The impact of outdoor pollution and extreme temperatures on asthma-related outcomes: A systematic review for the EAACI guidelines on environmental science for allergic diseases and asthma.

Autor: Agache I; Faculty of Medicine, Transylvania University, Brasov, Romania., Canelo-Aybar C; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Annesi-Maesano I; Institute Desbrest of Epidemiology and Public Health, University of Montpellier and INSERM, Montpellier, France., Cecchi L; Centre of Bioclimatology, University of Florence, Florence, Italy., Rigau D; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Rodríguez-Tanta LY; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Nieto-Gutierrez W; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Song Y; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Cantero-Fortiz Y; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Roqué M; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Vasquez JC; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Sola I; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Biagioni B; Allergy and Clinical Immunology Unit San Giovanni di Dio Hospital, Florence, Italy., Chung F; Imperial College, London, UK., D'Amato G; Medical School of Respiratory Diseases, University of Naples Federico II, Naples, Italy., Damialis A; Department of Ecology, School of Biology, Faculty of Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece., Del Giacco S; Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Italy., Vecillas LL; Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain., Dominguez-Ortega J; Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain., Galàn C; Department of Botany, Ecology and Plant Physiology, International Campus of Excellence on Agrifood (ceiA3), University of Córdoba, Córdoba, Spain., Gilles S; Environmental Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany., Giovannini M; Allergy Unit, Meyer Children's Hospital IRCCS, Florence, Italy.; Department of Health Sciences, University of Florence, Florence, Italy., Holgate S; Faculty of Medicine, University of Southampton, Southampton, UK., Jeebhay M; Occupational Medicine Division and Centre for Environmental & Occupational Health Research, University of Cape Town, Rondebosch, South Africa., Nadeau K; John Rock Professor of Climate and Population Studies; Chair, Department of Environmental Health, Interim Director, Center for Climate, Health, and The Global Environment, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Papadopoulos N; Allergy and Clinical Immunology Unit, Second Pediatric Clinic, National and Kapodistrian University of Athens, Athens, Greece.; Division of Evolution and Genomic Sciences, University of Manchester, Manchester, UK., Quirce S; Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain., Sastre J; Instituto Carlos III, Ministry of Science and Innovation, Allergy Service, Fundación Jiménez Díaz, Faculty of Medicine Universidad Autónoma de Madrid and CIBERES, Madrid, Spain., Traidl-Hoffmann C; Department of Environmental Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.; Institute of Environmental Medicine, Helmholtz Center Munich-German Research Center for Environmental Health, Augsburg, Germany.; Christine Kühne Center for Allergy Research and Education, Davos, Switzerland., Walusiak-Skorupa J; Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland., Sousa-Pinto B; MEDCIDS-Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal., Alonso-Coello P; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Salazar J; Department of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Jutel M; Department of Clinical Immunology, ALL-MED Medical Research Institute, Wrocław Medical University, Wroclaw, Poland., Akdis CA; Swiss Institute of Allergy and Asthma Research (SIAF), University Zurich, Davos, Switzerland.
Jazyk: angličtina
Zdroj: Allergy [Allergy] 2024 Jul; Vol. 79 (7), pp. 1725-1760. Date of Electronic Publication: 2024 Feb 04.
DOI: 10.1111/all.16041
Abstrakt: Air pollution is one of the biggest environmental threats for asthma. Its impact is augmented by climate change. To inform the recommendations of the EAACI Guidelines on the environmental science for allergic diseases and asthma, a systematic review (SR) evaluated the impact on asthma-related outcomes of short-term exposure to outdoor air pollutants (PM2.5, PM10, NO 2 , SO 2 , O 3 , and CO), heavy traffic, outdoor pesticides, and extreme temperatures. Additionally, the SR evaluated the impact of the efficacy of interventions reducing outdoor pollutants. The risk of bias was assessed using ROBINS-E tools and the certainty of the evidence by using GRADE. Short-term exposure to PM2.5, PM10, and NO 2 probably increases the risk of asthma-related hospital admissions (HA) and emergency department (ED) visits (moderate certainty evidence). Exposure to heavy traffic may increase HA and deteriorate asthma control (low certainty evidence). Interventions reducing outdoor pollutants may reduce asthma exacerbations (low to very low certainty evidence). Exposure to fumigants may increase the risk of new-onset asthma in agricultural workers, while exposure to 1,3-dichloropropene may increase the risk of asthma-related ED visits (low certainty evidence). Heatwaves and cold spells may increase the risk of asthma-related ED visits and HA and asthma mortality (low certainty evidence).
(© 2024 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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