Joint effects of temperature and humidity with PM2.5 on COPD

Abstract Background Particulate matter less than 2.5 microns in aerodynamic diameter (PM2.5) is a significant air pollutant known to adversely affect respiratory health and increase the incidence of chronic obstructive pulmonary disease (COPD). Furthermore, climate change exacerbates these impacts,...

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Main Authors: Huan Minh Tran, Feng-Jen Tsai, Yuan-Hung Wang, Kang-Yun Lee, Jer-Hwa Chang, Chi-Li Chung, Chien-Hua Tseng, Chien-Ling Su, Yuan-Chien Lin, Tzu-Tao Chen, Kuan-Yuan Chen, Shu-Chuan Ho, Feng-Ming Yang, Sheng-Ming Wu, Kian Fan Chung, Kin-Fai Ho, Kai-Jen Chuang, Hsiao-Chi Chuang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21564-3
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author Huan Minh Tran
Feng-Jen Tsai
Yuan-Hung Wang
Kang-Yun Lee
Jer-Hwa Chang
Chi-Li Chung
Chien-Hua Tseng
Chien-Ling Su
Yuan-Chien Lin
Tzu-Tao Chen
Kuan-Yuan Chen
Shu-Chuan Ho
Feng-Ming Yang
Sheng-Ming Wu
Kian Fan Chung
Kin-Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
author_facet Huan Minh Tran
Feng-Jen Tsai
Yuan-Hung Wang
Kang-Yun Lee
Jer-Hwa Chang
Chi-Li Chung
Chien-Hua Tseng
Chien-Ling Su
Yuan-Chien Lin
Tzu-Tao Chen
Kuan-Yuan Chen
Shu-Chuan Ho
Feng-Ming Yang
Sheng-Ming Wu
Kian Fan Chung
Kin-Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
author_sort Huan Minh Tran
collection DOAJ
description Abstract Background Particulate matter less than 2.5 microns in aerodynamic diameter (PM2.5) is a significant air pollutant known to adversely affect respiratory health and increase the incidence of chronic obstructive pulmonary disease (COPD). Furthermore, climate change exacerbates these impacts, as extreme temperatures and relative humidity (RH) levels can intensify the effects of PM2.5. This study aims to examine the joint effects of PM2.5, temperature, and RH on the risk of COPD. Methods A case–control study was conducted among 1,828 participants from 2017 to 2022 (995 COPD patients and 833 controls). The radial basis function interpolation was utilized to estimate participants' individual mean and differences in PM2.5, temperature, and RH in 1-day, 7-day, and 1-month periods. Logistic regression models examined the associations of environmental exposures with the risk of COPD adjusting for confounders. Joint effects of PM2.5 by quartiles of temperature and RH were also examined. Results We observed that a 1 µg/m3 increase in PM2.5 7-day and 1-month mean was associated with a 1.05-fold and 1.06-fold increase in OR of COPD (p < 0.05). For temperature and RH, we observed U-shaped effects on OR for COPD with optimal temperatures identified as 21.2 °C, 23.8 °C, and 23.8 °C for 1-day, 7-day, and 1-month mean temperature, respectively, and optimal RH levels identified as 73.8%, 76.7%, and 75.4% for 1-day, 7-day, and 1-month mean RH, respectively (p < 0.05). The joint effect models show that high temperatures (> 23.5 °C) and both extremely low (69.3%) and high (80.9%) RH levels generally exacerbate the effects of PM2.5 on OR for COPD, especially over longer exposure durations. Conclusion The joint effects of PM2.5, temperature, and RH on the risk of COPD underscore the importance of air pollution control and comprehensive research to mitigate COPD risk in the context of climate change.
