Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei

Introduction TWe investigated impacts of particulate matter with an aerodynamic diameter of less than 2.5 μm (PM2.5), relative humidity (RH), and temperature on sleep stages and arousal.Materials and Methods A cross-sectional analysis involving 8,611 participants was conducted at a sleep center in T...

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Main Authors: Nguyen Thanh Tung, Yueh-Lun Lee, Wen-Te Liu, Yuan-Chien Lin, Jer-Hwa Chang, Huynh Nguyen Xuan Thao, Hoang Ba Dung, Lam Viet Trung, Tran Phan Chung Thuy, Nguyen Thi Hien, Cheng-Yu Tsai, Chen-Chen Lo, Kang Lo, Kin Fai Ho, Kai-Jen Chuang, Hsiao-Chi Chuang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Annals of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2024.2448733
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author Nguyen Thanh Tung
Yueh-Lun Lee
Wen-Te Liu
Yuan-Chien Lin
Jer-Hwa Chang
Huynh Nguyen Xuan Thao
Hoang Ba Dung
Lam Viet Trung
Tran Phan Chung Thuy
Nguyen Thi Hien
Cheng-Yu Tsai
Chen-Chen Lo
Kang Lo
Kin Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
author_facet Nguyen Thanh Tung
Yueh-Lun Lee
Wen-Te Liu
Yuan-Chien Lin
Jer-Hwa Chang
Huynh Nguyen Xuan Thao
Hoang Ba Dung
Lam Viet Trung
Tran Phan Chung Thuy
Nguyen Thi Hien
Cheng-Yu Tsai
Chen-Chen Lo
Kang Lo
Kin Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
author_sort Nguyen Thanh Tung
collection DOAJ
description Introduction TWe investigated impacts of particulate matter with an aerodynamic diameter of less than 2.5 μm (PM2.5), relative humidity (RH), and temperature on sleep stages and arousal.Materials and Methods A cross-sectional analysis involving 8,611 participants was conducted at a sleep center in Taipei. We estimated individual-level exposure to RH, temperature, and PM2.5 over 1-day, 7-day, and 30-day periods. Linear regression models assessed the relationship between these environmental factors and sleep parameters across different seasons. Mediation analysis was used to explore PM2.5, RH, and temperature roles in these relationships.Results A 1% increase in RH over 1 and 7 days was associated with changes in non-rapid eye movement (NREM) sleep stages and increases in the arousal index across all seasons. A 1°C increase in temperature over similar periods led to increases in rapid eye movement (REM) sleep. During cold season, changes in RH and temperature were linked to variations in arousal and NREM sleep stages. In hot season, RH and temperature increases were correlated with changes in NREM sleep stages and arousal. Across all groups, a 1-μg/m³ increase in PM2.5 levels was associated with alterations in NREM and REM sleep stages and increases in the arousal index. We found PM2.5 levels mediated relationships between RH, temperature, and various sleep stages, particularly in cold season.Conclusions Lower RH and temperature, contributing to deep sleep reduction and increased arousal, were influenced by elevated PM2.5 exposure, especially during colder months. Enhancing environmental quality and reducing PM2.5 levels may lead to improved sleep quality.
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spelling doaj-art-772ba356dce64947b77a99d7de2ced142025-01-09T11:04:43ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2448733Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in TaipeiNguyen Thanh Tung0Yueh-Lun Lee1Wen-Te Liu2Yuan-Chien Lin3Jer-Hwa Chang4Huynh Nguyen Xuan Thao5Hoang Ba Dung6Lam Viet Trung7Tran Phan Chung Thuy8Nguyen Thi Hien9Cheng-Yu Tsai10Chen-Chen Lo11Kang Lo12Kin Fai Ho13Kai-Jen Chuang14Hsiao-Chi Chuang15Otorhinolaryngology Department, Cho Ray Hospital, Ho Chi Minh City, VietnamDepartment of Microbiology & Immunology College of Medicine, Taipei Medical University, Taipei, TaiwanSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, TaiwanDepartment of Civil Engineering, National Central University, Taoyuan City, TaiwanSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, TaiwanOtorhinolaryngology Department, School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, VietnamOtorhinolaryngology Department, Cho Ray Hospital, Ho Chi Minh City, VietnamGeneral Surgery Department, Cho Ray Hospital, Ho Chi Minh City, VietnamOtorhinolaryngology Department, School of Medicine, Vietnam National University Ho Chi Minh City, Ho Chi Minh City, VietnamOtorhinolaryngology Department, Cho Ray Hospital, Ho Chi Minh City, VietnamSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, TaiwanSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, TaiwanSleep Center, Shuang Ho Hospital, Taipei Medical University, New Taipei City, TaiwanJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, ChinaSchool of Public Health, College of Public Health, Taipei Medical University, Taipei, TaiwanSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, TaiwanIntroduction TWe investigated impacts of particulate matter with an aerodynamic diameter of less than 2.5 μm (PM2.5), relative humidity (RH), and temperature on sleep stages and arousal.Materials and Methods A cross-sectional analysis involving 8,611 participants was conducted at a sleep center in Taipei. We estimated individual-level exposure to RH, temperature, and PM2.5 over 1-day, 7-day, and 30-day periods. Linear regression models assessed the relationship between these environmental factors and sleep parameters across different seasons. Mediation analysis was used to explore PM2.5, RH, and temperature roles in these relationships.Results A 1% increase in RH over 1 and 7 days was associated with changes in non-rapid eye movement (NREM) sleep stages and increases in the arousal index across all seasons. A 1°C increase in temperature over similar periods led to increases in rapid eye movement (REM) sleep. During cold season, changes in RH and temperature were linked to variations in arousal and NREM sleep stages. In hot season, RH and temperature increases were correlated with changes in NREM sleep stages and arousal. Across all groups, a 1-μg/m³ increase in PM2.5 levels was associated with alterations in NREM and REM sleep stages and increases in the arousal index. We found PM2.5 levels mediated relationships between RH, temperature, and various sleep stages, particularly in cold season.Conclusions Lower RH and temperature, contributing to deep sleep reduction and increased arousal, were influenced by elevated PM2.5 exposure, especially during colder months. Enhancing environmental quality and reducing PM2.5 levels may lead to improved sleep quality.https://www.tandfonline.com/doi/10.1080/07853890.2024.2448733Air pollutionclimate changeobstructive sleep apnearelative humiditytemperature
spellingShingle Nguyen Thanh Tung
Yueh-Lun Lee
Wen-Te Liu
Yuan-Chien Lin
Jer-Hwa Chang
Huynh Nguyen Xuan Thao
Hoang Ba Dung
Lam Viet Trung
Tran Phan Chung Thuy
Nguyen Thi Hien
Cheng-Yu Tsai
Chen-Chen Lo
Kang Lo
Kin Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
Annals of Medicine
Air pollution
climate change
obstructive sleep apnea
relative humidity
temperature
title Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
title_full Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
title_fullStr Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
title_full_unstemmed Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
title_short Impact of PM2.5, relative humidity, and temperature on sleep quality: a cross-sectional study in Taipei
title_sort impact of pm2 5 relative humidity and temperature on sleep quality a cross sectional study in taipei
topic Air pollution
climate change
obstructive sleep apnea
relative humidity
temperature
url https://www.tandfonline.com/doi/10.1080/07853890.2024.2448733
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