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Exposure to ambient air pollution and prevalence of asthma in adults

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Abstract

Air pollution is defined as the risk factors for asthma. This study aimed to investigate the effect of exposure to ambient air pollution and prevalence of asthma in adults. This cross-sectional study was done between November 2015 and February 2016. The asthma prevalence was surveyed in 3172 adults between 20 and 44 years old in Tehran, Iran. Face to face interview and standardized questionnaire (European Community Respiratory Health Survey (ECRHS)) were used for data gathering. Concentrations of air pollutants in the whole city of Tehran were obtained from Tehran Air Quality Control Company (AQCC). Air pollution exposure assessed by the spatial analysis based on GIS method. The effect of ambient air pollution on the asthma symptoms was assessed with the crude and adjusted logistic regression. Results were reported as odds ratios (OR) with 95% confidence interval (CI). Results showed that the asthma prevalence in adults in Tehran was 11.73%, higher than the average prevalence of asthma in the whole country equal to the 8.9%. The prevalence of asthma in males (6.43%, n=204) was significantly higher than females (5.26%, n=167), but this difference was not significant (P = 0.29). A significant positive association was observed between the asthma prevalence and the concentration of CO (OR 1.64; 1.26 to 1.85) and PM10 (1.04; 1.01 to 1.08) (P <0.05). Finally, we concluded that exposure to some air pollutants can affect the asthma prevalence in adults. Therefore, control of air pollution is recommended to reduce the asthma in Tehran metropolis.

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References

  • ​Air quality control company (2015) Tehran annual air quality report, Period of March 2014 - March 2015 

  • Air quality control company (2016) Tehran annual air quality report, Period of March 2015 - March 2016 

  • Anderson HR, Favarato G, Atkinson RW (2013) Long-term exposure to air pollution and the incidence of asthma: meta-analysis of cohort studies. Air Qual Atmos Health 6(1):47–56

    Article  CAS  Google Scholar 

  • Backman H, Räisänen P, Hedman L, Stridsman C, Andersson M, Lindberg A, Lundbäck B, Rönmark E (2017) Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016—results from three population surveys. Clin Exp Allergy 47(11):1426–1435

    Article  Google Scholar 

  • Beasley R, Semprini A, Mitchell EAJTL (2015) Risk factors for asthma: is prevention possible. The Lancet 386(9998):1075–1085

  • Boulet L-P, FitzGerald JM, Reddel HK (2015) The revised 2014 GINA strategy report: opportunities for change. Current opinion in pulmonary medicine 21(1):1–7 

  • Brauer M, Hoek G, Van Vliet P, Meliefste K, Fischer PH, Wijga A, Koopman LP, Neijens HJ, Gerritsen J, Kerkhof M (2002) Air pollution from traffic and the development of respiratory infections and asthmatic and allergic symptoms in children. Am J Respir Crit Care Med 166(8):1092–1098

    Article  Google Scholar 

  • Buteau S, Doucet M, Tétreault L-F, Gamache P, Fournier M, Brand A, Kosatsky T, Smargiassi A (2018) A population-based birth cohort study of the association between childhood-onset asthma and exposure to industrial air pollutant emissions. Environ Int 121:23–30

    Article  CAS  Google Scholar 

  • Carrillo G, Perez Patron MJ, Johnson N, Zhong Y, Lucio R, Xu X (2018) Asthma prevalence and school-related hazardous air pollutants in the US-México border area. Environ Res 162:41–48

    Article  CAS  Google Scholar 

  • Cox LAT Jr (2017) Socioeconomic and air pollution correlates of adult asthma, heart attack, and stroke risks in the United States, 2010–2013. Environ Res 155:92–107

    Article  CAS  Google Scholar 

  • De Meij A, Thunis P, Bessagnet B, Cuvelier C (2009) The sensitivity of the CHIMERE model to emissions reduction scenarios on air quality in Northern Italy.Atmospheric Environment 43(11):1897–1907 

  • Ding L, Zhu D, Peng D, Zhao Y (2017) Air pollution and asthma attacks in children: a case–crossover analysis in the city of Chongqing, China. Environ Pollut 220:348–353

    Article  CAS  Google Scholar 

  • Faraji M, Pourpak Z, Naddafi K, Nodehi RN, Nicknam MH, Shamsipour M, Rezaei S, Ghozikali MG, Ghanbarian M, Mesdaghinia A (2018) Effects of airborne particulate matter (PM10) from dust storm and thermal inversion on global DNA methylation in human peripheral blood mononuclear cells (PBMCs) in vitro. Atmos Environ 195:170–178

    Article  CAS  Google Scholar 

  • Fazlollahi MR, Najmi M, Fallahnezhad M, Sabetkish N, Kazemnejad A, Bidad K, Shokouhi Shoormasti R, Mahloujirad M, Pourpak Z, Moin M (2018) The prevalence of asthma in Iranian adults: the first national survey and the most recent updates. Clin Respir J 12(5):1872–1881

    Article  Google Scholar 

  • Ge E, Lai K, Xiao X, Luo M, Fang Z, Zeng Y, Ju H, Zhong N (2018) Differential effects of size-specific particulate matter on emergency department visits for respiratory and cardiovascular diseases in Guangzhou, China. Environ Pollut 243:336–345

