Association between Air Pollution and the Development of Rheumatic Disease: A Systematic Review.

IF 2.3 Q2 RHEUMATOLOGY
International Journal of Rheumatology Pub Date : 2016-01-01 Epub Date: 2016-10-25 DOI:10.1155/2016/5356307
Gavin Sun, Glen Hazlewood, Sasha Bernatsky, Gilaad G Kaplan, Bertus Eksteen, Cheryl Barnabe
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引用次数: 0

Abstract

Objective. Environmental risk factors, such as air pollution, have been studied in relation to the risk of development of rheumatic diseases. We performed a systematic literature review to summarize the existing knowledge. Methods. MEDLINE (1946 to September 2016) and EMBASE (1980 to 2016, week 37) databases were searched using MeSH terms and keywords to identify cohort, case-control, and case cross-over studies reporting risk estimates for the development of select rheumatic diseases in relation to exposure of measured air pollutants (n = 8). We extracted information on the population sample and study period, method of case and exposure determination, and the estimate of association. Results. There was no consistent evidence of an increased risk for the development of rheumatoid arthritis (RA) with exposure to NO2, SO2, PM2.5, or PM10. Case-control studies in systemic autoimmune rheumatic diseases (SARDs) indicated higher odds of diagnosis with increasing PM2.5 exposure, as well as an increased relative risk for juvenile idiopathic arthritis (JIA) in American children <5.5 years of age. There was no association with SARDs and NO2 exposure. Conclusion. There is evidence for a possible association between air pollutant exposures and the development of SARDs and JIA, but relationships with other rheumatic diseases are less clear.

空气污染与风湿病发病之间的关系:系统回顾
目的。人们研究了空气污染等环境风险因素与风湿病发病风险的关系。我们进行了系统的文献综述,以总结现有的知识。研究方法使用 MeSH 术语和关键词对 MEDLINE(1946 年至 2016 年 9 月)和 EMBASE(1980 年至 2016 年,第 37 周)数据库进行了检索,以确定报告与暴露于测量的空气污染物有关的特定风湿性疾病发病风险估计的队列、病例对照和病例交叉研究(n = 8)。我们提取了有关人口样本和研究时期、病例和暴露确定方法以及关联估计值的信息。研究结果没有一致的证据表明,暴露于二氧化氮、二氧化硫、PM2.5 或 PM10 会增加类风湿性关节炎(RA)的发病风险。对全身性自身免疫性风湿病(SARDs)的病例对照研究表明,随着PM2.5暴露量的增加,确诊的几率也会增加,美国儿童患幼年特发性关节炎(JIA)的相对风险也会增加。结论。有证据表明,暴露于空气污染物可能与 SARDs 和 JIA 的发病有关,但与其他风湿性疾病的关系则不太清楚。
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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
9
审稿时长
24 weeks
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