
7
|
Hilpert M, Johnson M, Kioumourtzoglou MA, Domingo-Relloso A, Peters A, Adria-Mora B, Hernández D, Ross J, Chillrud SN. A new approach for inferring traffic-related air pollution: Use of radar-calibrated crowd-sourced traffic data. ENVIRONMENT INTERNATIONAL 2019; 127:142-159. [PMID: 30913459 PMCID: PMC7013362 DOI: 10.1016/j.envint.2019.03.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 02/22/2019] [Accepted: 03/11/2019] [Indexed: 05/22/2023]
Abstract
BACKGROUND Crowd-sourced traffic data potentially allow prediction of traffic-related air pollution at high temporal and spatial resolution. OBJECTIVES To examine associations (1) of radar-based traffic measurements with congestion colors displayed on crowd-sourced traffic data maps and (2) of black carbon (BC) levels with radar and crowd-sourced traffic data. METHODS At an off-ramp of an interstate and a small one-way street in a mixed-use area in New York City, we used radar devices to obtain vehicle speeds and flows (hourly counts) for cars and trucks. At these radar sites and at an additional non-radar equipped site at a 2-way street, we monitored BC levels using aethalometers in the summer and early fall of 2017. At all three sites, free-flow traffic conditions typically did not occur due to the nearby presence of traffic lights and forced turns. We also downloaded real-time traffic maps from a crowd-sourced traffic data provider and assigned an ordinal integer congestion color code CCC to the congestion colors, ranging from 1 (dark red) to 5 (gray). RESULTS CCC increased with vehicle speed. Traffic flow was highest for intermediate speeds and intermediate CCC. Regression analyses showed that BC levels increased with either segregated or total vehicle flows. At the off-ramp, time-dependent BC levels can be inferred from time-dependent CCC and radar-derived mean vehicle flow data. A unit decrease in CCC for a mean traffic flow of 100 vehicles/h was associated with a mean (95% CI) increase in BC levels of 0.023 (0.028, 0.018) μg/m3. At the small 1-way and the 2-way street, BC levels were also negatively associated with CCC, though at a >0.05 significance level. CONCLUSIONS Use of inexpensive crowd-sourced traffic data holds great promise in air pollution modeling and health studies. Time-dependent traffic-related primary air pollution levels may be inferred from radar-calibrated crowd-sourced traffic data, in our case radar-derived mean traffic flow and widely available CCC data. However, at some locations mean traffic flow data may already be available.
Collapse
Affiliation(s)
- Markus Hilpert
- Environmental Health Sciences, Mailman School of Public Health, Columbia University, United States of America.
| | | | | | - Arce Domingo-Relloso
- Environmental Health Sciences, Mailman School of Public Health, Columbia University, United States of America
| | - Anisia Peters
- City University of New York, United States of America
| | - Bernat Adria-Mora
- Environmental Health Sciences, Mailman School of Public Health, Columbia University, United States of America
| | - Diana Hernández
- Sociomedical Sciences, Mailman School of Public Health, Columbia University, United States of America
| | - James Ross
- Lamont-Doherty Earth Observatory of Columbia University, United States of America
| | - Steven N Chillrud
- Lamont-Doherty Earth Observatory of Columbia University, United States of America
| |
Collapse
|
8
|
Choe SA, Jun YB, Lee WS, Yoon TK, Kim SY. Association between ambient air pollution and pregnancy rate in women who underwent IVF. Hum Reprod 2019; 33:1071-1078. [PMID: 29659826 DOI: 10.1093/humrep/dey076] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 03/16/2018] [Indexed: 02/06/2023] Open
