Temporal variations in the short-term effects of ambient air pollution on cardiovascular and respiratory mortality: a pooled analysis of 380 urban areas over a 22-year period.


Journal

The Lancet. Planetary health
ISSN: 2542-5196
Titre abrégé: Lancet Planet Health
Pays: Netherlands
ID NLM: 101704339

Informations de publication

Date de publication:
Sep 2024
Historique:
received: 27 03 2024
revised: 17 07 2024
accepted: 18 07 2024
medline: 8 9 2024
pubmed: 8 9 2024
entrez: 7 9 2024
Statut: ppublish

Résumé

Ambient air pollution, including particulate matter (such as PM We extracted cause-specific mortality and air pollution data collected between 1995 and 2016 from the Multi-Country Multi-City (MCC) Collaborative Research Network database. We applied a two-stage approach to analyse the short-term effects of NO Over 21·6 million cardiovascular and 7·7 million respiratory deaths in 380 cities across 24 countries over the study period were included in the analysis. All three air pollutants showed decreasing concentrations over time. The pooled results suggested no significant temporal change in the effect estimates per unit exposure of PM Although air pollution levels decreased during the study period, the effect sizes per unit increase in air pollution concentration have not changed. This observation might be due to the composition, toxicity, and sources of air pollution, as well as other factors, such as socioeconomic determinants or changes in population distribution and susceptibility. None.

Sections du résumé

BACKGROUND BACKGROUND
Ambient air pollution, including particulate matter (such as PM
METHODS METHODS
We extracted cause-specific mortality and air pollution data collected between 1995 and 2016 from the Multi-Country Multi-City (MCC) Collaborative Research Network database. We applied a two-stage approach to analyse the short-term effects of NO
FINDINGS RESULTS
Over 21·6 million cardiovascular and 7·7 million respiratory deaths in 380 cities across 24 countries over the study period were included in the analysis. All three air pollutants showed decreasing concentrations over time. The pooled results suggested no significant temporal change in the effect estimates per unit exposure of PM
INTERPRETATION CONCLUSIONS
Although air pollution levels decreased during the study period, the effect sizes per unit increase in air pollution concentration have not changed. This observation might be due to the composition, toxicity, and sources of air pollution, as well as other factors, such as socioeconomic determinants or changes in population distribution and susceptibility.
FUNDING BACKGROUND
None.

Identifiants

pubmed: 39243781
pii: S2542-5196(24)00168-2
doi: 10.1016/S2542-5196(24)00168-2
pii:
doi:

Substances chimiques

Particulate Matter 0
Nitrogen Dioxide S7G510RUBH
Air Pollutants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e657-e665

Investigateurs

Haidong Kan (H)
Samuel Osorio (S)
Hans Orru (H)
Ene Indermitte (E)
Marek Maasikmets (M)
Niilo Ryti (N)
Mathilde Pascal (M)
Klea Katsouyanni (K)
Antonis Analitis (A)
Alireza Entezari (A)
Fatemeh Mayvaneh (F)
Yoonhee Kim (Y)
Barrak Alahmad (B)
Magali Hurtado Diaz (M)
Eunice Elizabeth Félix Arellano (EE)
Shilpa Rao (S)
Alfonso Diz-Lois Palomares (A)
Noah Scovronick (N)
Fiorella Acquaotta (F)
Ho Kim (H)
Whanhee Lee (W)
Carmen Íñiguez (C)
Bertil Forsberg (B)
Martina S Ragettli (MS)
Yue Leon Guo (YL)
Shih-Chun Pan (SC)
Shanshan Li (S)
Antonella Zanobetti (A)

Informations de copyright

Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interests We declare no competing interests.

Auteurs

Maximilian Schwarz (M)

Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany. Electronic address: maximilian.schwarz@helmholtz-munich.de.

Annette Peters (A)

Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany; Department of Environmental Health, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA; Munich Heart Alliance, German Center for Cardiovascular Research, Munich, Germany.

Massimo Stafoggia (M)

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

Francesca de'Donato (F)

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

Francesco Sera (F)

Department of Statistics, Computer Science and Applications "G Parenti", University of Florence, Florence, Italy.

Michelle L Bell (ML)

School of the Environment, Yale University, New Haven, CT, USA; Korea University, Seoul, South Korea.

Yuming Guo (Y)

School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Yasushi Honda (Y)

Center for Climate Change Adaptation, National Institute for Environmental Studies, Tsukuba, Japan.

Veronika Huber (V)

Institute for Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany.

Jouni J K Jaakkola (JJK)

Center for Environmental and Respiratory Health Research, University of Oulu, Oulu, Finland; Finnish Institute of Meteorology, Helsinki, Finland.

Aleš Urban (A)

Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic; Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic.

Ana Maria Vicedo-Cabrera (AM)

Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland; Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland.

Pierre Masselot (P)

Environment & Health Modelling Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UK.

Eric Lavigne (E)

School of Epidemiology & Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada; Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, Canada.

Souzana Achilleos (S)

Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus.

Jan Kyselý (J)

Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic; Institute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic.

Evangelia Samoli (E)

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

Masahiro Hashizume (M)

Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Chris Fook Sheng Ng (C)

School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.

Susana das Neves Pereira da Silva (S)

Department of Epidemiology, Instituto Nacional de Saúde Dr Ricardo Jorge, Lisbon, Portugal.

Joana Madureira (J)

Department of Environmental Health, Instituto Nacional de Saúde Dr Ricardo Jorge, Porto, Portugal; Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health, Porto, Portugal.

Rebecca M Garland (RM)

Department of Geography, Geoinformatics and Meteorology, University of Pretoria, Pretoria, South Africa.

Aurelio Tobias (A)

Institute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona, Spain.

Ben Armstrong (B)

Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, UK.

Joel Schwartz (J)

Department of Environmental Health, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA.

Antonio Gasparrini (A)

Environment & Health Modelling Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UK.

Alexandra Schneider (A)

Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.

Susanne Breitner (S)

Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany.

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Classifications MeSH