Long-term exposure to low-level air pollution and incidence of chronic obstructive pulmonary disease: The ELAPSE project.

Air Pollutants / analysis Air Pollution / adverse effects Cohort Studies Environmental Exposure / analysis Europe / epidemiology Humans Incidence Particulate Matter / analysis Pulmonary Disease, Chronic Obstructive / epidemiology Sweden
Air pollution COPD incidence Low-level exposure

Journal

Environment international
ISSN: 1873-6750
Titre abrégé: Environ Int
Pays: Netherlands
ID NLM: 7807270

Informations de publication

Date de publication:
01 2021
Historique:
received: 27 08 2020
revised: 20 10 2020
accepted: 05 11 2020
pubmed: 5 12 2020
medline: 24 4 2021
entrez: 4 12 2020
Statut: ppublish

Résumé

Air pollution has been suggested as a risk factor for chronic obstructive pulmonary disease (COPD), but evidence is sparse and inconsistent. We examined the association between long-term exposure to low-level air pollution and COPD incidence. Within the 'Effects of Low-Level Air Pollution: A Study in Europe' (ELAPSE) study, we pooled data from three cohorts, from Denmark and Sweden, with information on COPD hospital discharge diagnoses. Hybrid land use regression models were used to estimate annual mean concentrations of particulate matter with a diameter < 2.5 µm (PM Of 98,058 participants, 4,928 developed COPD during 16.6 years mean follow-up. The adjusted hazard ratios (HRs) and 95% confidence intervals for associations with COPD incidence were 1.17 (1.06, 1.29) per 5 µg/m Long-term exposure to low-level air pollution is associated with the development of COPD, even below current EU and US limit values and possibly WHO guidelines. Traffic-related pollutants NO

Sections du résumé

BACKGROUND
Air pollution has been suggested as a risk factor for chronic obstructive pulmonary disease (COPD), but evidence is sparse and inconsistent.
OBJECTIVES
We examined the association between long-term exposure to low-level air pollution and COPD incidence.
METHODS
Within the 'Effects of Low-Level Air Pollution: A Study in Europe' (ELAPSE) study, we pooled data from three cohorts, from Denmark and Sweden, with information on COPD hospital discharge diagnoses. Hybrid land use regression models were used to estimate annual mean concentrations of particulate matter with a diameter < 2.5 µm (PM
RESULTS
Of 98,058 participants, 4,928 developed COPD during 16.6 years mean follow-up. The adjusted hazard ratios (HRs) and 95% confidence intervals for associations with COPD incidence were 1.17 (1.06, 1.29) per 5 µg/m
CONCLUSIONS
Long-term exposure to low-level air pollution is associated with the development of COPD, even below current EU and US limit values and possibly WHO guidelines. Traffic-related pollutants NO

Identifiants

DOI: 10.1016/j.envint.2020.106267 PMID: 33276316
pubmed: 33276316
pii: S0160-4120(20)32222-4
doi: 10.1016/j.envint.2020.106267
pii:
doi:

Substances chimiques

Air Pollutants 0
Particulate Matter 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

106267

Subventions

Organisme : Medical Research Council
ID : MR/S019669/1
Pays : United Kingdom

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Shuo Liu (S)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Jeanette T Jørgensen (JT)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Petter Ljungman (P)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Cardiology, Danderyd University Hospital, Stockholm, Sweden.

Göran Pershagen (G)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Tom Bellander (T)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Karin Leander (K)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Patrik K E Magnusson (PKE)

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Debora Rizzuto (D)

Aging Research Center, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden; The Stockholm Gerontology Research Center, Stockholm, Sweden.

Ulla A Hvidtfeldt (UA)

Danish Cancer Society Research Center, Copenhagen, Denmark.

Ole Raaschou-Nielsen (O)

Danish Cancer Society Research Center, Copenhagen, Denmark; Department of Environmental Science, Aarhus University, Roskilde, Denmark.

