Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland
There is a discussion in Europe about the dominant role of air pollution for health effects, most researchers claim that the particulate matter is responsible for inflammatory processes in the respiratory system, while others underline the role of nitrogen dioxide. The aim of the study was to assess...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-01-01
|
Series: | International Journal of Environmental Research and Public Health |
Subjects: | |
Online Access: | https://www.mdpi.com/1660-4601/17/3/754 |
id |
doaj-7a8732799bb44e4ea6bc175c81c8700e |
---|---|
record_format |
Article |
spelling |
doaj-7a8732799bb44e4ea6bc175c81c8700e2020-11-25T01:32:46ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012020-01-0117375410.3390/ijerph17030754ijerph17030754Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in PolandMałgorzata Kowalska0Michał Skrzypek1Michał Kowalski2Josef Cyrys3Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, 40-055 Katowice, PolandDepartment of Biostatistics, School of Health Sciences in Bytom, Medical University of Silesia, 40-055 Katowice, PolandEnvironmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, GermanyEnvironmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, GermanyThere is a discussion in Europe about the dominant role of air pollution for health effects, most researchers claim that the particulate matter is responsible for inflammatory processes in the respiratory system, while others underline the role of nitrogen dioxide. The aim of the study was to assess the risk related to NO<sub>x</sub>, NO<sub>2</sub> and PM<sub>2.5</sub> concentration increase and daily outpatient visits or hospitalization due to bronchitis and asthma exacerbation in the entire population of Silesian Voivodeship, Poland. To assess the relationship between daily pollutants concentrations and the number of outpatient visits or hospitalizations due to bronchitis and asthma (available in the regional registry), the multivariable log-linear Poisson regression model was used. Results were presented by relative risk (RR) of health outcomes related to the increase in pollutant concentration by unit (interquartile range). Obtained results confirmed a statistically significant association between outpatient visits and hospitalizations due to bronchitis and asthma exacerbation and daily nitrogen oxides concentrations in Silesian voivodeship, Poland. The strongest relationship was observed in the case of NO<sub>2</sub> and outpatient visits due to bronchitis, e.g., RR = 1.434 (1.308−1.571) for exposure expressed by the 50-day moving average concentration. In the case of hospitalizations, the health effect was lagged a few days in relation to the increase in exposure.https://www.mdpi.com/1660-4601/17/3/754nitrogen oxidesparticulate matteracute respiratory effecttime series study |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Małgorzata Kowalska Michał Skrzypek Michał Kowalski Josef Cyrys |
spellingShingle |
Małgorzata Kowalska Michał Skrzypek Michał Kowalski Josef Cyrys Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland International Journal of Environmental Research and Public Health nitrogen oxides particulate matter acute respiratory effect time series study |
author_facet |
Małgorzata Kowalska Michał Skrzypek Michał Kowalski Josef Cyrys |
author_sort |
Małgorzata Kowalska |
title |
Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland |
title_short |
Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland |
title_full |
Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland |
title_fullStr |
Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland |
title_full_unstemmed |
Effect of NO<sub>x</sub> and NO<sub>2</sub> Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland |
title_sort |
effect of no<sub>x</sub> and no<sub>2</sub> concentration increase in ambient air to daily bronchitis and asthma exacerbation, silesian voivodeship in poland |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2020-01-01 |
description |
There is a discussion in Europe about the dominant role of air pollution for health effects, most researchers claim that the particulate matter is responsible for inflammatory processes in the respiratory system, while others underline the role of nitrogen dioxide. The aim of the study was to assess the risk related to NO<sub>x</sub>, NO<sub>2</sub> and PM<sub>2.5</sub> concentration increase and daily outpatient visits or hospitalization due to bronchitis and asthma exacerbation in the entire population of Silesian Voivodeship, Poland. To assess the relationship between daily pollutants concentrations and the number of outpatient visits or hospitalizations due to bronchitis and asthma (available in the regional registry), the multivariable log-linear Poisson regression model was used. Results were presented by relative risk (RR) of health outcomes related to the increase in pollutant concentration by unit (interquartile range). Obtained results confirmed a statistically significant association between outpatient visits and hospitalizations due to bronchitis and asthma exacerbation and daily nitrogen oxides concentrations in Silesian voivodeship, Poland. The strongest relationship was observed in the case of NO<sub>2</sub> and outpatient visits due to bronchitis, e.g., RR = 1.434 (1.308−1.571) for exposure expressed by the 50-day moving average concentration. In the case of hospitalizations, the health effect was lagged a few days in relation to the increase in exposure. |
topic |
nitrogen oxides particulate matter acute respiratory effect time series study |
url |
https://www.mdpi.com/1660-4601/17/3/754 |
work_keys_str_mv |
AT małgorzatakowalska effectofnosubxsubandnosub2subconcentrationincreaseinambientairtodailybronchitisandasthmaexacerbationsilesianvoivodeshipinpoland AT michałskrzypek effectofnosubxsubandnosub2subconcentrationincreaseinambientairtodailybronchitisandasthmaexacerbationsilesianvoivodeshipinpoland AT michałkowalski effectofnosubxsubandnosub2subconcentrationincreaseinambientairtodailybronchitisandasthmaexacerbationsilesianvoivodeshipinpoland AT josefcyrys effectofnosubxsubandnosub2subconcentrationincreaseinambientairtodailybronchitisandasthmaexacerbationsilesianvoivodeshipinpoland |
_version_ |
1725079849888907264 |