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  • Zhao, TianyuInstitute 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 (author)

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

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Elsevier,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-514336
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-514336URI
  • https://doi.org/10.1016/j.lanepe.2023.100729DOI
  • https://gup.ub.gu.se/publication/335528URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-214280URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

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  • Markevych, IanaInstitute of Psychology, Jagiellonian University, Krakow, Poland; “Health and Quality of Life in a Green and Sustainable Environment”, SRIPD, Medical University of Plovdiv, Plovdiv, Bulgaria (author)
  • Fuertes, ElaineNational Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC Centre for Environment & Health, London, United Kingdom (author)
  • de Hoogh, KeesSwiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland (author)
  • Accordini, SimoneUnit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy (author)
  • Boudier, AnneUniversity 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 (author)
  • Casas, LidiaSocial 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 (author)
  • Forsberg, Bertil,professor,1956-Umeå universitet,Avdelningen för hållbar hälsa(Swepub:umu)befo0001 (author)
  • Garcia Aymerich, JudithISGlobal, Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain (author)
  • Gnesi, MarcoUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy (author)
  • Holm, Mathias,1969Gothenburg 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(Swepub:gu)xhomat (author)
  • Janson, ChristerUppsala universitet,Lung- allergi- och sömnforskning,Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden(Swepub:uu)chrisjn (author)
  • Jarvis, DeborahNational Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC Centre for Environment & Health, London, United Kingdom (author)
  • Johannessen, AneDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway (author)
  • Jörres, Rudolf A.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 (author)
  • Karrasch, StefanInstitute 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 (author)
  • Leynaert, BenedicteUniversité Paris-Saclay, UVSQ, University Paris-Sud, Inserm, Center for Epidemiology and Population Health (CESP) - Integrative Respiratory Epidemiology Team, Villejuif, France (author)
  • Maldonado Perez, José AntonioSección de Neumología, Hospital Juan Ramón Jiménez, Huelva, Spain (author)
  • Malinovschi, Andrei,1978-Uppsala universitet,Klinisk fysiologi,Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden(Swepub:uu)anmal535 (author)
  • Martínez-Moratalla, JesúsServicio de Neumología del Complejo Hospitalario Universitario de Albacete, Albacete, Spain (author)
  • Modig, LarsUmeå universitet,Avdelningen för hållbar hälsa(Swepub:umu)lasmog96 (author)
  • Nowak, DennisInstitute 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 (author)
  • Potts, JamesNational Heart and Lung Institute, Imperial College London, London, United Kingdom (author)
  • Probst-Hensch, NicoleSwiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland (author)
  • Sánchez-Ramos, José LuisDepartment of Nursing, University of Huelva, Huelva, Spain (author)
  • Siroux, ValerieUniversity 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 (author)
  • Urrutia Landa, IsabelDepartment of Pneumology, Galdakao Hospital, Galdakao, Spain (author)
  • Vienneau, DanielleSwiss Tropical and Public Health Institute, Allschwil, Switzerland; University of Basel, Basel, Switzerland (author)
  • Villani, SimonaUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy (author)
  • Jacquemin, BénédicteUniversity Rennes, Inserm, EHESP, Irset (Institut de recherche en Santé, Environnement et travail), UMR_S 1085, Rennes, France (author)
  • Heinrich, JoachimInstitute 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 (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, GermanyInstitute of Psychology, Jagiellonian University, Krakow, Poland; “Health and Quality of Life in a Green and Sustainable Environment”, SRIPD, Medical University of Plovdiv, Plovdiv, Bulgaria (creator_code:org_t)

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  • In:The Lancet Regional Health: Elsevier342666-7762

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