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Effect of diurnal temperature range on outpatient visits for common cold in Shanghai, China

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Abstract

To evaluate the correlations between diurnal temperature range (DTR) and the number of outpatient visits for common cold from Jan. 1, 2008, to Dec. 31, 2010, in the Shanghai metro area; we used a distributed lag non-linear model together with a Poisson regression model. The controlling factors included long-term trends and day of the week in outpatient visits for common cold and the selected weather elements. The entire study group was divided into three different age subgroups, including ≤ 15, 15–65, and ≥ 65 years old. We found some non-linear J-patterns between DTR and daily outpatient visits for common cold. At lag 0 day, the number of outpatient visits for common cold would increase by 11.1% per 1 °C increase in DTR. The greater the DTR, the more it affects outpatient visits for common cold, especially for the ≥ 65 years age group. In addition, DTR plays a more important role in outpatient visits for common cold in spring and winter compared with other seasons of the year. Our study showed that DTR is a risk factor that contributes to common cold. Results in this study can provide scientific evidence for the local authorities in improving preventive measures of the healthcare system.

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Funding

This work was supported by National Natural Science Foundation of China (Grant No. 41975141, 91744311, and 41561037), and Funds for the Science of Environmental Protection (2018-007).

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Author notes

  1. Yuxia Ma and Sixu Yang contributed equally to this work as co-first authors

Authors and Affiliations

  1. College of Atmospheric Sciences, Key Laboratory of Semi-Arid Climate Change, Ministry of Education, Lanzhou University, Lanzhou, 730000, China

    Yuxia Ma, Sixu Yang, Zhiang Yu, Haoran Jiao, Yifan Zhang & Bingji Ma

  2. Shanghai Key Laboratory of Meteorology and Health, Shanghai, 200030, China

    Sixu Yang & Ji Zhou

Authors
  1. Yuxia Ma
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  2. Sixu Yang
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  3. Zhiang Yu
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  7. Ji Zhou
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Correspondence to Yuxia Ma.

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Highlights

1. Significant associations were found between diurnal temperature range and outpatient visits for common cold.

2. Diurnal temperature range had lag effects on age groups and stronger effect of diurnal temperature was observed for age ≥ 65 years.

3. The effect of high diurnal temperature range is greater than low diurnal temperature range.

4. Significant associations between DTR and common cold were stronger in spring and winter.

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Ma, Y., Yang, S., Yu, Z. et al. Effect of diurnal temperature range on outpatient visits for common cold in Shanghai, China. Environ Sci Pollut Res 27, 1436–1448 (2020). https://doi.org/10.1007/s11356-019-06805-4

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