Exposure to ultrafine particles and respiratory hospitalisations in five European cities

Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in c...

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Published inThe European respiratory journal Vol. 48; no. 3; pp. 674 - 682
Main Authors Samoli, Evangelia, Andersen, Zorana Jovanovic, Katsouyanni, Klea, Hennig, Frauke, Kuhlbusch, Thomas A J, Bellander, Tom, Cattani, Giorgio, Cyrys, Josef, Forastiere, Francesco, Jacquemin, Bénédicte, Kulmala, Markku, Lanki, Timo, Loft, Steffen, Massling, Andreas, Tobias, Aurelio, Stafoggia, Massimo
Format Journal Article
LanguageEnglish
Published England 01.09.2016
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Abstract Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.
AbstractList Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters &lt;100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001–2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations. We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses. Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0–14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm 3 was associated with a 4.27% (95% CI 1.68–6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment. Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10000 particles per cm3 was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in concentrations and respiratory hospitalisations.We applied city-specific Poisson regression models and combined city-specific estimates to obtain pooled estimates. We evaluated the sensitivity of our findings to co-pollutant adjustment and investigated effect modification patterns by period of the year, age at admission and specific diagnoses.Our results for the whole time period do not support an association between UFP and respiratory hospitalisations, although we found suggestive associations among those 0-14 years old. We nevertheless report consistent adverse effect estimates during the warm period of the year, statistically significant after lag 2 when an increase by 10 000 particles per cm(3) was associated with a 4.27% (95% CI 1.68-6.92%) increase in hospitalisations. These effect estimates were robust to particles' mass or gaseous pollutants adjustment.Considering that our findings during the warm period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions.
Author Forastiere, Francesco
Katsouyanni, Klea
Bellander, Tom
Andersen, Zorana Jovanovic
Tobias, Aurelio
Lanki, Timo
Stafoggia, Massimo
Cattani, Giorgio
Massling, Andreas
Jacquemin, Bénédicte
Cyrys, Josef
Loft, Steffen
Kulmala, Markku
Kuhlbusch, Thomas A J
Samoli, Evangelia
Hennig, Frauke
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  fullname: Cyrys, Josef
  organization: Helmholtz Zentrum München-German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany Environmental Science Center, University of Augsburg, Augsburg, Germany
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  surname: Forastiere
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  surname: Jacquemin
  fullname: Jacquemin, Bénédicte
  organization: INSERM, Aging and Chronic Diseases, Epidemiological and Public Health Approaches, Villejuif, France CREAL-Centre for Research in Environmental Epidemiology, Barcelona, Spain
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  givenname: Markku
  surname: Kulmala
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  organization: Division of Atmospheric Sciences, Dept of Physics, University of Helsinki, Helsinki, Finland
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  organization: National Institute for Health and Welfare (THL), Kuopio, Finland
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  organization: Dept of Public Health, University of Copenhagen, Copenhagen, Denmark
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  surname: Massling
  fullname: Massling, Andreas
  organization: Dept of Environmental Science, Aarhus University, Roskilde, Denmark
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  givenname: Aurelio
  surname: Tobias
  fullname: Tobias, Aurelio
  organization: Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Barcelona, Spain
– sequence: 16
  givenname: Massimo
  surname: Stafoggia
  fullname: Stafoggia, Massimo
  organization: Dept of Epidemiology Lazio Region, Rome, Italy
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Snippet Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health...
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health...
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters &lt;100 nm, and...
Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100nm, and health...
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StartPage 674
SubjectTerms Adolescent
Adult
Aged
Air Pollution - adverse effects
Child
Child, Preschool
Environmental Exposure - adverse effects
Environmental Monitoring
Europe
Female
Hospitalization - statistics & numerical data
Humans
Infant
Infant, Newborn
Male
Medicin och hälsovetenskap
Middle Aged
Particle Size
Particulate Matter - adverse effects
Poisson Distribution
Pulmonary Medicine
Regression Analysis
Temperature
Young Adult
Title Exposure to ultrafine particles and respiratory hospitalisations in five European cities
URI https://www.ncbi.nlm.nih.gov/pubmed/27338189
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