Annie Doubleday, Magali Blanco, Sara D. Adar, Anjum Hajat, Ge Li, Eric B. Larson, Paul K. Crane, Lianne Sheppard
{"title":"Traffic-related air pollutant exposure and physical performance in the adult changes in thought cohort","authors":"Annie Doubleday, Magali Blanco, Sara D. Adar, Anjum Hajat, Ge Li, Eric B. Larson, Paul K. Crane, Lianne Sheppard","doi":"10.1016/j.envint.2025.109850","DOIUrl":null,"url":null,"abstract":"<h3>Background</h3>Declining physical function is common among older adults and is associated with reduced quality of life. There is little research on the relationship between air pollution and physical limitations, though exposure to air pollution is associated with many chronic conditions that lead to worsening physical function. This is especially true for several traffic-related air pollutants (TRAPs), as these pollutants can enter the circulatory system and lead to systemic inflammation.<h3>Methods</h3>We conducted a longitudinal analysis in the Adult Changes in Thought study, a cohort of 5,305 older adults in the Puget Sound region of Washington state enrolled between 1994–2020. We estimated long-term average air pollution concentrations at residential addresses using spatial prediction models and examined associations between several TRAPs (BC, NO<sub>2</sub>, and UFPs of various size ranges) and physical performance assessed using a modified version of the Short Physical Performance Battery (score 0–12). This measure combines three physical functioning assessments: chair-stand time, gait speed, and grip strength. We used linear mixed models to understand whether pollutant exposure was associated with physical performance, both cross-sectionally at baseline and longitudinally after adjustment for other risk factors.<h3>Results</h3>In models adjusted for baseline age, sex, race/ethnicity, education, neighborhood deprivation index and behavioral risk factors, 124 ng/m<sup>3</sup> higher 5-year average BC and 2.1 ppb higher 5-year NO<sub>2</sub> exposure were suggestive of faster declines in physical performance (−0.046; 95 % CI: −0.096, 0.004) and (−0.032; 95 %CI: −0.074, 0.01), equivalent to an additional 2.6 months (−0.4, 5.6) and 1.8 months (−0.7, 4.3) of aging over 5 years, respectively. Higher UFP exposure was not associated with changes in physical performance over time.<h3>Discussion</h3>This work suggests that air pollution from traffic may impact the physical function of older adults, though more research is needed to confirm these findings.","PeriodicalId":308,"journal":{"name":"Environment International","volume":"24 1","pages":""},"PeriodicalIF":9.7000,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Environment International","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1016/j.envint.2025.109850","RegionNum":1,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Declining physical function is common among older adults and is associated with reduced quality of life. There is little research on the relationship between air pollution and physical limitations, though exposure to air pollution is associated with many chronic conditions that lead to worsening physical function. This is especially true for several traffic-related air pollutants (TRAPs), as these pollutants can enter the circulatory system and lead to systemic inflammation.
Methods
We conducted a longitudinal analysis in the Adult Changes in Thought study, a cohort of 5,305 older adults in the Puget Sound region of Washington state enrolled between 1994–2020. We estimated long-term average air pollution concentrations at residential addresses using spatial prediction models and examined associations between several TRAPs (BC, NO2, and UFPs of various size ranges) and physical performance assessed using a modified version of the Short Physical Performance Battery (score 0–12). This measure combines three physical functioning assessments: chair-stand time, gait speed, and grip strength. We used linear mixed models to understand whether pollutant exposure was associated with physical performance, both cross-sectionally at baseline and longitudinally after adjustment for other risk factors.
Results
In models adjusted for baseline age, sex, race/ethnicity, education, neighborhood deprivation index and behavioral risk factors, 124 ng/m3 higher 5-year average BC and 2.1 ppb higher 5-year NO2 exposure were suggestive of faster declines in physical performance (−0.046; 95 % CI: −0.096, 0.004) and (−0.032; 95 %CI: −0.074, 0.01), equivalent to an additional 2.6 months (−0.4, 5.6) and 1.8 months (−0.7, 4.3) of aging over 5 years, respectively. Higher UFP exposure was not associated with changes in physical performance over time.
Discussion
This work suggests that air pollution from traffic may impact the physical function of older adults, though more research is needed to confirm these findings.
期刊介绍:
Environmental Health publishes manuscripts focusing on critical aspects of environmental and occupational medicine, including studies in toxicology and epidemiology, to illuminate the human health implications of exposure to environmental hazards. The journal adopts an open-access model and practices open peer review.
It caters to scientists and practitioners across all environmental science domains, directly or indirectly impacting human health and well-being. With a commitment to enhancing the prevention of environmentally-related health risks, Environmental Health serves as a public health journal for the community and scientists engaged in matters of public health significance concerning the environment.