Traffic-related air pollution associated with prevalence of asthma and COPD/chronic bronchitis. A cross-sectional study in Southern Sweden

Lindgren, Anna; Stroh, Emilie; Montnémery, Peter; Nihlén, Ulf; Jakobsson, Kristina; Axmon, Anna

doi:10.1186/1476-072x-8-2

Cited by 107 publications

(96 citation statements)

References 41 publications

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“…Regarding air pollution, an increase of almost 20 mg?m -3 in NO 2 levels was moderately associated with tightness in the chest (OR 1.11) and wheeze (OR 1.11) in an Italian study [9]. In a Swedish study, NO 2 values .19 mg?m -3 measured at the address were associated with a moderate increase in asthma symptoms (OR 1.21) [30]. Our air pollution estimates seem higher than those previously described, but the association between air pollution and asthma symptoms in adults has not been frequently studied and comparability with the score is limited.…”

Section: Discussionmentioning

confidence: 92%

Association between modelled traffic-related air pollution and asthma score in the ECRHS

Jacquemin¹,

Sunyer²,

Forsberg³

et al. 2009

European Respiratory Journal

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The aim of our analysis was to study the association between air pollution and asthma among adults. For this goal, a previously developed ''asthma score'' was used.Persons aged 25-44 yrs were randomly selected (1991)(1992)(1993) and followed up (2000)(2001)(2002) within the European Community Respiratory Health Survey (ECRHS I and II, respectively). The asthma score was defined from 0 to 5, based on the positive answers to the following symptoms reported for the last 12 months: wheeze/breathlessness, chest tightness, dyspnoea at rest, dyspnoea after exercise and woken by dyspnoea. Participants' home addresses were linked to outdoor modelled NO 2 estimates for 2001. Negative binomial regression was used to model the asthma score.The score from ECRHS II was positively associated with NO 2 (ratio of the mean asthma score (RMS) 1.23, 95% CI 1.09-1.38, for an increase of 10 mg?m -3 ). After excluding participants with asthma and symptoms at baseline, the association remained (RMS 1.25, 95% CI 1.05-1.51), and was particularly high among those reporting a high score in ECRHS II. The latter probably reflects incident cases of asthma.Our results suggest that traffic-related pollution causes asthma symptoms and possibly asthma incidence in adults. The asthma score offers an alternative with which to investigate the course and aetiology of asthma in adults.

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Section: Discussionmentioning

confidence: 92%

Association between modelled traffic-related air pollution and asthma score in the ECRHS

Jacquemin¹,

Sunyer²,

Forsberg³

et al. 2009

European Respiratory Journal

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“…Chronic obstructive pulmonary disease is thought to be caused by toxic particles inhaled from tobacco smoke, 25,26 air pollution 27 or occupational dust, 28 which damage the lung through oxidative stress, chronic local inflammation and disturbed tissue repair. 5 Increased local, 29 abdominal 29 and overall fat depots 30 increase local and systemic inflammation, 31 thus potentially stimulating COPD-related processes in the lung.…”

Section: E466mentioning

confidence: 99%

Body size and physical activity in relation to incidence of chronic obstructive pulmonary disease

Behrens

Matthews

Moore

et al. 2014

CMAJ

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“…Its adverse effects on human health are numerous (1)(2)(3)(4). Children are more susceptible to them than adults due to many reasons.…”

Section: Introductionmentioning

confidence: 99%

A Prevalence Study on Outdoor Air Pollution and Respiratory Diseases in Children in Zasavje, Slovenia, as a Lever to Trigger Evidence-based Environmental Health Activities

Kukec

Farkaš

Eržen

et al. 2013

Archives of Industrial Hygiene and Toxicology

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The aim of this study was to estimate the population burden of respiratory diseases in the Zasavje region of Slovenia that can be attributed to outdoor air pollution in order to gain relevant grounds for evidencebased public health activities. In 2008, 981 schoolchildren (age 6 to 12 years) were observed in a prevalence study. The prevalence of chronic respiratory diseases (CRD) and frequent acute respiratory symptoms (FARS) was related to the level of outdoor air pollution in the local environment (low, moderate and high pollution areas). Logistic regression was used as a method for statistical analysis. The prevalence of CRD was 3.0 % in low pollution areas, 7.5 % in moderate pollution areas, and 9.7 % in high pollution areas (p=0.005). After adjustment for the effects of confounders, 2.91-times higher odds for CRD were registered in high pollution areas in comparison to low pollution areas (p=0.017). The prevalence of FARS was: 7.8 % in low pollution areas, 13.3 % in moderate pollution areas and 15.9 % in high pollution areas (p=0.010). After adjustment for the effects of confounders, 2.02-times higher odds for FARS were registered in high pollution areas in comparison to low pollution areas (p=0.023). The study confi rmed a signifi cantly higher prevalence of CRD and FARS in children living in high pollution areas of Zasavje. These results at least partially prompted mutual understanding and cross-sectoral cooperation -prerequisites for solving complex problems involving the impact of air pollution on health.

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Traffic-related air pollution associated with prevalence of asthma and COPD/chronic bronchitis. A cross-sectional study in Southern Sweden

Cited by 107 publications

References 41 publications

Association between modelled traffic-related air pollution and asthma score in the ECRHS

Association between modelled traffic-related air pollution and asthma score in the ECRHS

Body size and physical activity in relation to incidence of chronic obstructive pulmonary disease

A Prevalence Study on Outdoor Air Pollution and Respiratory Diseases in Children in Zasavje, Slovenia, as a Lever to Trigger Evidence-based Environmental Health Activities

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