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spelling doaj-art-dac76ad8bff44dad8b31c3322e1bd8e02025-02-09T12:58:31ZengBMCBMC Public Health1471-24582025-02-0125111210.1186/s12889-025-21564-3Joint effects of temperature and humidity with PM2.5 on COPDHuan Minh Tran0Feng-Jen Tsai1Yuan-Hung Wang2Kang-Yun Lee3Jer-Hwa Chang4Chi-Li Chung5Chien-Hua Tseng6Chien-Ling Su7Yuan-Chien Lin8Tzu-Tao Chen9Kuan-Yuan Chen10Shu-Chuan Ho11Feng-Ming Yang12Sheng-Ming Wu13Kian Fan Chung14Kin-Fai Ho15Kai-Jen Chuang16Hsiao-Chi Chuang17College of Public Health, Program in Global Health and Health Security, Taipei Medical UniversityCollege of Public Health, Program in Global Health and Health Security, Taipei Medical UniversityGraduate Institute of Clinical Medicine, College of Medicine, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityInhalation Toxicology Research Lab (ITRL), School of Respiratory Therapy, College of Medicine, Taipei Medical UniversityInhalation Toxicology Research Lab (ITRL), School of Respiratory Therapy, College of Medicine, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityDepartment of Civil Engineering, National Central UniversityGraduate Institute of Clinical Medicine, College of Medicine, Taipei Medical UniversityGraduate Institute of Clinical Medicine, College of Medicine, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityInhalation Toxicology Research Lab (ITRL), School of Respiratory Therapy, College of Medicine, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityNational Heart and Lung Institute, Imperial College LondonThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong KongSchool of Public Health, College of Public Health, Taipei Medical UniversityDivision of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical UniversityAbstract Background Particulate matter less than 2.5 microns in aerodynamic diameter (PM2.5) is a significant air pollutant known to adversely affect respiratory health and increase the incidence of chronic obstructive pulmonary disease (COPD). Furthermore, climate change exacerbates these impacts, as extreme temperatures and relative humidity (RH) levels can intensify the effects of PM2.5. This study aims to examine the joint effects of PM2.5, temperature, and RH on the risk of COPD. Methods A case–control study was conducted among 1,828 participants from 2017 to 2022 (995 COPD patients and 833 controls). The radial basis function interpolation was utilized to estimate participants' individual mean and differences in PM2.5, temperature, and RH in 1-day, 7-day, and 1-month periods. Logistic regression models examined the associations of environmental exposures with the risk of COPD adjusting for confounders. Joint effects of PM2.5 by quartiles of temperature and RH were also examined. Results We observed that a 1 µg/m3 increase in PM2.5 7-day and 1-month mean was associated with a 1.05-fold and 1.06-fold increase in OR of COPD (p < 0.05). For temperature and RH, we observed U-shaped effects on OR for COPD with optimal temperatures identified as 21.2 °C, 23.8 °C, and 23.8 °C for 1-day, 7-day, and 1-month mean temperature, respectively, and optimal RH levels identified as 73.8%, 76.7%, and 75.4% for 1-day, 7-day, and 1-month mean RH, respectively (p < 0.05). The joint effect models show that high temperatures (> 23.5 °C) and both extremely low (69.3%) and high (80.9%) RH levels generally exacerbate the effects of PM2.5 on OR for COPD, especially over longer exposure durations. Conclusion The joint effects of PM2.5, temperature, and RH on the risk of COPD underscore the importance of air pollution control and comprehensive research to mitigate COPD risk in the context of climate change.https://doi.org/10.1186/s12889-025-21564-3COPDPM2.5Relative humidityShort-term exposureTemperature
spellingShingle Huan Minh Tran
Feng-Jen Tsai
Yuan-Hung Wang
Kang-Yun Lee
Jer-Hwa Chang
Chi-Li Chung
Chien-Hua Tseng
Chien-Ling Su
Yuan-Chien Lin
Tzu-Tao Chen
Kuan-Yuan Chen
Shu-Chuan Ho
Feng-Ming Yang
Sheng-Ming Wu
Kian Fan Chung
Kin-Fai Ho
Kai-Jen Chuang
Hsiao-Chi Chuang
Joint effects of temperature and humidity with PM2.5 on COPD
BMC Public Health
COPD
PM2.5
Relative humidity
Short-term exposure
Temperature
title Joint effects of temperature and humidity with PM2.5 on COPD
title_full Joint effects of temperature and humidity with PM2.5 on COPD
title_fullStr Joint effects of temperature and humidity with PM2.5 on COPD
title_full_unstemmed Joint effects of temperature and humidity with PM2.5 on COPD
title_short Joint effects of temperature and humidity with PM2.5 on COPD
title_sort joint effects of temperature and humidity with pm2 5 on copd
topic COPD
PM2.5
Relative humidity
Short-term exposure
Temperature
url https://doi.org/10.1186/s12889-025-21564-3
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