2.Ambient fine particulate matter and cardiopulmonary health risks in China.
Tiantian LI ; Yi ZHANG ; Ning JIANG ; Hang DU ; Chen CHEN ; Jiaonan WANG ; Qiutong LI ; Da FENG ; Xiaoming SHI
Chinese Medical Journal 2023;136(3):287-294
In China, the level of ambient fine particulate matter (PM 2.5 ) pollution far exceeds the air quality standards recommended by the World Health Organization. Moreover, the health effects of PM 2.5 exposure have become a major public health issue. More than half of PM 2.5 -related excess deaths are caused by cardiopulmonary disease, which has become a major health risk associated with PM 2.5 pollution. In this review, we discussed the latest epidemiological advances relating to the health effects of PM 2.5 on cardiopulmonary diseases in China, including studies relating to the effects of PM 2.5 on mortality, morbidity, and risk factors for cardiovascular and respiratory diseases. These data provided important evidence to highlight the cardiopulmonary risk associated with PM 2.5 across the world. In the future, further studies need to be carried out to investigate the specific relationship between the constituents and sources of PM 2.5 and cardiopulmonary disease. These studies provided scientific evidence for precise reduction measurement of pollution sources and public health risks. It is also necessary to identify effective biomarkers and elucidate the biological mechanisms and pathways involved; this may help us to take steps to reduce PM 2.5 pollution and reduce the incidence of cardiopulmonary disease.
Humans
;
Particulate Matter/analysis*
;
Air Pollution/adverse effects*
;
Risk Factors
;
Respiratory Tract Diseases
;
China/epidemiology*
;
Environmental Exposure/adverse effects*
3.Environmental exposure to perchlorate, nitrate, and thiocyanate in relation to chronic kidney disease in the general US population, NHANES 2005-2016.
Wei LI ; Hong WU ; Xuewen XU ; Yange ZHANG
Chinese Medical Journal 2023;136(13):1573-1582
BACKGROUND:
Few studies have explored the impact of perchlorate, nitrate, and thiocyanate (PNT) on kidney function. This study aimed to evaluate the association of urinary levels of PNT with renal function as well as the prevalence of chronic kidney disease (CKD) among the general population in the United States.
METHODS:
This analysis included data from 13,373 adults (≥20 years) from the National Health and Nutrition Examination Survey 2005 to 2016. We used multivariable linear and logistic regression, to explore the associations of urinary PNT with kidney function. Restricted cubic splines were used to assess the potentially non-linear relationships between PNT exposure and outcomes.
RESULTS:
After traditional creatinine adjustment, perchlorate (P-traditional) was positively associated with estimated glomerular filtration rate (eGFR) (adjusted β: 2.75; 95% confidence interval [CI]: 2.25 to 3.26; P < 0.001), and negatively associated with urinary albumin-to-creatinine ratio (ACR) (adjusted β: -0.05; 95% CI: -0.07 to -0.02; P = 0.001) in adjusted models. After both traditional and covariate-adjusted creatinine adjustment, urinary nitrate and thiocyanate were positively associated with eGFR (all P values <0.05), and negatively associated with ACR (all P values <0.05); higher nitrate or thiocyanate was associated with a lower risk of CKD (all P values <0.001). Moreover, there were L-shaped non-linear associations between nitrate, thiocyanate, and outcomes. In the adjusted models, for quartiles of PNT, statistically significant dose-response associations were observed in most relationships. Most results were consistent in the stratified and sensitivity analyses.
CONCLUSIONS
Exposures to PNT might be associated with kidney function, indicating a potential beneficial effect of environmental PNT exposure (especially nitrate and thiocyanate) on the human kidney.
Adult
;
Humans
;
United States/epidemiology*
;
Nitrates/adverse effects*
;
Nutrition Surveys
;
Thiocyanates/urine*
;
Perchlorates/urine*
;
Creatinine
;
Environmental Exposure
;
Renal Insufficiency, Chronic/epidemiology*
;
Logistic Models
4.Contribution of Ambient Air Pollution on Risk Assessment of Type 2 Diabetes Mellitus via Explainable Machine Learning.
Zhong Ao DING ; Li Ying ZHANG ; Rui Ying LI ; Miao Miao NIU ; Bo ZHAO ; Xiao Kang DONG ; Xiao Tian LIU ; Jian HOU ; Zhen Xing MAO ; Chong Jian WANG
Biomedical and Environmental Sciences 2023;36(6):557-560
5.Maternal nutritional factors and environmental exposure in early life and childhood atopic dermatitis.
Ying YE ; Li Min DOU ; Liu Hui WANG
Chinese Journal of Preventive Medicine 2023;57(9):1489-1496
Atopic dermatitis(AD)is a chronic, recurrent, inflammatory skin disease in children. The disease is characterized by dryness, chronic eczema-like lesions and obvious itching, seriously affecting the quality of life of children and their families. The pathogenesis of AD is not yet to be clear, and it might be the interaction of genetic susceptibility and environmental exposure to induce skin barrier impairment and immune system dysfunction. In recent years, the role of maternal factors or intrauterine environment exposure on childhood allergic diseases has been attracted attention, and the hypothesis that allergic diseases originate from the fetal period has been postulated. Maternal exposures called "early life exposure", such as nutritional factors during pregnancy (folate, vitamin D, vitamin E and polyunsaturated fatty acid) and tobacco exposure, home environmental exposure may be related with childhood atopic dermatitis. This article would focus on the recent research about maternal nutritional factors and family environmental exposure during pregnancy on offspring's atopic dermatitis.
