中期中等到低水平的空气污染暴露与健康的丹麦献血者中较高的C反应蛋白相关
Bertram Kjerulff1, Henriette Thisted Horsdal2, Kathrine Kaspersen3
1Department of Clinical Immunology, Aarhus University Hospital, DK-8200, Aarhus N, Denmark; Danish Big Data Centre for Environment and Health (BERTHA), Aarhus University, Denmark; Department of Clinical Medicine, Aarhus University, Denmark.
Environmental research
|June 19, 2023
概括
暴露于空气污染,即使在低水平,也与增加C反应蛋白 (CRP) 水平有关,这是炎症的标志物. 这项关于丹麦献血者的研究发现了各种空气污染物和较高的CRP之间的联系.
科学领域:
- 环境健康 环境健康
- 生物标志物 生物标志物
- 流行病学 流行病学
背景情况:
- 空气污染对全球疾病负担做出了重大贡献,导致肺和全身炎症.
- C-反应蛋白 (CRP) 是炎症和疾病的关键生物标志物,与各种暴露有关.
- 之前对空气污染对低至中等污染环境中CRP的影响的研究产生了不一致的结果.
研究的目的:
- 调查暴露于各种空气污染物和C反应蛋白 (CRP) 水平之间的关联.
- 在一个低到中等空气污染环境中,对大量健康个体进行评估.
- 确定空气污染暴露是否与CRP升高有关,即使在空气看似干净的环境中也是如此.
主要方法:
- 一项涉及18463名丹麦献血者的横截面研究.
- 高灵敏度的CRP测量与模拟的空气污染数据 (NOx,NO2,O3,CO,SO2,NH3,颗粒物等) 有关. 在居住地址上.
- 使用有序后勤回归来分析关联,调整健康和社会经济共变量.
主要成果:
- 对大多数空气污染成分的暴露与更高CRP水平的可能性增加有关 (ORs 1.11-1.67).
- 具体来说,二氧化 (NO2) 暴露增加了高CRP的几率1.32倍 (95% CI 1.16-1.49).
- 对氨 (NH3) 的暴露与高CRP的几率降低有关 (OR 0.81,95% CI 0.73-0.89).
结论:
- 空气污染暴露与CRP水平升高有关,即使在污染低至中等的环境中也是如此.
- 这一发现突显了空气质量对一般健康人群炎症标志物的健康影响.
- 该研究强调了监测和减轻空气污染的重要性,以减少炎症性疾病的负担.
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