A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation

Hong Ren Yu; Chun Hung Richard Lin; Jui Hsiu Tsai; Yun Ting Hsieh; Ti An Tsai; Chang Ku Tsai; Yi Chen Lee; Ta Yu Liu; Chih Min Tsai; Chih Cheng Chen; Chih Hao Chang; Te Yao Hsu; Chen Kuang Niu

doi:10.3390/ijerph17114010

A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation

Hong Ren Yu, Chun Hung Richard Lin^*, Jui Hsiu Tsai, Yun Ting Hsieh, Ti An Tsai, Chang Ku Tsai, Yi Chen Lee, Ta Yu Liu, Chih Min Tsai, Chih Cheng Chen, Chih Hao Chang, Te Yao Hsu, Chen Kuang Niu

^*此作品的通信作者

醫學系

研究成果: 期刊稿件 › 文章 › 同行評審

17 引文斯高帕斯（Scopus）

摘要

In the real world, dynamic changes in air pollutants and meteorological factors coexist simultaneously. Studies identifying the effects of individual pollutants on acute exacerbation (AE) of asthma may overlook the health effects of the overall combination. A comprehensive study examining the influence of air pollution and meteorological factors is required. Asthma AE data from emergency room visits were collected from the Taiwan National Health Insurance Research Database. Complete monitoring data for air pollutants (SO₂; NO₂; O₃; CO; PM_2.5; PM₁₀) and meteorological factors were collected from the Environmental Protection Agency monitoring stations. A bi-directional case-crossover analysis was used to investigate the effects of air pollution and meteorological factors on asthma AE. Among age group divisions, a 1 °C temperature increase was a protective factor for asthma ER visits with OR = 0.981 (95% CI, 0.971–0.991) and 0.985 (95% CI, 0.975–0.994) for pediatric and adult patients, respectively. Children, especially younger females, are more susceptible to asthma AE due to the effects of outdoor air pollution than adults. Meteorological factors are important modulators for asthma AE in both asthmatic children and adults. When studying the effects of air pollution on asthma AE, meteorological factors should be considered.

原文	英語
文章編號	4010
期刊	International Journal of Environmental Research and Public Health
卷	17
發行號	11
DOIs	https://doi.org/10.3390/ijerph17114010
出版狀態	已出版 - 01 06 2020

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© 2020 by the authors. Licensee MDPI, Basel, Switzerland.

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10.3390/ijerph17114010

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Yu, H. R., Lin, C. H. R., Tsai, J. H., Hsieh, Y. T., Tsai, T. A., Tsai, C. K., Lee, Y. C., Liu, T. Y., Tsai, C. M., Chen, C. C., Chang, C. H., Hsu, T. Y., & Niu, C. K. (2020). A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation. International Journal of Environmental Research and Public Health, 17(11), 文章 4010. https://doi.org/10.3390/ijerph17114010

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title = "A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation",

abstract = "In the real world, dynamic changes in air pollutants and meteorological factors coexist simultaneously. Studies identifying the effects of individual pollutants on acute exacerbation (AE) of asthma may overlook the health effects of the overall combination. A comprehensive study examining the influence of air pollution and meteorological factors is required. Asthma AE data from emergency room visits were collected from the Taiwan National Health Insurance Research Database. Complete monitoring data for air pollutants (SO2; NO2; O3; CO; PM2.5; PM10) and meteorological factors were collected from the Environmental Protection Agency monitoring stations. A bi-directional case-crossover analysis was used to investigate the effects of air pollution and meteorological factors on asthma AE. Among age group divisions, a 1 °C temperature increase was a protective factor for asthma ER visits with OR = 0.981 (95% CI, 0.971–0.991) and 0.985 (95% CI, 0.975–0.994) for pediatric and adult patients, respectively. Children, especially younger females, are more susceptible to asthma AE due to the effects of outdoor air pollution than adults. Meteorological factors are important modulators for asthma AE in both asthmatic children and adults. When studying the effects of air pollution on asthma AE, meteorological factors should be considered.",

keywords = "Air pollution, Asthma, Emergency room, Exacerbation, Meteorological factors",

author = "Yu, {Hong Ren} and Lin, {Chun Hung Richard} and Tsai, {Jui Hsiu} and Hsieh, {Yun Ting} and Tsai, {Ti An} and Tsai, {Chang Ku} and Lee, {Yi Chen} and Liu, {Ta Yu} and Tsai, {Chih Min} and Chen, {Chih Cheng} and Chang, {Chih Hao} and Hsu, {Te Yao} and Niu, {Chen Kuang}",

