Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis

Abstract Air pollution is widely viewed as a serious threat to human health and a contributor to deaths. Air pollution appears to be linked to the progression of emphysema, according to epidemiological data. The objective of this study was to examine associations between air pollution and the progre...

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Main Authors: Amja Manullang, Yueh-Lun Lee, Vincent Laiman, Jer-Hwa Chang, Hsiao-Chi Chuang
Format: Article
Language:English
Published: Springer 2022-05-01
Series:Aerosol and Air Quality Research
Subjects:
Online Access:https://doi.org/10.4209/aaqr.220027
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author Amja Manullang
Yueh-Lun Lee
Vincent Laiman
Jer-Hwa Chang
Hsiao-Chi Chuang
author_facet Amja Manullang
Yueh-Lun Lee
Vincent Laiman
Jer-Hwa Chang
Hsiao-Chi Chuang
author_sort Amja Manullang
collection DOAJ
description Abstract Air pollution is widely viewed as a serious threat to human health and a contributor to deaths. Air pollution appears to be linked to the progression of emphysema, according to epidemiological data. The objective of this study was to examine associations between air pollution and the progression of emphysema using a meta-analysis. A meta-analysis was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) protocol. A systematic literature search was conducted using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, PubMed, and Web of Science bibliographic databases. A random-effects model for the meta-analysis was implemented to summarize effect estimates of sufficiently comparable outcomes and pollutants (e.g.: particulate matter, nitrogen oxides and ozone), and the results were visualized in forest plots. We observed that a 1-ppb rise in O3 was associated with a 0.30 increase in the percent emphysema progression (95% CI: 0.02, 0.57, p < 0.05). In contrast, no significant association was found between PM2.5 or NO2 exposure and the percent change in emphysema. Increasing O3 concentrations may have an impact on and exacerbate human health conditions such as emphysema and respiratory diseases. Air quality and climate change should be concerns for future environmental policies and protection measures.
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2071-1409
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publishDate 2022-05-01
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series Aerosol and Air Quality Research
spelling doaj-art-2eb2b97c5ea44476ae4ca870b42da47b2025-02-09T12:17:18ZengSpringerAerosol and Air Quality Research1680-85842071-14092022-05-012261910.4209/aaqr.220027Associations between Ozone and Emphysema: A Systematic Review and Meta-analysisAmja Manullang0Yueh-Lun Lee1Vincent Laiman2Jer-Hwa Chang3Hsiao-Chi Chuang4International Ph.D. Program in Medicine, College of Medicine, Taipei Medical UniversityDepartment of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical UniversityInternational Ph.D. Program in Medicine, College of Medicine, Taipei Medical UniversitySchool of Respiratory Therapy, College of Medicine, Taipei Medical UniversitySchool of Respiratory Therapy, College of Medicine, Taipei Medical UniversityAbstract Air pollution is widely viewed as a serious threat to human health and a contributor to deaths. Air pollution appears to be linked to the progression of emphysema, according to epidemiological data. The objective of this study was to examine associations between air pollution and the progression of emphysema using a meta-analysis. A meta-analysis was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) protocol. A systematic literature search was conducted using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Embase, PubMed, and Web of Science bibliographic databases. A random-effects model for the meta-analysis was implemented to summarize effect estimates of sufficiently comparable outcomes and pollutants (e.g.: particulate matter, nitrogen oxides and ozone), and the results were visualized in forest plots. We observed that a 1-ppb rise in O3 was associated with a 0.30 increase in the percent emphysema progression (95% CI: 0.02, 0.57, p < 0.05). In contrast, no significant association was found between PM2.5 or NO2 exposure and the percent change in emphysema. Increasing O3 concentrations may have an impact on and exacerbate human health conditions such as emphysema and respiratory diseases. Air quality and climate change should be concerns for future environmental policies and protection measures.https://doi.org/10.4209/aaqr.220027Air pollutionCOPDEmphysemaMeta-analysisOzone
spellingShingle Amja Manullang
Yueh-Lun Lee
Vincent Laiman
Jer-Hwa Chang
Hsiao-Chi Chuang
Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
Aerosol and Air Quality Research
Air pollution
COPD
Emphysema
Meta-analysis
Ozone
title Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
title_full Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
title_fullStr Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
title_full_unstemmed Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
title_short Associations between Ozone and Emphysema: A Systematic Review and Meta-analysis
title_sort associations between ozone and emphysema a systematic review and meta analysis
topic Air pollution
COPD
Emphysema
Meta-analysis
Ozone
url https://doi.org/10.4209/aaqr.220027
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