Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey
OBJECTIVES This study aimed to investigate the association between pulmonary function and air pollution using 2007–2017 data from the Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional representative survey. METHODS A total of 27,378 participants that had sampling w...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2021-10-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/pdf/epih-43-e2021082.pdf |
| _version_ | 1818356994509111296 |
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| author | Soo Beom Choi Sungha Yun Sun-Ja Kim Yong Bum Park Kyungwon Oh |
| author_facet | Soo Beom Choi Sungha Yun Sun-Ja Kim Yong Bum Park Kyungwon Oh |
| author_sort | Soo Beom Choi |
| collection | DOAJ |
| description | OBJECTIVES This study aimed to investigate the association between pulmonary function and air pollution using 2007–2017 data from the Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional representative survey. METHODS A total of 27,378 participants that had sampling weights from a complex sample survey were included in this study. Using the data for forced expiratory volume in 1 second and forced vital capacity, the participants with pulmonary function impairment were classified according to the criteria of restrictive lung disease and chronic obstructive pulmonary disease (COPD). Exposure to ambient air pollution was estimated using the Community Multiscale Air Quality model. Multivariate linear and logistic regression analyses with complex samples were used to determine the associations between pulmonary function and air pollution after adjusting for covariates. RESULTS In total, 13.2% of the participants aged >40 years had COPD, and 10.7% were classified as being in the restrictive lung disease group. According to the multivariate logistic regression model, the odds ratios for the fourth quartiles of particulate matter less than 10 μm in diameter (PM10), particulate matter less than 2.5 μm in diameter (PM2.5) and carbon monoxide (CO) with a 2-year lag period were 1.203 (95% confidence interval [CI], 1.036 to 1.396), 1.283 (95% CI, 1.101 to1.495), and 1.292 (95% CI, 1.110 to 1.504), respectively, using the restrictive lung disease group as an event after adjusting for covariates in the complex sample. CONCLUSIONS Long-term exposure to PM10, PM2.5, and CO was significantly associated with pulmonary function, especially restrictive lung disease. |
| first_indexed | 2024-12-13T20:06:03Z |
| format | Article |
| id | doaj.art-4b062b37de064cdcb4957694ec9bf806 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-12-13T20:06:03Z |
| publishDate | 2021-10-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-4b062b37de064cdcb4957694ec9bf8062022-12-21T23:33:00ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932021-10-014310.4178/epih.e20210821227Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination SurveySoo Beom Choi0Sungha Yun1Sun-Ja Kim2Yong Bum Park3Kyungwon Oh4 Division of Health and Nutrition Survey and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Korea Division of Health and Nutrition Survey and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Korea Division of Health and Nutrition Survey and Analysis, Korea Disease Control and Prevention Agency, Cheongju, Korea Lung Research Institute of Hallym University College of Medicine, Chuncheon, Korea Division of Health and Nutrition Survey and Analysis, Korea Disease Control and Prevention Agency, Cheongju, KoreaOBJECTIVES This study aimed to investigate the association between pulmonary function and air pollution using 2007–2017 data from the Korea National Health and Nutrition Examination Survey, a nationwide cross-sectional representative survey. METHODS A total of 27,378 participants that had sampling weights from a complex sample survey were included in this study. Using the data for forced expiratory volume in 1 second and forced vital capacity, the participants with pulmonary function impairment were classified according to the criteria of restrictive lung disease and chronic obstructive pulmonary disease (COPD). Exposure to ambient air pollution was estimated using the Community Multiscale Air Quality model. Multivariate linear and logistic regression analyses with complex samples were used to determine the associations between pulmonary function and air pollution after adjusting for covariates. RESULTS In total, 13.2% of the participants aged >40 years had COPD, and 10.7% were classified as being in the restrictive lung disease group. According to the multivariate logistic regression model, the odds ratios for the fourth quartiles of particulate matter less than 10 μm in diameter (PM10), particulate matter less than 2.5 μm in diameter (PM2.5) and carbon monoxide (CO) with a 2-year lag period were 1.203 (95% confidence interval [CI], 1.036 to 1.396), 1.283 (95% CI, 1.101 to1.495), and 1.292 (95% CI, 1.110 to 1.504), respectively, using the restrictive lung disease group as an event after adjusting for covariates in the complex sample. CONCLUSIONS Long-term exposure to PM10, PM2.5, and CO was significantly associated with pulmonary function, especially restrictive lung disease.http://www.e-epih.org/upload/pdf/epih-43-e2021082.pdfair pollutionobstructive lung diseasesmortality |
| spellingShingle | Soo Beom Choi Sungha Yun Sun-Ja Kim Yong Bum Park Kyungwon Oh Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey Epidemiology and Health air pollution obstructive lung diseases mortality |
| title | Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey |
| title_full | Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey |
| title_fullStr | Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey |
| title_full_unstemmed | Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey |
| title_short | Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007–2017 Korea National Health and Nutritional Examination Survey |
| title_sort | effects of exposure to ambient air pollution on pulmonary function impairment in korea the 2007 2017 korea national health and nutritional examination survey |
| topic | air pollution obstructive lung diseases mortality |
| url | http://www.e-epih.org/upload/pdf/epih-43-e2021082.pdf |
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