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Acute effects of ambient air pollution on daily neurology clinic visits for vertigo: a time-series study in Wuhan, China

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Abstract

This study aimed to disclose the relationship between ambient air pollution and neurology clinic visits (NCVs) for vertigo. A time-series study was conducted to examine relationships between six different criteria air pollutants (SO2, NO2, PM2.5, PM10, CO, and O3) and daily NCVs for vertigo in Wuhan, China, from January 1st, 2017 to November 30th, 2019. Stratified analyses were computed according to gender, age, and season. A total of 14,749 records of NCVs for vertigo were enrolled in this study. Data showed that the increase in daily NCVs for vertigo corresponding to 10 μg/m3 increase of respective pollutants are: SO2 (− 7.60%; 95% CI: − 14.25 to − 0.44%), NO2 (3.14%; 95% CI: 0.23 to 6.13%), PM2.5 (0.53%; 95% CI: − 0.66 to 1.74%), PM10 (1.32%; 95% CI: − 0.36 to 3.06%), CO (0.00%; 95% CI: − 0.12 to 0.13%), and O3 (0.90%; 95% CI: − 0.01% to 1.83%). Males were more susceptible to acute exposure to SO2 and NO2, compared to females (SO2: − 11.91% vs. − 4.16%; NO2: 3.95% vs. 2.92%), whereas the acute effect of O3 exposure was more significantly obvious in females than males (0.94% vs. 0.87%). Moreover, correlations between daily NCVs for vertigo and acute exposure to SO2, NO2, and O3 were all stronger in individuals under 50 years old (SO2: − 12.75% vs. − 4.41%; NO2: 4.55% vs. 2.75%; O3: 1.27% vs. 0.70%). Short-term exposure to PM2.5 was more significantly associated with daily NCVs for vertigo in cool seasons (1.62% vs. − 0.68%), while the correlation between CO exposure and daily NCVs for vertigo was stronger in warm seasons (0.21% vs. − 0.03%). Our study demonstrated acute exposure to ambient NO2 and O3 positively associated with daily NCVs for vertigo. Acute effects of air pollution on daily NCVs for vertigo varied according to gender, age, and season.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We would like to thank all the participants who made this study possible.

Author information

Authors and Affiliations

  1. Emergency Center, Zhongnan Hospital of Wuhan University, No. 169, Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China

    Jiachen Zheng & Xiaoqing Jin

  2. Hubei Clinical Research Center for Emergency and Resuscitation, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China

    Jiachen Zheng & Xiaoqing Jin

  3. The Second Clinical School, Wuhan University, Wuhan, 430071, Hubei, China

    Jiachen Zheng & Haoyue Xu

  4. Department of Geriatrics, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China

    Min Xu

  5. Department of Neurology, Wuhan Central Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430071, Hubei, China

    Fei Ye & Xiaozhou Liu

  6. Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China

    Yumin Liu

Authors
  1. Jiachen Zheng
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  2. Min Xu
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  5. Xiaozhou Liu
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  7. Xiaoqing Jin
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Contributions

All the authors contributed to the study conception and design. Jiachen Zheng: methodology, software, visualization, and writing the original draft. Min Xu: writing-—reviewing and editing. Haoyue Xu: software and investigation. Fei Ye: investigation. Xiaozhou Liu: investigation. Yumin Liu: supervision and project administration. Xiaoqing Jin: supervision and project administration. All the authors commented on the previous versions of the manuscript. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Xiaoqing Jin.

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Ethics approval and consent to participate

The research protocol was approved by the Medical Ethics Committee of Zhongnan Hospital (IRB 262 number: 2022142 K).

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Not applicable.

Competing interests

The authors declare no competing interests.

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Responsible Editor: Lotfi Aleya

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Jiachen Zheng and Min Xu are co-first authors.

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Zheng, J., Xu, M., Xu, H. et al. Acute effects of ambient air pollution on daily neurology clinic visits for vertigo: a time-series study in Wuhan, China. Environ Sci Pollut Res 30, 57707–57716 (2023). https://doi.org/10.1007/s11356-023-26575-4

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  • DOI: https://doi.org/10.1007/s11356-023-26575-4

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