偏头痛和空气污染:系统审查
Andrea E Portt1, Christa Orchard1, Hong Chen1,2,3,4
1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
空气污染,特别是二氧化,与偏头痛风险增加有关. 这项系统性审查发现,一氧化碳,臭氧和颗粒物等污染物与偏头痛发生之间存在一致的关联.
科学领域:
- 环境健康 环境健康
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 空气污染是一个广泛的环境暴露.
- 新出现的证据表明,空气污染物和偏头痛触发因素之间存在潜在联系.
- 没有先前的系统审查全面评估了这一关联.
研究的目的:
- 系统地综合现有关于环境空气污染和偏头痛之间关系的证据.
- 评估各种污染物和偏头痛结果之间的关联的强度和一致性.
主要方法:
- 进行了对量化室外空气污染和偏头痛结果的经验研究的系统搜索.
- 包括短期和长期暴露研究,不包括室内污染,香水或烟草烟雾.
- 使用世卫组织对空气质量指南的偏差评估工具评估偏差风险.
主要成果:
- 包括12项研究,涉及400多万参与者,使用案例交叉和时间序列等设计.
- 一氧化碳,二氧化,臭氧和PM2.5在1.00以上的点估值中显示出更高的百分比,这表明风险增加.
- 二氧化的关联是最一致的,尽管置信区间经常包括零值.
结论:
- 在常见的空气污染物 (CO,NO2,O3,PM) 和偏头痛之间存在着显著的关联.
- 二氧化证明了与偏头痛风险的最一致的联系.
- 虽然方法通常很强大,但研究数量有限,因此需要谨慎解释.
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