第 2 期--"室内空气污染对呼吸系统不良影响的最新情况"(第 1 部分):室内空气污染与呼吸系统疾病:总体更新和葡萄牙的观点

IF 10.4 2区 医学 Q1 RESPIRATORY SYSTEM Pulmonology Pub Date : 2024-07-01 DOI:10.1016/j.pulmoe.2023.03.006
J.C. Rufo , I. Annesi-Maesano , P. Carreiro-Martins , A. Moreira , A.C. Sousa , M.R. Pastorinho , N. Neuparth , L. Taborda-Barata
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引用次数: 0

摘要

结果世界范围内的多项系统综述和荟萃分析(MA)表明,室内空气质量对呼吸系统健康有影响,其中室内颗粒物和气体对呼吸道有显著影响。挥发性有机化合物(VOC)与哮喘和肺癌有关。然而,只有对生物质的使用进行荟萃分析,才能记录对呼吸系统的长期影响。早期有关葡萄牙人群的出版物主要关注室内环境烟草烟雾暴露,后来的研究则将注意力转移到相关的暴露环境,如日托建筑、学校、住宅和养老院。结论尽管在 2008 年公共建筑室内禁烟令实施后,室内空气污染的影响显著减少,但研究表明,葡萄牙的一些室内空气参数仍然与呼吸系统健康密切相关。葡萄牙与世界其他国家一样,需要实现方法和背景数据的标准化,以扩大家庭空气污染流行病学研究的覆盖范围,从而对旨在降低相关呼吸系统发病率的干预措施和政策进行加权评估。
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Issue 2 - “Update on adverse respiratory effects of indoor air pollution” Part 1): Indoor air pollution and respiratory diseases: A general update and a Portuguese perspective

Objective

To quantify the impact of different air pollutants on respiratory health based on robust estimates based on international data and to summarise the evidence of associations between indoor exposure to those pollutants and respiratory morbidity in the Portuguese population.

Results

Several systematic reviews and meta-analyses (MA) at the world level demonstrate the impact of indoor air quality on respiratory health, with indoor particulate matter and gasses exerting a significant effect on the airways. Volatile organic compounds (VOC) have been related to asthma and lung cancer. However, only meta-analyses on biomass use allowed documentation of long-term respiratory effects. While early publications concerning Portuguese-based populations mainly focused on indoor exposure to environmental tobacco smoke, later studies relocated the attention to relevant exposure environments, such as day care buildings, schools, residences and nursing homes. Looking at the pooled effects from the reviewed studies, high levels of carbon dioxide and particulate matter in Portuguese buildings were significantly associated with asthma and wheezing, with VOC and fungi showing a similar effect in some instances.

Conclusions

Despite the significant reduction of indoor air pollution effects after the 2008 indoor smoking prohibition in public buildings, studies show that several indoor air parameters are still significantly associated with respiratory health in Portugal. The country shares the worldwide necessity of standardisation of methods and contextual data to increase the reach of epidemiological studies on household air pollution, allowing a weighted evaluation of interventions and policies focused on reducing the associated respiratory morbidity.

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来源期刊
Pulmonology
Pulmonology Medicine-Pulmonary and Respiratory Medicine
CiteScore
14.30
自引率
5.10%
发文量
159
审稿时长
19 days
期刊介绍: Pulmonology (previously Revista Portuguesa de Pneumologia) is the official journal of the Portuguese Society of Pulmonology (Sociedade Portuguesa de Pneumologia/SPP). The journal publishes 6 issues per year and focuses on respiratory system diseases in adults and clinical research. It accepts various types of articles including peer-reviewed original articles, review articles, editorials, and opinion articles. The journal is published in English and is freely accessible through its website, as well as Medline and other databases. It is indexed in Science Citation Index Expanded, Journal of Citation Reports, Index Medicus/MEDLINE, Scopus, and EMBASE/Excerpta Medica.
期刊最新文献
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