1997
DOI: 10.1164/ajrccm.155.1.9001300
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Lung function and long term exposure to air pollutants in Switzerland. Study on Air Pollution and Lung Diseases in Adults (SAPALDIA) Team.

Abstract: The effect of long-term exposure to air pollutants was studied in a cross-sectional population-based sample of adults (aged 18 to 60 yr; n = 9,651) residing in eight different areas in Switzerland. Standardized medical examination included questionnaire data, lung function tests, skin-prick testing, and end-expiratory CO concentration. The impact of annual means of air pollutants on FVC and FEV1 was tested (controlling for age and age squared, sex, height, weight, educational level, nationality, and workplace … Show more

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Cited by 337 publications
(148 citation statements)
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“…Increased morbidity has been found to be associated with long-term exposure to particulate matter, for decreased lung function (37,38), increased respiratory symptoms or illness (39)(40)(41)(42)(43)(44)(45)(46), increased symptoms in children with asthma (47), increased hospitalizations or emergency room visits for persons with asthma (48,49), and low birth weight (50)(51)(52). Investigators studying children's absences from school, lung function, and respiratory symptoms report similar results (25,53).…”
Section: Particulate Mattermentioning
confidence: 93%
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“…Increased morbidity has been found to be associated with long-term exposure to particulate matter, for decreased lung function (37,38), increased respiratory symptoms or illness (39)(40)(41)(42)(43)(44)(45)(46), increased symptoms in children with asthma (47), increased hospitalizations or emergency room visits for persons with asthma (48,49), and low birth weight (50)(51)(52). Investigators studying children's absences from school, lung function, and respiratory symptoms report similar results (25,53).…”
Section: Particulate Mattermentioning
confidence: 93%
“…Researchers have found increased morbidity to be associated with long-term exposure to NO 2 , for decreased lung function (38,58,65,66), increased respiratory symptoms or illness (41,46,65,(67)(68)(69), and increased symptoms in children with asthma (47).…”
Section: Nitrogen Dioxidementioning
confidence: 99%
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“…However, the gain in statistical power through increasing the number of study sites often conflicts with financial and logistic limitations (15). As a consequence, the few air pollution studies that have been explicitly designed to assess long-term effects of air pollution have usually been restricted to a limited number of study sites (10,16,17).…”
Section: A Challenging Research Settingmentioning
confidence: 99%
“…In epidemiologic studies investigating long-term effects of PM on health, exposure is usually assigned to a group or population level based on fixed-site monitoring data. [1][2][3][4][5] Several Swiss studies comparing the health of children 2 and adults 1,3 living in different areas of the country also based the exposure assessment on one fixed-site monitor in each study area. However, since these studies were crosssectional in design, little is known about the small-scale spatial variability of PM within the study areas, although it may affect the observed results.…”
Section: Introductionmentioning
confidence: 99%