Abstract
STUDY QUESTION Are the concentrations of five criteria air pollutants associated with probabilities of biochemical pregnancy loss and intrauterine pregnancy in women? SUMMARY ANSWER Increased concentrations of ambient particulate matter (PM10), nitrogen dioxide (NO2), carbon monoxide (CO) during controlled ovarian stimulation (COS) and after embryo transfer were associated with a decreased probability of intrauterine pregnancy. WHAT IS KNOWN ALREADY Exposure to high ambient air pollution was suggested to be associated with low fertility and high early pregnancy loss in women. STUDY DESIGN, SIZE, DURATION Using a retrospective cohort study design, we analysed 6621 cycles of 4581 patients who underwent one or more fresh IVF cycles at a fertility centre from January 2006 to December 2014, and lived in Seoul at the time of IVF treatment. PARTICIPANTS/MATERIALS, SETTING, METHODS To estimate patients' individual exposure to air pollution, we computed averages of hourly concentrations of five air pollutants including PM10, NO2, CO, sulphur dioxide (SO2) and ozone (O3) measured at 40 regulatory monitoring sites in Seoul for each of the four exposure periods: period 1 (start of COS to oocyte retrieval), period 2 (oocyte retrieval to embryo transfer), period 3 (embryo transfer to hCG test), and period 4 (start of COS to hCG test). Hazard ratios (HRs) from the time-varying Cox-proportional hazards model were used to estimate probabilities of biochemical pregnancy loss and intrauterine pregnancy for an interquartile range (IQR) increase in each air pollutant concentration during each period, after adjusting for individual characteristics. We tested the robustness of the result using generalised linear mixed model, accounting for within-woman correlation. MAIN RESULTS AND THE ROLE OF CHANCE Mean age of the women was 35 years. Average BMI was 20.9 kg/m2 and the study population underwent 1.4 IVF cycles on average. Cumulative pregnancy rate in multiple IVF cycles was 51.3% per person. Survival analysis showed that air pollution during periods 1 and 3 was generally associated with IVF outcomes. Increased NO2 (adjusted HR = 0.93, 95% CI: 0.87, 0.99) and CO (0.94, 95% CI: 0.89, 1.00) during period 1 were associated with decreased probability of intrauterine pregnancy. PM10 (0.92, 95% CI: 0.85, 0.99), NO2 (0.93, 95% CI = 0.86, 1.00) and CO (0.93, 95% CI: 0.87, 1.00) levels during period 3 were also inversely associated with intrauterine pregnancy. Both PM10 (1.17, 95% CI: 1.04 1.33) and NO2 (1.18, 95% CI: 1.03, 1.34) during period 3 showed positive associations with biochemical pregnancy loss. LIMITATIONS, REASONS FOR CAUTION The district-specific ambient air pollution treated as an individual exposure may not represent the actual level of each woman's exposure to air pollution. Smoking, working status, parity or gravidity of women, and semen analysis data were not included in the analysis. WIDER IMPLICATIONS OF THE FINDINGS This study provided evidence of an association between increased ambient concentrations of PM10, NO2 and CO and reduced probabilities for achieving intrauterine pregnancy using multiple IVF cycle data. Specifically, our results indicated that lower intrauterine pregnancy rates in IVF cycles may be linked to ambient air pollution during COS and the post-transfer period. STUDY FUNDING/COMPETING INTEREST(S) This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2013 R1A6A3A04059017, 2016 R1D1A1B03933410 and 2018 R1A2B6004608) and the National Cancer Center of Korea (NCC-1810220-01). The authors report no conflicts of interest. TRIAL REGISTRATION NUMBER N/A.
