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

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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

Zhao, Tianyu (author): 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

Markevych, Iana (author): 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

Fuertes, Elaine (author): National Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC Centre for Environment & Health, London, United Kingdom

de Hoogh, Kees (author): Swiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland

Accordini, Simone (author): Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy

Boudier, Anne (author): 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

Casas, Lidia (author): 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

Forsberg, Bertil, professor, 1956- (author): Umeå universitet,Avdelningen för hållbar hälsa

Garcia Aymerich, Judith (author): ISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain

Gnesi, Marco (author): Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy

Holm, Mathias, 1969 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

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

Jarvis, Deborah (author): National Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC Centre for Environment & Health, London, United Kingdom

Johannessen, Ane (author): Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway

Jörres, Rudolf A. (author): 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

Karrasch, Stefan (author): 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

Leynaert, Benedicte (author): Université Paris-Saclay, UVSQ, University Paris-Sud, Inserm, Center for Epidemiology and Population Health (CESP) - Integrative Respiratory Epidemiology Team, Villejuif, France

Maldonado Perez, José Antonio (author): Sección de Neumología, Hospital Juan Ramón Jiménez, Huelva, Spain

Malinovschi, Andrei, 1978- (author): Uppsala universitet,Klinisk fysiologi,Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden

Martínez-Moratalla, Jesús (author): Servicio de Neumología del Complejo Hospitalario Universitario de Albacete, Albacete, Spain

Modig, Lars (author): Umeå universitet,Avdelningen för hållbar hälsa

Nowak, Dennis (author): 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

Potts, James (author): National Heart and Lung Institute, Imperial College London, London, United Kingdom

Probst-Hensch, Nicole (author): Swiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland

Sánchez-Ramos, José Luis (author): Department of Nursing, University of Huelva, Huelva, Spain

Siroux, Valerie (author): 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

Urrutia Landa, Isabel (author): Department of Pneumology, Galdakao Hospital, Galdakao, Spain

Vienneau, Danielle (author): Swiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland

Villani, Simona (author): Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy

Jacquemin, Bénédicte (author): University Rennes, Inserm, EHESP, Irset (Institut de recherche en Santé, Environnement et travail), UMR_S 1085, Rennes, France

Heinrich, Joachim (author): 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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Elsevier, 2023
2023
English.
In: The Lancet Regional Health. - : Elsevier. - 2666-7762. ; 34

Related links:: https://doi.org/10.1...; show more...; https://uu.diva-port... (primary) (Raw object); https://umu.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://gup.ub.gu.se...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

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.

Subject headings

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 -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (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)

Keyword

Air pollution
Forced expiratory volume
Middle aged
NDVI
Spirometry
Vital capacity
Lungmedicin
Lung Medicine
Clinical Physiology
Klinisk fysiologi
Air pollution
NDVI
Spirometry
Vital capacity
Forced expiratory volume
Middle aged

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art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational Hea ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: The Lancet Regio ...

By the university: Uppsala University; University of Gothenburg; Umeå University

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