Association between exposure to air pollution and risk of Dyssomnia: a systematic review and meta-analysis.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Archives of Occupational and Environmental Health Pub Date : 2025-03-27 DOI:10.1007/s00420-025-02137-8

Zhiqiu Cao, Xintao Shi, Li Sun, Zhanhong Fan, Akinyemi Lydia Idowu, Feng Zhang

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引用次数: 0

Abstract

Background: Typically affecting people's quality of life, dyssomnia is among the most prevalent chronic illnesses worldwide. A positive correlation between air pollution and dyssomnia has been demonstrated by epidemiological research. However, no meta-analyses evaluating the relationship between the prevalence of dyssomnia in people of all ages and air pollutants (PM_2.5, PM₁₀, NO₂, SO₂, and O₃) were found.

Objectives: Conduct a meta-analysis utilizing data from current studies (until 2024) to provide reliable insights into the relationship between air pollution exposure and the likelihood of dyssomnia prevalence.

Methods: We systematically searched three databases for studies on air pollution and dyssomnia up to January 15, 2024. Random-effects models were used to estimate the pooled odds ratios (ORs) and 95% confidence intervals (95% CIs). Subgroup analyses, funnel plots, and meta-regression analyses were also performed.

Results: There were 11 studies from 4 different nations that involved 3,328,183 participants in total. The odds ratios (ORs) for PM_2.5 and PM₁₀ were 1.29 (1.16-1.44) and 1.13 (1.03-1.23) per 10 µg/m³ increase in pollutants, respectively. The OR per 10 µg/m³ increment of gaseous pollutants were 1.06 (1.00-1.12) for NO₂ and 1.16 (1.04-1.31) for O₃. No significant association was observed between SO₂ and dyssomnia. Adults are more sensitive to air pollution than children or adolescents for that the effects of PM_2.5、PM₁₀ and SO₂ were significantly stronger in adults than children or adolescents. The effect of air pollution on dyssomnia was more significant in developed countries than in developing countries. There was a difference in the subgroup test for PM₁₀ between developed and developing countries.

Conclusion: This meta-analysis implies the relationship between the air pollution and dyssomnia. Economic status and age may influence the effect. It was suggested to provide guidance for disease prevention and explored potential avenues for further research.

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暴露于空气污染与睡眠障碍风险之间的关系：一项系统综述和荟萃分析。

背景：睡眠障碍通常影响人们的生活质量，是世界上最普遍的慢性疾病之一。流行病学研究表明，空气污染与睡眠障碍之间存在正相关关系。然而，没有发现评估所有年龄段人群中睡眠障碍患病率与空气污染物（PM2.5, PM10, NO2， SO2和O3）之间关系的meta分析。目的：利用当前研究（至2024年）的数据进行荟萃分析，为空气污染暴露与睡眠障碍患病率之间的关系提供可靠的见解。方法：系统检索截至2024年1月15日的3个数据库中有关空气污染与睡眠障碍的研究。随机效应模型用于估计合并优势比（ORs）和95%置信区间（95% ci）。还进行了亚组分析、漏斗图和元回归分析。结果：来自4个不同国家的11项研究共涉及3,328,183名参与者。PM2.5和PM10的比值比（ORs）分别为1.29（1.16-1.44）和1.13（1.03-1.23）。NO2和O3的OR值分别为1.06（1.00-1.12）和1.16（1.04-1.31）。SO2与睡眠障碍之间无显著关联。成人对空气污染的敏感性高于儿童或青少年，PM2.5、PM10和SO2对成人的影响明显强于儿童或青少年。空气污染对睡眠障碍的影响在发达国家比在发展中国家更为显著。发达国家和发展中国家的PM10亚组检测存在差异。结论：本荟萃分析提示了空气污染与睡眠障碍之间的关系。经济状况和年龄可能会影响效果。建议为疾病预防提供指导，并探讨进一步研究的可能途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.