Collapse
Affiliation(s)
- S A Choe
- Department of Obstetrics and Gynecology, School of Medicine, CHA University.,CHA fertility center, Seoul station, Jung-gu, Seoul 04637, Korea
| | - Y B Jun
- Department of Statistics, Seoul National University, Gwanak-gu, Seoul 08826, Korea
| | - W S Lee
- Department of Obstetrics and Gynecology, School of Medicine, CHA University.,Fertility Center of CHA Gangnam Medical Center, Gangnam-gu, Seoul 06135, Korea
| | - T K Yoon
- Department of Obstetrics and Gynecology, School of Medicine, CHA University.,CHA fertility center, Seoul station, Jung-gu, Seoul 04637, Korea
| | - S Y Kim
- Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do, 10408, Korea
| |
Collapse
|
9
|
Aung N, Sanghvi MM, Zemrak F, Lee AM, Cooper JA, Paiva JM, Thomson RJ, Fung K, Khanji MY, Lukaschuk E, Carapella V, Kim YJ, Munroe PB, Piechnik SK, Neubauer S, Petersen SE. Association Between Ambient Air Pollution and Cardiac Morpho-Functional Phenotypes: Insights From the UK Biobank Population Imaging Study. Circulation 2018; 138:2175-2186. [PMID: 30524134 PMCID: PMC6250297 DOI: 10.1161/circulationaha.118.034856] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 06/26/2018] [Indexed: 12/27/2022]
Abstract
Background Exposure to ambient air pollution is strongly associated with increased cardiovascular morbidity and mortality. Little is known about the influence of air pollutants on cardiac structure and function. We aim to investigate the relationship between chronic past exposure to traffic-related pollutants and the cardiac chamber volume, ejection fraction, and left ventricular remodeling patterns after accounting for potential confounders. Methods Exposure to ambient air pollutants including particulate matter and nitrogen dioxide was estimated from the Land Use Regression models for the years between 2005 and 2010. Cardiac parameters were measured from cardiovascular magnetic resonance imaging studies of 3920 individuals free from pre-existing cardiovascular disease in the UK Biobank population study. The median (interquartile range) duration between the year of exposure estimate and the imaging visit was 5.2 (0.6) years. We fitted multivariable linear regression models to investigate the relationship between cardiac parameters and traffic-related pollutants after adjusting for various confounders. Results The studied cohort was 62±7 years old, and 46% were men. In fully adjusted models, particulate matter with an aerodynamic diameter <2.5 μm concentration was significantly associated with larger left ventricular end-diastolic volume and end-systolic volume (effect size = 0.82%, 95% CI, 0.09-1.55%, P=0.027; and effect size = 1.28%, 95% CI, 0.15-2.43%, P=0.027, respectively, per interquartile range increment in particulate matter with an aerodynamic diameter <2.5 μm) and right ventricular end-diastolic volume (effect size = 0.85%, 95% CI, 0.12-1.58%, P=0.023, per interquartile range increment in particulate matter with an aerodynamic diameter <2.5 μm). Likewise, higher nitrogen dioxide concentration was associated with larger biventricular volume. Distance from the major roads was the only metric associated with lower left ventricular mass (effect size = -0.74%, 95% CI, -1.3% to -0.18%, P=0.01, per interquartile range increment). Neither left and right atrial phenotypes nor left ventricular geometric remodeling patterns were influenced by the ambient pollutants. Conclusions In a large asymptomatic population with no prevalent cardiovascular disease, higher past exposure to particulate matter with an aerodynamic diameter <2.5 μm and nitrogen dioxide was associated with cardiac ventricular dilatation, a marker of adverse remodeling that often precedes heart failure development.
Collapse
Affiliation(s)
- Nay Aung
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| | - Mihir M. Sanghvi
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| | - Filip Zemrak
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| | - Aaron M. Lee
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
| | - Jackie A. Cooper
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
| | - Jose M. Paiva
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
| | - Ross J. Thomson
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
| | - Kenneth Fung
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| | - Mohammed Y. Khanji
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| | - Elena Lukaschuk
- Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, UK (E.L., V.C., Y.J.K., S.K.P., S.N.)
| | - Valentina Carapella
- Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, UK (E.L., V.C., Y.J.K., S.K.P., S.N.)
| | - Young Jin Kim
- Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, UK (E.L., V.C., Y.J.K., S.K.P., S.N.)
- Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea (Y.J.K.)
| | - Patricia B. Munroe
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Clinical Pharmacology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK (P.B.M.)
| | - Stefan K. Piechnik
- Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, UK (E.L., V.C., Y.J.K., S.K.P., S.N.)
| | - Stefan Neubauer
- Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, UK (E.L., V.C., Y.J.K., S.K.P., S.N.)
| | - Steffen E. Petersen
- William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK (N.A., M.M.S., F.Z., A.M.L., J.A.C., J.M.P., R.J.T., K.F., M.Y.K., P.B.M., S.E.P.)
