Long-term air pollution and road traffic noise exposure and COPD: the Danish Nurse Cohort

While air pollution has been linked to the development of chronic obstructive pulmonary disease (COPD), evidence on the role of environmental noise is just emerging. We examined the associations of long-term exposure to air pollution and road traffic noise with COPD incidence. We defined COPD incide...

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Veröffentlicht in:The European respiratory journal 2021-12, Vol.58 (6), p.2004594
Hauptverfasser: Liu, Shuo, Lim, Youn-Hee, Pedersen, Marie, Jørgensen, Jeanette T, Amini, Heresh, Cole-Hunter, Thomas, Mehta, Amar J, So, Rina, Mortensen, Laust H, Westendorp, Rudi G J, Loft, Steffen, Bräuner, Elvira V, Ketzel, Matthias, Hertel, Ole, Brandt, Jørgen, Jensen, Steen S, Christensen, Jesper H, Sigsgaard, Torben, Geels, Camilla, Frohn, Lise M, Brboric, Maja, Radonic, Jelena, Turk Sekulic, Maja, Bønnelykke, Klaus, Backalarz, Claus, Simonsen, Mette K, Andersen, Zorana J
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container_issue 6
container_start_page 2004594
container_title The European respiratory journal
container_volume 58
creator Liu, Shuo
Lim, Youn-Hee
Pedersen, Marie
Jørgensen, Jeanette T
Amini, Heresh
Cole-Hunter, Thomas
Mehta, Amar J
So, Rina
Mortensen, Laust H
Westendorp, Rudi G J
Loft, Steffen
Bräuner, Elvira V
Ketzel, Matthias
Hertel, Ole
Brandt, Jørgen
Jensen, Steen S
Christensen, Jesper H
Sigsgaard, Torben
Geels, Camilla
Frohn, Lise M
Brboric, Maja
Radonic, Jelena
Turk Sekulic, Maja
Bønnelykke, Klaus
Backalarz, Claus
Simonsen, Mette K
Andersen, Zorana J
description While air pollution has been linked to the development of chronic obstructive pulmonary disease (COPD), evidence on the role of environmental noise is just emerging. We examined the associations of long-term exposure to air pollution and road traffic noise with COPD incidence. We defined COPD incidence for 24 538 female nurses from the Danish Nurse Cohort (age >44 years) as the first hospital contact between baseline (1993 or 1999) and 2015. We estimated residential annual mean concentrations of particulate matter with an aerodynamic diameter
doi_str_mv 10.1183/13993003.04594-2020
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We examined the associations of long-term exposure to air pollution and road traffic noise with COPD incidence. We defined COPD incidence for 24 538 female nurses from the Danish Nurse Cohort (age &gt;44 years) as the first hospital contact between baseline (1993 or 1999) and 2015. We estimated residential annual mean concentrations of particulate matter with an aerodynamic diameter &lt;2.5 µm (PM ) since 1990 and nitrogen dioxide (NO ) since 1970 using the Danish Eulerian Hemispheric Model/Urban Background Model/Air Geographic Information System modelling system, and road traffic noise (L ) since 1970 using the Nord2000 model. Time-varying Cox regression models were applied to assess the associations of air pollution and road traffic noise with COPD incidence. 977 nurses developed COPD during a mean of 18.6 years' follow-up. We observed associations with COPD for all three exposures with HRs and 95% CIs of 1.19 (1.01-1.41) per 6.26 µg·m for PM , 1.13 (1.05-1.20) per 8.19 µg·m for NO and 1.15 (1.06-1.25) per 10 dB for L . Associations with NO and L attenuated slightly after mutual adjustment, but were robust to adjustment for PM . Associations with PM were attenuated to null after adjustment for either NO or L . No potential interaction effect was observed between air pollutants and noise. Long-term exposure to air pollution, especially traffic-related NO , and to road traffic noise were independently associated with COPD.</description><identifier>ISSN: 0903-1936</identifier><identifier>EISSN: 1399-3003</identifier><identifier>DOI: 10.1183/13993003.04594-2020</identifier><identifier>PMID: 33986028</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Air Pollutants - analysis ; Air Pollutants - toxicity ; Air Pollution - analysis ; Air Pollution - statistics &amp; numerical data ; Denmark - epidemiology ; Environmental Exposure - analysis ; Environmental Exposure - statistics &amp; numerical data ; Female ; Humans ; Nitrogen Dioxide - analysis ; Noise, Transportation - statistics &amp; numerical data ; Particulate Matter - analysis ; Particulate Matter - toxicity ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - etiology</subject><ispartof>The European respiratory journal, 2021-12, Vol.58 (6), p.2004594</ispartof><rights>Copyright ©The authors 2021. 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subjects Adult
Air Pollutants - analysis
Air Pollutants - toxicity
Air Pollution - analysis
Air Pollution - statistics & numerical data
Denmark - epidemiology
Environmental Exposure - analysis
Environmental Exposure - statistics & numerical data
Female
Humans
Nitrogen Dioxide - analysis
Noise, Transportation - statistics & numerical data
Particulate Matter - analysis
Particulate Matter - toxicity
Pulmonary Disease, Chronic Obstructive - epidemiology
Pulmonary Disease, Chronic Obstructive - etiology
title Long-term air pollution and road traffic noise exposure and COPD: the Danish Nurse Cohort
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