Child
;
Female
;
Pregnancy
;
Humans
;
Dermatitis, Atopic
;
Quality of Life
;
Environmental Exposure/adverse effects*
;
Maternal Exposure/adverse effects*
;
Family
6.Maternal nutritional factors and environmental exposure in early life and childhood atopic dermatitis.
Ying YE ; Li Min DOU ; Liu Hui WANG
Chinese Journal of Preventive Medicine 2023;57(9):1489-1496
Atopic dermatitis(AD)is a chronic, recurrent, inflammatory skin disease in children. The disease is characterized by dryness, chronic eczema-like lesions and obvious itching, seriously affecting the quality of life of children and their families. The pathogenesis of AD is not yet to be clear, and it might be the interaction of genetic susceptibility and environmental exposure to induce skin barrier impairment and immune system dysfunction. In recent years, the role of maternal factors or intrauterine environment exposure on childhood allergic diseases has been attracted attention, and the hypothesis that allergic diseases originate from the fetal period has been postulated. Maternal exposures called "early life exposure", such as nutritional factors during pregnancy (folate, vitamin D, vitamin E and polyunsaturated fatty acid) and tobacco exposure, home environmental exposure may be related with childhood atopic dermatitis. This article would focus on the recent research about maternal nutritional factors and family environmental exposure during pregnancy on offspring's atopic dermatitis.
Child
;
Female
;
Pregnancy
;
Humans
;
Dermatitis, Atopic
;
Quality of Life
;
Environmental Exposure/adverse effects*
;
Maternal Exposure/adverse effects*
;
Family
7.Research progress of occupational and environmental exposure and idiopathic pulmonary fibrosis.
Chinese Journal of Industrial Hygiene and Occupational Diseases 2022;40(10):790-794
Occupational and environmental exposure can directly cause specific lung diseases, and can also induce autoimmune diseases that can lead to various types of interstitial lung diseases. In recent years, it was discovered that certain occupational and environmental exposure was related to the increased risk of Idiopathic pulmonary fibrosis (IPF) disease and progression, including metal and mineral dust, wood dust, organic dust, asbestos dust, silica dust, cigarette smoke and air pollution. IPF is a chronic progressive fibrotic lung disease of unknown etiology, with a characteristic imaging and histologic pattern called usual interstitial pneumonia. This article is a review based on the correlation and mechanism of occupational and environmental exposure in the pathogenesis and disease progression of IPF to improve the understanding of the disease and promote the formulation of treatment plans.
Humans
;
Idiopathic Pulmonary Fibrosis/etiology*
;
Dust
;
Environmental Exposure/adverse effects*
;
Occupational Exposure/adverse effects*
;
Lung Diseases, Interstitial
9.Cardiovascular and Cerebrovascular Diseases Induced by Air Pollution.
Yi-Cheng YANG ; Jia-Wen LI ; Bo SUN ; Yi-Lin CHEN ; Shu-Qun SHEN ; Chao YUAN
Acta Academiae Medicinae Sinicae 2022;44(2):318-323
Air pollution has severe detrimental effects on public health.A substantial number of studies have demonstrated that air pollution exposure is a risk factor for the occurrence of cardiovascular and cerebrovascular diseases and a cause of non-communicable diseases.Both long-term and short-term exposure to air pollution are associated with respiratory diseases,stroke,coronary artery disease,and diabetes.Aiming to better understand the association,we reviewed the latest studies about the association of air pollution with cardiovascular and cerebrovascular diseases,especially stroke,coronary heart disease,arrhythmia,hypertension,and heart failure,and summarized the underlying mechanisms of the health damage caused by long-term and short-term exposure to air pollution.
Air Pollutants/analysis*
;
Air Pollution/adverse effects*
;
Cardiovascular Diseases/etiology*
;
Cerebrovascular Disorders/etiology*
;
Environmental Exposure/analysis*
;
Humans
;
Particulate Matter/analysis*
;
Stroke/complications*
10.A panel study on the acute respiratory effects of ambient particles of different sizes on children in Shanghai.
Hong Jin LI ; Yi Han WU ; Dong XU ; Hai Dong KAN ; Ren Jie CHEN
Chinese Journal of Preventive Medicine 2022;56(3):322-327
Objective: To explore the association between size-fractionated particle number concentrations (PNC) and respiratory health in children. Methods: From November 2018 to June 2019, there were 65 children aged 6-9 years from an elementary school in shanghai recruited in this panel study with three rounds of follow-up. The forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and exhaled nitric oxide (FeNO) levels were measured and buccal mucosa samples of children were collected at each follow-up visit. The level of PNC, temperature and humidity of the elementary school was monitored from 3 days before each physical examination to the end of the physical examination. The linear mixed effects model was used to analyze the association between PNC and indicators of respiratory health in children. Results: Linear mixed effects model analysis revealed that, at lag 2 day, an interquartile range increase in PNC for particles measuring 0.25-0.40 μm was associated with the absolute changes in FVC, FEV1 and abundance-based coverage estimator (ACE) about -60.15 ml (95%CI:-88.97 ml, -31.32 ml), -34.26 ml (95%CI:-63.22 ml, -5.31 ml), -6.00 (95%CI:-9.15, -2.84) and percentage change in FeNO about 12.10% (95%CI: 3.05%, 21.95%), respectively. These adverse health effects increased with the decrease of particle size. Conclusion: The short-term exposure to particulate matter is associated with reduced lung function, buccal microbe diversity and higher airway inflammation level among children. These adverse health effects may increase with the decrease of particle size.
Air Pollutants/analysis*
;
Child
;
China
;
Environmental Exposure/analysis*
;
Humans
;
Lung
;
Nitric Oxide
;
Particulate Matter/adverse effects*
;
Vital Capacity

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