- Barts Heart Centre, St. Bartholomew’s Hospital, Barts Health National Health Service Trust, London, UK (N.A., M.M.S., F.Z., K.F., M.Y.K., S.E.P.)
| |
Collapse
|
10
|
Tibuakuu M, Michos ED, Navas-Acien A, Jones MR. Air Pollution and Cardiovascular Disease: A Focus on Vulnerable Populations Worldwide. CURR EPIDEMIOL REP 2018; 5:370-378. [PMID: 30931239 DOI: 10.1007/s40471-018-0166-8] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Purpose of review Certain subgroups defined by sociodemographics (race/ethnicity, age, sex and socioeconomic status [SES]), geographic location (rural vs. urban), comorbid conditions and country economic conditions (developed vs. developing) may disproportionately suffer the adverse cardiovascular effects of exposure to ambient air pollution. Yet, previous reviews have had a broad focus on the general population without consideration of these potentially vulnerable populations. Recent findings Over the past decade, a wealth of epidemiologic studies have linked air pollutants including particulate matter, oxides of nitrogen, and carbon monoxide to cardiovascular disease (CVD) risk factors, subclinical CVD, clinical cardiovascular outcomes and cardiovascular mortality in certain susceptible populations. Highest risk for poor CVD outcomes from air pollution exist in racial/ethnic minorities, especially in blacks compared to whites in the U.S, those at low SES, elderly populations, women, those with certain comorbid conditions and developing countries compared to developed countries. However, findings are less consistent for urban compared to rural populations. Summary Vulnerable subgroups including racial/ethnic minorities, women, the elderly, smokers, diabetics and those with prior heart disease had higher risk for adverse cardiovascular outcomes from exposure to air pollution. There is limited data from developing countries where concentrations of air pollutants are more extreme and cardiovascular event rates are higher than that of developed countries. Further epidemiologic studies are needed to understand and address the marked disparities in CVD risk conferred by air pollution globally, particularly among these vulnerable subgroups.
Collapse
Affiliation(s)
- Martin Tibuakuu
- St. Luke's Hospital, Department of Medicine, Chesterfield, MO, USA.,Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Erin D Michos
- Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, MD, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Ana Navas-Acien
- Department of Environmental Health Sciences, Columbia University School of Public Health, New York, NY, USA
| | - Miranda R Jones
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.,Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA
| |
Collapse
|
11
|
Neisi A, Idani E, Vosoughi M, Hazrati S, Babaei AA, Takdastan A, Omidi Khaniabadi Y. Answers to the comments on "Air pollution, biological marker and lung function in children". ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:27669-27671. [PMID: 30094667 DOI: 10.1007/s11356-018-2905-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 08/03/2018] [Indexed: 06/08/2023]
Affiliation(s)
- Abdolkazem Neisi
- Environmental Technologies Research Center, Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Esmaeil Idani
- Department of Internal Medicine, Division of Pulmonology, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mehdi Vosoughi
- Department of Environmental Health Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
| | - Sadegh Hazrati
- Department of Occupational Health Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Ali Akbar Babaei
- Environmental Technologies Research Center, Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Afshin Takdastan
- Environmental Technologies Research Center, Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Yusef Omidi Khaniabadi
- Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Health Care System of Karoon, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| |
Collapse
|
12
|
Reis H, Reis C, Sharip A, Reis W, Zhao Y, Sinclair R, Beeson L. Diesel exhaust exposure, its multi-system effects, and the effect of new technology diesel exhaust. ENVIRONMENT INTERNATIONAL 2018; 114:252-265. [PMID: 29524921 DOI: 10.1016/j.envint.2018.02.042] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Revised: 02/24/2018] [Accepted: 02/24/2018] [Indexed: 11/07/2023]
Abstract
Exposure to diesel exhaust (DE) from vehicles and industry is hazardous and affects proper function of organ systems. DE can interfere with normal physiology after acute and chronic exposure to particulate matter (PM). Exposure leads to potential systemic disease processes in the central nervous, visual, hematopoietic, respiratory, cardiovascular, and renal systems. In this review, we give an overview of the epidemiological evidence supporting the harmful effects of diesel exhaust, and the numerous animal studies conducted to investigate the specific pathophysiological mechanisms behind DE exposure. Additionally, this review includes a summary of studies that used biomarkers as an indication of biological plausibility, and also studies evaluating new technology diesel exhaust (NTDE) and its systemic effects. Lastly, this review includes new approaches to improving DE emissions, and emphasizes the importance of ongoing study in this field of environmental health.
