Britta Rackow , Hans-Helmut König , Maurice Wall , Claudia Konnopka
{"title":"空气污染、天气状况和健康风险之间的相互作用:系统综述","authors":"Britta Rackow , Hans-Helmut König , Maurice Wall , Claudia Konnopka","doi":"10.1016/j.scitotenv.2025.180080","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Both weather and air pollution can harm public health. However, the evidence on the synergistic effects of both remains inconclusive. Therefore, the aim of this study was to summarise the evidence regarding the bidirectional interaction between weather, air pollution, and their effects on health.</div></div><div><h3>Method</h3><div>We searched PubMed and Web of Science for studies from Europe or North America published from 2010 to 2024. The results of all study outcomes were narratively synthesised and grouped by pollutants, weather parameters, and health outcomes.</div></div><div><h3>Results</h3><div>Among 62 included studies, we examined results for ozone (O₃) (<em>n</em> = 39), particulate matter smaller than 10 μm (PM₁₀) (<em>n</em> = 18) and 2.5 μm (PM₂.₅) (<em>n</em> = 35), and nitrogen dioxide (NO₂) (<em>n</em> = 20). Findings revealed an interactive effect between high temperatures and O₃, PM₁₀, and PM₂.₅ on mortality; PM₁₀ on cardiovascular; and PM₂.₅ on respiratory diseases. Stronger O₃ effects appeared in tropical weather for all-cause and cardiovascular mortality and O₃/PM₂.₅ in transitional weather for respiratory mortality. Evidence of cold-air pollution interactions was limited, aside from PM₂.₅’s effects on cardiovascular morbidity and childhood asthma. For NO₂, we observed some synergistic effects with high temperatures on overall mortality and mental and neurological diseases. Overall risk of bias was low to moderate, but some studies had a higher risk due to missing confounders.</div></div><div><h3>Conclusion</h3><div>Future work should focus on weather warning systems that integrate both extreme weather and air pollution. Additionally, researchers should fill evidence gaps beyond temperature effects on health, and perform subgroup analysis across diverse regions, climates, and populations to incorporate an international perspective.</div></div>","PeriodicalId":422,"journal":{"name":"Science of the Total Environment","volume":"996 ","pages":"Article 180080"},"PeriodicalIF":8.0000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The interaction between air pollution, weather conditions, and health risks: a systematic review\",\"authors\":\"Britta Rackow , Hans-Helmut König , Maurice Wall , Claudia Konnopka\",\"doi\":\"10.1016/j.scitotenv.2025.180080\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Both weather and air pollution can harm public health. However, the evidence on the synergistic effects of both remains inconclusive. Therefore, the aim of this study was to summarise the evidence regarding the bidirectional interaction between weather, air pollution, and their effects on health.</div></div><div><h3>Method</h3><div>We searched PubMed and Web of Science for studies from Europe or North America published from 2010 to 2024. The results of all study outcomes were narratively synthesised and grouped by pollutants, weather parameters, and health outcomes.</div></div><div><h3>Results</h3><div>Among 62 included studies, we examined results for ozone (O₃) (<em>n</em> = 39), particulate matter smaller than 10 μm (PM₁₀) (<em>n</em> = 18) and 2.5 μm (PM₂.₅) (<em>n</em> = 35), and nitrogen dioxide (NO₂) (<em>n</em> = 20). Findings revealed an interactive effect between high temperatures and O₃, PM₁₀, and PM₂.₅ on mortality; PM₁₀ on cardiovascular; and PM₂.₅ on respiratory diseases. Stronger O₃ effects appeared in tropical weather for all-cause and cardiovascular mortality and O₃/PM₂.₅ in transitional weather for respiratory mortality. Evidence of cold-air pollution interactions was limited, aside from PM₂.₅’s effects on cardiovascular morbidity and childhood asthma. For NO₂, we observed some synergistic effects with high temperatures on overall mortality and mental and neurological diseases. Overall risk of bias was low to moderate, but some studies had a higher risk due to missing confounders.</div></div><div><h3>Conclusion</h3><div>Future work should focus on weather warning systems that integrate both extreme weather and air pollution. Additionally, researchers should fill evidence gaps beyond temperature effects on health, and perform subgroup analysis across diverse regions, climates, and populations to incorporate an international perspective.</div></div>\",\"PeriodicalId\":422,\"journal\":{\"name\":\"Science of the Total Environment\",\"volume\":\"996 \",\"pages\":\"Article 180080\"},\"PeriodicalIF\":8.0000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Science of the Total Environment\",\"FirstCategoryId\":\"93\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0048969725017206\",\"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}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Science of the Total Environment","FirstCategoryId":"93","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0048969725017206","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}
The interaction between air pollution, weather conditions, and health risks: a systematic review
Introduction
Both weather and air pollution can harm public health. However, the evidence on the synergistic effects of both remains inconclusive. Therefore, the aim of this study was to summarise the evidence regarding the bidirectional interaction between weather, air pollution, and their effects on health.
Method
We searched PubMed and Web of Science for studies from Europe or North America published from 2010 to 2024. The results of all study outcomes were narratively synthesised and grouped by pollutants, weather parameters, and health outcomes.
Results
Among 62 included studies, we examined results for ozone (O₃) (n = 39), particulate matter smaller than 10 μm (PM₁₀) (n = 18) and 2.5 μm (PM₂.₅) (n = 35), and nitrogen dioxide (NO₂) (n = 20). Findings revealed an interactive effect between high temperatures and O₃, PM₁₀, and PM₂.₅ on mortality; PM₁₀ on cardiovascular; and PM₂.₅ on respiratory diseases. Stronger O₃ effects appeared in tropical weather for all-cause and cardiovascular mortality and O₃/PM₂.₅ in transitional weather for respiratory mortality. Evidence of cold-air pollution interactions was limited, aside from PM₂.₅’s effects on cardiovascular morbidity and childhood asthma. For NO₂, we observed some synergistic effects with high temperatures on overall mortality and mental and neurological diseases. Overall risk of bias was low to moderate, but some studies had a higher risk due to missing confounders.
Conclusion
Future work should focus on weather warning systems that integrate both extreme weather and air pollution. Additionally, researchers should fill evidence gaps beyond temperature effects on health, and perform subgroup analysis across diverse regions, climates, and populations to incorporate an international perspective.
期刊介绍:
The Science of the Total Environment is an international journal dedicated to scientific research on the environment and its interaction with humanity. It covers a wide range of disciplines and seeks to publish innovative, hypothesis-driven, and impactful research that explores the entire environment, including the atmosphere, lithosphere, hydrosphere, biosphere, and anthroposphere.
The journal's updated Aims & Scope emphasizes the importance of interdisciplinary environmental research with broad impact. Priority is given to studies that advance fundamental understanding and explore the interconnectedness of multiple environmental spheres. Field studies are preferred, while laboratory experiments must demonstrate significant methodological advancements or mechanistic insights with direct relevance to the environment.