    Article  CAS  Google Scholar 

  • Ghaffari HR, Aval HE, Alahabadi A, Mokammel A, Khamirchi R, Yousefzadeh S, Ahmadi E, Rahmani-Sani A, Estaji M, Ghanbarnejad A, Gholizadeh A, Taghavi M, Miri M (2017) Asthma disease as cause of admission to hospitals due to exposure to ambient oxidants in Mashhad, Iran. Environ Sci Pollut Res 24(35):27402–27408

    Article  CAS  Google Scholar 

  • Ghozikali MG, Ansarin K, Naddafi K, Nodehi RN, Yaghmaeian K, Hassanvand MS, Yunesian M (2018) Prevalence of asthma and associated factors among male late adolescents in Tabriz, Iran. Environ Sci Pollut Res 25(3):2184–2193

    Article  Google Scholar 

  • Han K, Ran Z, Wang X, Wu Q, Zhan N, Yi Z, Jin T (2020) Traffic-related organic and inorganic air pollution and risk of development of childhood asthma: a meta-analysis. Environ Res 194(110493)

  • Hua J, Yin Y, Peng L, Du L, Geng F, Zhu L (2014) Acute effects of black carbon and PM2. 5 on children asthma admissions: a time-series study in a Chinese city. Sci Total Environ 481:433–438

    Article  CAS  Google Scholar 

  • Jerrett M, Shankardass K, Berhane K, Gauderman WJ, Künzli N, Avol E, Gilliland F, Lurmann F, Molitor JN, Molitor JT (2008) Traffic-related air pollution and asthma onset in children: a prospective cohort study with individual exposure measurement. Environ Health Perspect 116(10):1433–1438

    Article  Google Scholar 

  • Marmot M, Friel S, Bell R, Houweling TA, Taylor S, C. o. S. D. o. Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Lancet 372(9650):1661–1669

    Article  Google Scholar 

  • McConnell R, Islam T, Shankardass K, Jerrett M, Lurmann F, Gilliland F, Gauderman J (2010) Childhood incident asthma and traffic-related air pollution at home and school. Environ Health Perspect 118(7):1021–1026

    Article  CAS  Google Scholar 

  • Mohammadi A, Faraji M, Conti GO, Ferrante M, Miri M (2019) Mortality and morbidity due to exposure to particulate matter related to drying Urmia Lake in the NW Iran. Eur J Intern Med 60:e14–e15

  • Mohammadi A, Ghassoun Y, Löwner M-O, Behmanesh M, Faraji M, Nemati S, Toolabi A, Abdolahnejad A, Panahi H, Heydari H, Miri M (2020) Spatial analysis and risk assessment of urban BTEX compounds in Urmia, Iran. Chemosphere 246:125769

  • Namvar Z, Yunesian M, Shamsipour M, Hassanvand MS, Naddafi K, Shahhosseini E (2020) Cross-sectional associations between ambient air pollution and respiratory signs and symptoms among young children in Tehran. Atmos Environ 223:117268

    Article  CAS  Google Scholar 

  • Rückerl R, Hampel R, Breitner S, Cyrys J, Kraus U, Carter J, Dailey L, Devlin RB, Diaz-Sanchez D, Koenig W (2014) Associations between ambient air pollution and blood markers of inflammation and coagulation/fibrinolysis in susceptible populations. Environ Int 70:32–49

    Article  Google Scholar 

  • Schultz ES, Litonjua AA, Melén E (2017) Effects of long-term exposure to traffic-related air pollution on lung function in children. Current Allergy and Asthma Reports 17(6):41 

  • Tian Y, Xiang X, Juan J, Sun K, Song J, Cao Y, Hu Y (2017) Fine particulate air pollution and hospital visits for asthma in Beijing, China. Environ Pollut 230:227–233

    Article  CAS  Google Scholar 

  • Trasande L, Thurston GD (2005) The role of air pollution in asthma and other pediatric morbidities. J Allergy Clin Immunol 115(4):689–699

    Article  CAS  Google Scholar 

  • WHO (2020a) https://www.who.int/health-topics/air-pollution#tab=tab_1. Accessed 11 Feb 2021

  • WHO (2020b) https://www.who.int/news-room/fact-sheets/detail/asthma. Accessed 11 Feb 2021

  • Zhao S, Liu S, Hou X, Beazley R, Sun Y, Dong S (2020) Evidence of provincial variability in air pollutants-asthma relations in China. J Clean Prod 242:118553

    Article  CAS  Google Scholar 

  • Zu K, Liu X, Shi L, Tao G, Loftus CT, Lange S, Goodman JE (2017) Concentration-response of short-term ozone exposure and hospital admissions for asthma in Texas. Environ Int 104:139–145

    Article  CAS  Google Scholar 

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Acknowledgements

The authors would like to thank the Immunology, Asthma and Allergy Research Institute (IAARI) of Tehran University of Medical Sciences for financially and technically support (grant number 39964-40-03-97).

Funding

This study was financially supported by the Immunology, Asthma and Allergy Research Institute (IAARI) of Tehran University of Medical Sciences (grant number 39964-40-03-97).

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Correspondence to Mohammad Reza Fazlollahi.

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This study was approved by ethics committee Immunology, Asthma and Allergy Research Institute (IAARI) of Tehran University of Medical Sciences (IR.TUMS.IAARI.REC.1398.011).

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Faraji, M., Mohammadi, A., Najmi, M. et al. Exposure to ambient air pollution and prevalence of asthma in adults. Air Qual Atmos Health 14, 1211–1219 (2021). https://doi.org/10.1007/s11869-021-01011-z

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  • DOI: https://doi.org/10.1007/s11869-021-01011-z

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