Collapse
Affiliation(s)
- Haley Reis
- Loma Linda University School of Medicine, 11175 Campus Street, Loma Linda, CA 92350, USA
| | - Cesar Reis
- Department of Preventive Medicine, Loma Linda University Medical Center, 24785 Stewart Street, Suite 204, Loma Linda, CA 92354, USA; Loma Linda University School of Medicine, 11175 Campus Street, Loma Linda, CA 92350, USA.
| | - Akbar Sharip
- Department of Occupational Medicine, Loma Linda University Medical Center, 328 East Commercial Road, Suite 101, San Bernardino, CA 92408, USA
| | - Wenes Reis
- Department of Preventive Medicine, Loma Linda University Medical Center, 24785 Stewart Street, Suite 204, Loma Linda, CA 92354, USA
| | - Yong Zhao
- School of Public Health and Management, Chongqing Medical University, Chongqing, China; Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing, China; The Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing, China
| | - Ryan Sinclair
- Center for Community Resilience, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA
| | - Lawrence Beeson
- Center for Nutrition, Healthy Lifestyle, and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA 92350, USA.
| |
Collapse
|
13
|
Salameh P, Chahine M, Hallit S, Farah R, Zeidan RK, Asmar R, Hosseiny H. Hypertension prevalence and living conditions related to air pollution: results of a national epidemiological study in Lebanon. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:11716-11728. [PMID: 29442307 DOI: 10.1007/s11356-018-1411-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Accepted: 01/29/2018] [Indexed: 06/08/2023]
Abstract
Hypertension is a risk factor of several diseases, linked to high mortality and morbidity, particularly in developing countries. Some studies have linked indoor and outdoor pollution exposure items to hypertension, but results were inconsistent. Our objective was to assess the association of living conditions related to air pollution to hypertension in Lebanon, a Middle Eastern country. A national cross-sectional study was conducted all over Lebanon. Blood pressure and its related medications were assessed to be able to classify participants as hypertensive or not. Moreover, in addition to living conditions related to air pollution exposure, we assessed potential predictors of hypertension, including sociodemographic characteristics, self-reported health information and biological measurements. Furthermore, we assessed dose-effect relationship of air pollution items in relation with hypertension. Living conditions related to indoor and outdoor air pollution exposures were associated with hypertension, with or without taking biological values into account. Moreover, we found a dose-effect relationship of exposure with risk of disease (15% increase in risk of disease for every additional pollution exposure item), after adjustment for sociodemographics and biological characteristics (Ora = 1.15 [1.03-1.28]). Although additional studies would be necessary to confirm these findings, interventions should start to sensitize the population about the effect of air pollution on chronic diseases. The work on reducing pollution and improving air quality should be implemented to decrease the disease burden on the population and health system.
Collapse
Affiliation(s)
- Pascale Salameh
- Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon
- Faculty of Pharmacy, Lebanese University, Hadath, Lebanon
- Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, Lebanon
| | - Mirna Chahine
- Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon
- Foundation-Medical Research Institutes, F-MRI, Beirut, Lebanon
| | - Souheil Hallit
- Faculty of Pharmacy, Lebanese University, Hadath, Lebanon.
- Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, Lebanon.
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Kaslik, Lebanon.
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
- Occupational Health Environment Research Team, U1219 BPH Bordeaux Population Health Research Center Inserm - Université de Bordeaux, Bordeaux, France.
- Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon.
| | - Rita Farah
- Faculty of Pharmacy, Lebanese University, Hadath, Lebanon
- Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, Lebanon
- Faculty of Public Health 2, Lebanese University, Fanar, Lebanon
| | - Rouba Karen Zeidan
- Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, Lebanon
- Faculty of Public Health 2, Lebanese University, Fanar, Lebanon
| | - Roland Asmar
- Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon
- Foundation-Medical Research Institutes, F-MRI, Beirut, Lebanon
| | - Hassan Hosseiny
- Department of Neurology, Henri Mondor Hospital AP-HP, Creteil, France
| |
Collapse
|
14
|
Wang Y, Fan H, Banerjee R, Weaver AM, Weiner M. A National County-Level Assessment of U.S. Nursing Facility Characteristics Associated with Long-Term Exposure to Traffic Pollution in Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018. [PMID: 29534437 PMCID: PMC5877032 DOI: 10.3390/ijerph15030487] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Long-term exposure to ambient air pollution increases disease risk in older adults. Nursing facilities located near major roadways potentially expose older adults to traffic pollution. No studies, however, have described the association between nursing facilities and traffic pollution. We obtained data on facility- and census-tract-level characteristics of 15,706 U.S. facilities from the Medicare Nursing Home Compare datasets. We calculated distance to major roadways and traffic density for each facility. In the contiguous U.S. (as of 2014), 345,792 older adults, about 27% of residents in non-hospital facilities, lived within 150 m major roadways (A1 or A2) in 3876 (28% of sampled) facilities. Nationally, for-profit facilities, high-occupancy facilities, and facilities in census tracts with higher percentages of minorities were more likely to have higher exposure to traffic. Counties in Virginia, New York City, and Rhode Island have the highest percent of residents and facilities near major roads. Nationally, over one-quarter of sampled facilities are located near major roadways. Attributes potentially associated with higher exposure to traffic included “for-profit” and “higher minority census tract”. Proximity to major roadways may be an important factor to consider in siting nursing facilities. Our results inform potential intervention strategy at both county and facility level.
Collapse
Affiliation(s)
- Yi Wang
- Department of Environmental Health Science, Indiana University Fairbanks, School of Public Health, Indianapolis, IN 46202, USA.
| | - Hao Fan
- Department of Environmental Health Science, Indiana University Fairbanks, School of Public Health, Indianapolis, IN 46202, USA.
| | - Rudy Banerjee
- Department of Geography, School of Liberal Arts, Indiana University-Purdue University in Indianapolis, Indianapolis, IN 46202, USA.
| | - Anne M Weaver
- Department of Environmental Health Science, Indiana University Fairbanks, School of Public Health, Indianapolis, IN 46202, USA.
| | - Michael Weiner
- Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
- Regenstrief Institute, Inc., Indianapolis, IN 46202, USA.
- Center for Health Information and Communication, U.S. Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service CIN 13-416, Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202, USA.
| |
Collapse
|
15
|
Brook RD, Newby DE, Rajagopalan S. Air Pollution and Cardiometabolic Disease: An Update and Call for Clinical Trials. Am J Hypertens 2017; 31:1-10. [PMID: 28655143 DOI: 10.1093/ajh/hpx109] [Citation(s) in RCA: 98] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Accepted: 06/15/2017] [Indexed: 12/13/2022] Open
Abstract
Fine particulate matter <2.5 µm (PM2.5) air pollution is a leading cause of global morbidity and mortality. The largest portion of deaths is now known to be due to cardiovascular disorders. Several air pollutants can trigger acute events (e.g., myocardial infarctions, strokes, heart failure). However, mounting evidence additionally supports that longer-term exposures pose a greater magnified risk to cardiovascular health. One explanation may be that PM2.5 has proven capable of promoting the development of chronic cardiometabolic conditions including atherosclerosis, hypertension, and diabetes mellitus. Here, we provide an updated overview of recent major studies regarding the impact of PM2.5 on cardiometabolic health and outline key remaining scientific questions. We discuss the relevance of emerging trials evaluating personal-level strategies (e.g., facemasks) to prevent the harmful effects of PM2.5, and close with a call for large-scale outcome trials to allow for the promulgation of formal evidence-base recommendations regarding their appropriate usage in the global battle against air pollution.
Collapse
Affiliation(s)
- Robert D Brook
- Division of Cardiovascular Medicine, University of Michigan, USA
| | - David E Newby
- British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, United Kingdom
| | - Sanjay Rajagopalan
- Division of Cardiovascular Medicine, Harrington Heart and Vascular Institute, University Hospitals, USA
| |
Collapse
|