Associations of long-term exposure to air pollution and greenness with incidence of chronic obstructive pulmonary disease in Northern Europe: The Life-GAP project

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Associations of long-term exposure to air pollution and greenness with incidence of chronic obstructive pulmonary disease in Northern Europe : The Life-GAP project

Xu, Shanshan (författare): Univ Bergen, Ctr Int Hlth, Dept Global Publ Hlth & Primary Care, Bergen, Norway.,Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway

Marcon, Alessandro (författare): Univ Verona, Dept Diagnost & Publ Hlth, Unit Epidemiol & Med Stat, Verona, Italy.,Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy

Jacobsen Bertelsen, Randi (författare): Univ Bergen, Dept Clin Sci, Bergen, Norway.,Department of Clinical Science, University of Bergen, Bergen, Norway

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Benediktsdottir, Bryndis (författare): Landspitali the Natl Univ Hosp Iceland, Dept Resp Med & Sleep, Reykjavik, Iceland.;Univ Iceland, Med Fac, Reykjavik, Iceland.,Department of Respiratory Medicine and Sleep, Landspitali – the National University Hospital of Iceland, Reykjavik, Iceland; University of Iceland, Medical Faculty, Iceland

Brandt, Jørgen (författare): Aarhus Univ, Dept Environm Sci, Roskilde, Denmark.,Department of Environmental Science, Aarhus University, Roskilde, Denmark

Frohn, Lise Marie (författare): Aarhus Univ, Dept Environm Sci, Roskilde, Denmark.,Department of Environmental Science, Aarhus University, Roskilde, Denmark

Geels, Camilla (författare): Aarhus Univ, Dept Environm Sci, Roskilde, Denmark.,Department of Environmental Science, Aarhus University, Roskilde, Denmark

Gislason, Thorarinn (författare): Landspitali the Natl Univ Hosp Iceland, Dept Resp Med & Sleep, Reykjavik, Iceland.;Univ Iceland, Med Fac, Reykjavik, Iceland.,Department of Respiratory Medicine and Sleep, Landspitali – the National University Hospital of Iceland, Reykjavik, Iceland; University of Iceland, Medical Faculty, Iceland

Heinrich, Joachim (författare): Ludwig Maximilian Univ Munich, Univ Hosp, Inst & Clin Occupat, Munich, Germany.;Univ Melbourne, Melbourne Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Melbourne, Australia.,Institute and Clinic for Occupational, Social and Environmental Medicine, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany; Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia

Holm, Mathias, 1969 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine

Janson, Christer (författare): Uppsala universitet,Lung- allergi- och sömnforskning,Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden

Markevych, Iana (författare): Jagiellonian Univ, Inst Psychol, Krakow, Poland.;Med Univ Plovdiv, Strateg Res & Innovat Program Dev MU Plovdiv, Hlth & Qual Life Green & Sustainable Environm, Plovdiv, Bulgaria.;Med Univ Plovdiv, Res Inst Med Univ Plovdiv, Environm Hlth Div, Plovdiv, Bulgaria.,Institute of Psychology, Jagiellonian University, Krakow, Poland; Health and Quality of Life in a Green and Sustainable Environment”, Strategic Research and Innovation Program for the Development of MU – Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria; Environmental Health Division, Research Institute at Medical University of Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria

Modig, Lars (författare): Umeå universitet,Avdelningen för hållbar hälsa,Umeå Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umeå, Sweden.

Orru, Hans (författare): Univ Tartu, Inst Family Med & Publ Hlth, Fac Med, Dept Publ Hlth, Tartu, Estonia.,Department of Public Health, Institute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia

Schlünssen, Vivi (författare): Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Res Unit Environm Occupat & Hlth, Aarhus, Denmark.,Department of Public Health, Research unit for Environment Occupation and Health, Danish Ramazzini Center, Aarhus University, Aarhus, Denmark

Sigsgaard, Torben (författare): Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Res Unit Environm Occupat & Hlth, Aarhus, Denmark.,Department of Public Health, Research unit for Environment Occupation and Health, Danish Ramazzini Center, Aarhus University, Aarhus, Denmark

Johannessen, Ane (författare): Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.,Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway

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Univ Bergen, Ctr Int Hlth, Dept Global Publ Hlth & Primary Care, Bergen, Norway Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway (creator_code:org_t)

Elsevier, 2024
2024
Engelska.
Ingår i: Environmental Research. - : Elsevier. - 0013-9351 .- 1096-0953. ; 257

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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BackgroundProlonged exposure to air pollution has been linked to adverse respiratory health, yet the evidence concerning its association with chronic obstructive pulmonary disease (COPD) is inconsistent. The evidence of a greenness effect on chronic respiratory diseases is limited.ObjectiveThis study aimed to investigate the association between long-term exposure to particulate matter (PM2.5 and PM10), black carbon (BC), nitrogen dioxide (NO2), ozone (O3) and greenness (as measured by the normalized difference vegetation index - NDVI) and incidence of self-reported chronic bronchitis or COPD (CB/COPD).MethodsWe analyzed data from 5355 adults from 7 centers participating in the Respiratory Health in Northern Europe (RHINE) study. Mean exposures to air pollution and greenness were assessed at available residential addresses in 1990, 2000 and 2010 using air dispersion models and satellite data, respectively. Poisson regression with log person-time as an offset was employed to analyze the association between air pollution, greenness, and CB/COPD incidence, adjusting for confounders.ResultsOverall, there were 328 incident cases of CB/COPD during 2010–2023. Despite wide statistical uncertainty, we found a trend for a positive association between NO2 exposure and CB/COPD incidence, with incidence rate ratios (IRRs) per 10 μg/m³ difference ranging between 1.13 (95% CI: 0.90–1.41) in 1990 and 1.18 (95% CI: 0.96–1.45) in 2000. O3 showed a tendency for inverse association with CB/COPD incidence (IRR from 0.84 (95% CI: 0.66–1.07) in 2000 to 0.88 (95% CI: 0.69–1.14) in 2010. No consistent association was found between PM, BC and greenness with CB/COPD incidence across different exposure time windows.ConclusionConsistent with prior research, our study suggests that individuals exposed to higher concentrations of NO2 may face an elevated risk of developing COPD, although evidence remains inconclusive. Greenness was not associated with CB/COPD incidence, while O3 showed a tendency for an inverse association with the outcome.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
NATURVETENSKAP -- Geovetenskap och miljövetenskap -- Miljövetenskap (hsv//swe)
NATURAL SCIENCES -- Earth and Related Environmental Sciences -- Environmental Sciences (hsv//eng)

Nyckelord

Chronic bronchitis
COPD
Environmental epidemiology
Green space
Public health
Respiratory health
Chronic bronchitis
COPD
Environmental epidemiology
Green space
Public health
Respiratory health

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Av författaren/redakt...: Xu, Shanshan; Marcon, Alessand ...; Jacobsen Bertels ...; Benediktsdottir, ...; Brandt, Jørgen; Frohn, Lise Mari ...; visa fler...; Geels, Camilla; Gislason, Thorar ...; Heinrich, Joachi ...; Holm, Mathias, 1 ...; Janson, Christer; Markevych, Iana; Modig, Lars; Orru, Hans; Schlünssen, Vivi; Sigsgaard, Torbe ...; Johannessen, Ane; visa färre...

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