Kathrin Wolf (K)

Institute of Epidemiology, Helmholtz Zentrum München, Neuherberg, Germany.

Barbara Hoffmann (B)

Institute of Occupational, Social and Environmental Medicine, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.

Bert Brunekreef (B)

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, the Netherlands.

Maciej Strak (M)

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, the Netherlands; National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Jie Chen (J)

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, the Netherlands.

Amar Mehta (A)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Richard W Atkinson (RW)

Population Health Research Institute, St George's, University of London, London, United Kingdom.

Mariska Bauwelinck (M)

Interface Demography, Department of Sociology, Vrije Universiteit Brussel, Brussels, Belgium.

Raphaëlle Varraso (R)

CESP, Faculté de Médecine, Université Paris-Saclay, UVSQ, Inserm UMR 1018, Villejuif, France.

Marie-Christine Boutron-Ruault (MC)

CESP, Faculté de Médecine, Université Paris-Saclay, UVSQ, Inserm UMR 1018, Villejuif, France; Gustave Roussy, Villejuif, France.

Jørgen Brandt (J)

Department of Environmental Science, Aarhus University, Roskilde, Denmark; iClimate, Aarhus University Interdisciplinary Center for Climate Change, Roskilde, Denmark.

Giulia Cesaroni (G)

Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.

Francesco Forastiere (F)

Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.

Daniela Fecht (D)

MRC Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom.

John Gulliver (J)

UK Small Area Health Statistics Unit, Department of Epidemiology & Biostatistics, Imperial College London, London, United Kingdom; Centre for Environmental Health and Sustainability & School of Geography, Geology and the Environment, University of Leicester, Leicester, United Kingdom.

Ole Hertel (O)

Department of Environmental Science, Aarhus University, Roskilde, Denmark.

Kees de Hoogh (K)

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Nicole A H Janssen (NAH)

National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Klea Katsouyanni (K)

Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Matthias Ketzel (M)

Department of Environmental Science, Aarhus University, Roskilde, Denmark; Global Centre for Clean Air Research, University of Surrey, Guildford, United Kingdom.

Jochem O Klompmaker (JO)

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, the Netherlands; National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Gabriele Nagel (G)

Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.

Bente Oftedal (B)

Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.

Annette Peters (A)

Institute of Epidemiology, Helmholtz Zentrum München, Neuherberg, Germany; Chair of Epidemiology, Ludwig Maximilians Universität München, Munich, Germany.

Anne Tjønneland (A)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Danish Cancer Society Research Center, Copenhagen, Denmark.

Sophia P Rodopoulou (SP)

Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Evangelia Samoli (E)

Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Terese Bekkevold (T)

Department of Infectious Diseases Epidemiology and Modelling, Norwegian Institute of Public Health, Oslo, Norway.

Torben Sigsgaard (T)

Department of Public Health, Environment Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Massimo Stafoggia (M)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Epidemiology, Lazio Regional Health Service, ASL Roma 1, Rome, Italy.

Danielle Vienneau (D)

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Gudrun Weinmayr (G)

Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.

Gerard Hoek (G)

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, the Netherlands.

Zorana J Andersen (ZJ)

Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Center for Epidemiological Research, Nykøbing F Hospital, Nykøbing F, Denmark. Electronic address: zorana.andersen@sund.ku.dk.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions toxiques › Polluants environnementaux › Polluants atmosphériques › Long-term exposure to low-level air pollution...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pollution de l'environnement › Pollution de l'air › Long-term exposure to low-level air pollution...
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questionsmedicales.fr › Environnement et santé publique › Santé publique › Pollution de l'environnement › Exposition environnementale › Long-term exposure to low-level air pollution...
questionsmedicales.fr › Régions géographiques › Europe › Long-term exposure to low-level air pollution...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Long-term exposure to low-level air pollution...
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questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Broncho-pneumopathie chronique obstructive › Long-term exposure to low-level air pollution...
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