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Updated: Oct 24, 2025

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Published on: August 25, 2017
Systematic Review of Ozone Effects on Human Lung Function, 2013 Through 2020
Stephanie M Holm1, John R Balmes2
1Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA; Western States Pediatric Environmental Health Specialty Unit, University of California, San Francisco, CA; Division of Occupational and Environmental Medicine, University of California, San Francisco, San Francisco, CA.
Ozone exposure can decrease lung function, especially in children, even at low levels. Current air quality standards may not adequately protect children from these adverse effects.
Area of Science:
- Environmental health
- Epidemiology
- Pulmonology
Background:
- Ozone's impact on lung function is crucial in air pollution research.
- Understanding ozone's effects is complex due to interactions with other pollutants.
Purpose of the Study:
- To review epidemiological studies on ozone exposure and lung function from 2013-2020.
- To assess the current understanding of ozone's effects on respiratory health.
Main Methods:
- Systematic literature review of PubMed articles (2013-2021).
- Search terms included 'health AND ozone' and 'ozone AND (lung function OR FEV1 OR FVC)'.
- 53 studies were selected based on specific ozone-lung function relationships.
Main Results:
- Consistent evidence shows decreased lung function in children, even with short-term, low-level ozone exposure.
- Effects on adult lung function are less clear, but the elderly may be susceptible.
- Long-term ozone exposure impairs lung function and growth in children.
Conclusions:
- Current US EPA air quality standards for ozone may not sufficiently protect children.
- Further research is needed on long-term ozone effects in adults.
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