Browse > Article
http://dx.doi.org/10.3961/jpmph.19.180

Associations of Ambient Air Pollutant Concentrations With Respiratory Symptoms and Perceived Health Status in Japanese Adults With and Without Chronic Respiratory Diseases: A Panel Study  

Nakao, Motoyuki (Department of Public Health, School of Medicine, Kurume University)
Yamauchi, Keiko (Department of Public Health, School of Medicine, Kurume University)
Mitsuma, Satoshi (Niigata Association of Occupational Health Inc.)
Odaira, Tetsuro (Nishi-Niigata Chuo National Hospital)
Obata, Hideto (Yamaguchi-ken Saiseikai Shimonoseki General Hospital)
Chijimatsu, Yoichi (Chijimatsu Kokyuki Junkanki Naika Clinic)
Ishihara, Yoko (Department of Public Health, School of Medicine, Kurume University)
Publication Information
Journal of Preventive Medicine and Public Health / v.52, no.6, 2019 , pp. 416-426 More about this Journal
Abstract
Objectives: In recent years, transboundary air pollution from mainland East Asia has led to growing concerns about air pollution in Japan. Air pollution is reportedly associated with the exacerbation of respiratory diseases. In this study, we assessed the effects of air pollution on respiratory symptoms and the health status of participants with and without chronic respiratory diseases. Methods: Participants (n=2753) with and without chronic respiratory diseases who visited healthcare facilities in Japan during February from 2010 to 2015 filled out a self-report questionnaire regarding their symptoms and perceived health status. Participants were followed up during April-May and June-July. Results: Oxidant concentrations were associated with respiratory symptoms, overall health, and quality of life (QoL). Suspended particulate matter (SPM) and particulate matter <$2.5{\mu}m$ levels were associated with physical fitness; SPM was also associated with QoL. Recent experience of an Asian sand dust event had a significant effect on allergic symptoms, change in health, and QoL. Conclusions: Respiratory symptoms were more strongly affected by oxidants than by other pollutants. Significant associations of air pollutants were found with a comprehensive range of items related to perceived health status, including overall health and QoL. Although the effects of air pollutants on respiratory symptoms and health status were more apparent among patients with respiratory diseases, the adverse effects of air pollutants were significant even among participants without such conditions.
Keywords
Quality of life; Health status; Air pollution; Chronic obstructive pulmonary disease; Japan;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Coulibaly S, Minami H, Abe M, Hasei T, Oro T, Funasaka K, et al. Long-range transport of mutagens and other air pollutants from mainland East Asia to western Japan. Genes Environ 2015;37:25.   DOI
2 Mori I, Nishikawa M, Tanimura T, Quan H. Change in size distribution and chemical composition of Kosa (Asian dust) aerosol during long-range transport. Atmos Environ 2003;37(30):4253-4263.   DOI
3 Van Weel C. Functional status in primary care: COOP/WONCA charts. Disabil Rehabil 1993;15(2):96-101.   DOI
4 Ministry of the Environment. Environmental quality standards in Japan: air quality [cited 2018 Jun 12]. Available from: http://www.env.go.jp/en/air/aq/aq.html.
5 Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics 1986;42(1):121-130.   DOI
6 Yamazaki S, Shima M, Yoda Y, Oka K, Kurosaka F, Shimizu S, et al. Association between PM2.5 and primary care visits due to asthma attack in Japan: relation to Beijing's air pollution episode in January 2013. Environ Health Prev Med 2014;19(2):172-176.   DOI
7 Inomata Y, Kajino M, Sato K, Ohara T, Kurokawa J, Ueda H, et al. Emission and atmospheric transport of particulate PAHs in Northeast Asia. Environ Sci Technol 2012;46(9):4941-4949.   DOI
8 Japan Meteorological Agency. Long-term trends of Aeolian dust [cited 2018 Dec 18]. Available from: http://www.data.jma.go.jp/gmd/env/kosahp/en/kosa_shindan_e.html.
9 Pope CA 3rd. Epidemiology of fine particulate air pollution and human health: biologic mechanisms and who's at risk? Environ Health Perspect 2000;108 Suppl 4:713-723.   DOI
10 Atkinson RW, Kang S, Anderson HR, Mills IC, Walton HA. Epidemiological time series studies of PM2.5 and daily mortality and hospital admissions: a systematic review and meta-analysis. Thorax 2014;69(7):660-665.   DOI
11 Claeson AS, Palmquist E, Lind N, Nordin S. Symptom-trigger factors other than allergens in asthma and allergy. Int J Environ Health Res 2016;26(4):448-457.   DOI
12 Samet J, Buist S, Bascom R, Garcia J, Lipsett M, Mauderly J, et al. What constitutes an adverse health effect of air pollution? Official statement of the American Thoracic Society. Am J Respir Crit Care Med 2000;161(2I):665-673.   DOI
13 Nuvolone D, Petri D, Voller F. The effects of ozone on human health. Environ Sci Pollut Res Int 2018;25(9):8074-8088.   DOI
14 Bell ML, Dominici F, Samet JM. A meta-analysis of time-series studies of ozone and mortality with comparison to the national morbidity, mortality, and air pollution study. Epidemiology 2005;16(4):436-445.   DOI
15 World Health Organization. Air quality guidelines global update 2005: particulate matter, ozone, nitrogen dioxide and sulfur dioxide; 2006 [cited 2017 Dec 18]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/78638/E90038.pdf.