note = "Publisher Copyright: {\textcopyright} 2020 by the authors. Licensee MDPI, Basel, Switzerland.",

year = "2020",

month = jun,

day = "1",

doi = "10.3390/ijerph17114010",

language = "英语",

volume = "17",

journal = "International Journal of Environmental Research and Public Health",

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Yu, HR, Lin, CHR, Tsai, JH, Hsieh, YT, Tsai, TA, Tsai, CK, Lee, YC, Liu, TY, Tsai, CM, Chen, CC, Chang, CH, Hsu, TY & Niu, CK 2020, 'A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation', International Journal of Environmental Research and Public Health, 卷 17, 編號 11, 4010. https://doi.org/10.3390/ijerph17114010

TY - JOUR

T1 - A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation

AU - Yu, Hong Ren

AU - Lin, Chun Hung Richard

AU - Tsai, Jui Hsiu

AU - Hsieh, Yun Ting

AU - Tsai, Ti An

AU - Tsai, Chang Ku

AU - Lee, Yi Chen

AU - Liu, Ta Yu

AU - Tsai, Chih Min

AU - Chen, Chih Cheng

AU - Chang, Chih Hao

AU - Hsu, Te Yao

AU - Niu, Chen Kuang

PY - 2020/6/1

Y1 - 2020/6/1

N2 - In the real world, dynamic changes in air pollutants and meteorological factors coexist simultaneously. Studies identifying the effects of individual pollutants on acute exacerbation (AE) of asthma may overlook the health effects of the overall combination. A comprehensive study examining the influence of air pollution and meteorological factors is required. Asthma AE data from emergency room visits were collected from the Taiwan National Health Insurance Research Database. Complete monitoring data for air pollutants (SO2; NO2; O3; CO; PM2.5; PM10) and meteorological factors were collected from the Environmental Protection Agency monitoring stations. A bi-directional case-crossover analysis was used to investigate the effects of air pollution and meteorological factors on asthma AE. Among age group divisions, a 1 °C temperature increase was a protective factor for asthma ER visits with OR = 0.981 (95% CI, 0.971–0.991) and 0.985 (95% CI, 0.975–0.994) for pediatric and adult patients, respectively. Children, especially younger females, are more susceptible to asthma AE due to the effects of outdoor air pollution than adults. Meteorological factors are important modulators for asthma AE in both asthmatic children and adults. When studying the effects of air pollution on asthma AE, meteorological factors should be considered.

AB - In the real world, dynamic changes in air pollutants and meteorological factors coexist simultaneously. Studies identifying the effects of individual pollutants on acute exacerbation (AE) of asthma may overlook the health effects of the overall combination. A comprehensive study examining the influence of air pollution and meteorological factors is required. Asthma AE data from emergency room visits were collected from the Taiwan National Health Insurance Research Database. Complete monitoring data for air pollutants (SO2; NO2; O3; CO; PM2.5; PM10) and meteorological factors were collected from the Environmental Protection Agency monitoring stations. A bi-directional case-crossover analysis was used to investigate the effects of air pollution and meteorological factors on asthma AE. Among age group divisions, a 1 °C temperature increase was a protective factor for asthma ER visits with OR = 0.981 (95% CI, 0.971–0.991) and 0.985 (95% CI, 0.975–0.994) for pediatric and adult patients, respectively. Children, especially younger females, are more susceptible to asthma AE due to the effects of outdoor air pollution than adults. Meteorological factors are important modulators for asthma AE in both asthmatic children and adults. When studying the effects of air pollution on asthma AE, meteorological factors should be considered.

KW - Air pollution

KW - Asthma

KW - Emergency room

KW - Exacerbation

KW - Meteorological factors

UR - http://www.scopus.com/inward/record.url?scp=85086015408&partnerID=8YFLogxK

U2 - 10.3390/ijerph17114010

DO - 10.3390/ijerph17114010

M3 - 文章

C2 - 32512940

AN - SCOPUS:85086015408

SN - 1661-7827

VL - 17

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 11

M1 - 4010

ER -

A multifactorial evaluation of the effects of air pollution and meteorological factors on asthma exacerbation

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