16 Horstman DH, Folinsbee LJ, Ives PJ, Abdul-Salaam S, McDonnell WF. Ozone concentration and pulmonary response relationships for 6.6-hour exposures with five hours of moderate exercise to 0.08, 0.10, and 0.12 ppm. Am Rev Respir Dis 1990;142(5):1158-1163.   DOI
17 Kamouchi M, Ueda K, Ago T, Nitta H, Kitazono T; Fukuoka Stroke Registry Investigators. Relationship between asian dust and ischemic stroke: a time-stratified case-crossover study. Stroke 2012;43(11):3085-3087.   DOI
18 Health Effects Institute. Special report: revised analyses of time-series studies of air pollution and health; 2003 [cited 2019 Nov 10]. Available from: https://www.healtheffects.org/system/files/TimeSeries.pdf.
19 Kashima S, Yorifuji T, Tsuda T, Eboshida A. Asian dust and daily all-cause or cause-specific mortality in western Japan. Occup Environ Med 2012;69(12):908-915.   DOI
20 Matsukawa R, Michikawa T, Ueda K, Nitta H, Kawasaki T, Tashiro H, et al. Desert dust is a risk factor for the incidence of acute myocardial infarction in Western Japan. Circ Cardiovasc Qual Outcomes 2014;7(5):743-748.   DOI
21 Yamazaki S, Nitta H, Murakami Y, Fukuhara S. Association between ambient air pollution and health-related quality of life in Japan: ecological study. Int J Environ Health Res 2005;15(5):383-391.   DOI
22 Yamazaki S, Nitta H, Fukuhara S. Associations between exposure to ambient photochemical oxidants and the vitality or mental health domain of the health related quality of life. J Epidemiol Community Health 2006;60(2):173-179.   DOI
23 Shima M. Health effects of air pollution: a historical review and present status. Nihon Eiseigaku Zasshi 2017;72(3):159-165.   DOI
24 Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2019 report) [cited 2019 Nov 10]. Available from: https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf.
25 World Health Organization. The top 10 causes of death; 2018 [cited 2018 Dec 5]. Available from: https://www.who.int/newsroom/fact-sheets/detail/the-top-10-causes-of-death.
26 Salvi SS, Barnes PJ. Chronic obstructive pulmonary disease in non-smokers. Lancet 2009;374(9691):733-743.   DOI
27 Sunyer J. Urban air pollution and chronic obstructive pulmonary disease: a review. Eur Respir J 2001;17(5):1024-1033.   DOI
28 Arbex MA, de Souza Conceicao GM, Cendon SP, Arbex FF, Lopes AC, Moyses EP, et al. Urban air pollution and chronic obstructive pulmonary disease-related emergency department visits. J Epidemiol Community Health 2009;63(10):777-783.   DOI
29 World Health Organization. Country profile of environmental burden of disease: China [cited 2017 Nov 11]. Available from: https://www.who.int/quantifying_ehimpacts/national/countryprofile/china.pdf?ua%20=1.
30 Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380(9859):2197-2223.   DOI
31 Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet 2007;370(9589):765-773.   DOI
32 Rabe KF, Hurd S, Anzueto A, Barnes PJ, Buist SA, Calverley P, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med 2007;176(6):532-555.   DOI
33 Lopez-Campos JL, Tan W, Soriano JB. Global burden of COPD. Respirology 2016;21(1):14-23.   DOI
34 Moreno T, Kojima T, Querol X, Alastuey A, Amato F, Gibbons W. Natural versus anthropogenic inhalable aerosol chemistry of transboundary East Asian atmospheric outflows into western Japan. Sci Total Environ 2012;424:182-192.   DOI
35 Jin Y, Andersson H, Zhang S. Air pollution control policies in China: a retrospective and prospects. Int J Environ Res Public Health 2016;13(12):1219.   DOI
36 He MZ, Zeng X, Zhang K, Kinney PL. Fine particulate matter concentrations in urban Chinese cities, 2005-2016: a systematic review. Int J Environ Res Public Health 2017;14(2):191.   DOI
37 Sato K, Takami A, Irei S, Miyoshi T, Ogawa Y, Yoshino A, et al. Transported and local organic aerosols over Fukuoka, Japan. Aerosol Air Qual Res 2013;13:1263-1272.   DOI
38 Uno I, Amano H, Emori S, Kinoshita K, Matsui I, et al. Trans-Pacific yellow sand transport observed in April 1998: a numerical simulation. J Geophys Res Atmos 2001;106(D16):18331-18344.   DOI