国内生物质燃料暴露与肺功能之间关系的研究:系统综述和荟萃分析

IF 2.9 4区环境科学与生态学 Q3 ENVIRONMENTAL SCIENCES

Air Quality Atmosphere and Health Pub Date : 2023-08-31 DOI:10.1007/s11869-023-01421-1

Ankit Viramgami, Ankit Sheth, Bhavani Shankara Bagepally, Rakesh Balachandar

引用次数: 0

摘要

接触生物质燃料是一种健康危害，会增加患慢性肺病的风险。目前的研究旨在通过系统回顾和荟萃分析来调查与生物质燃料烟雾暴露相关的肺功能障碍程度。本研究在普洛斯彼罗国际前瞻性系统评价注册中心注册(CRD42021277664)，在执行过程中遵循了系统评价和元分析2020指南的首选报告项目。从PubMed、Scopus和EMBASE数据库建立到2022年9月22日，系统地检索了比较暴露于生物质燃料和未暴露于生物质燃料/暴露于清洁能源燃料的生物质燃料之间肺功能的研究。汇总纳入研究中用力肺活量(FVC)、第一秒用力呼气量(FEV1)、呼气峰流量(PEFR)、FEV1、FVC和FVC呼气中流量的比值(FEF25%-75%)、阻塞性、限制性和COPD患病率的平均差异。异质性(I2统计量和Cochran-Q检验)、偏倚风险(纽卡斯尔渥太华量表、漏斗图和egger检验)亚组、敏感性和meta回归分析尽可能进行。从13461次引用中筛选出37项研究适合本综述。FVC、FEV1、FEV1/FVC、fef25% ~ 75%、PEFR平均差值为-0.25L (-0.33 ~ -0.17;n = 27, I2 = 95.47%)， -0.27L (-0.37 ~ -0.18;n = 28, I2 = 96.84%)， -3.12% (-4.08 ~ -2.16;n = 27, I2 = 91.7%)， -0.45 L/s (-0.57 ~ -0.32;I2 = 79.98%), n = 13日和-0.38 l / s(-0.47到-0.3;n = 16, I2 = 94.3%)。敏感性、亚组和meta回归分析不影响全局结果。大多数研究在参与者选择、评估和组间可比性方面存在较高的偏倚风险。综合证据表明，与使用清洁能源相比，接触生物质燃料烟雾对肺功能有害，并增加肺部发病率。有趣的是，无论是否吸烟，暴露于生物质烟雾都会增加限制性和阻塞性肺变化的风险。这些观察结果阻碍了生物质燃料的使用，并提醒利益相关者鼓励清洁能源替代品。

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

Air Quality Atmosphere and Health ENVIRONMENTAL SCIENCES-

CiteScore

8.80

自引率

2.00%

发文量

146

审稿时长

>12 weeks

期刊介绍： Air Quality, Atmosphere, and Health is a multidisciplinary journal which, by its very name, illustrates the broad range of work it publishes and which focuses on atmospheric consequences of human activities and their implications for human and ecological health. It offers research papers, critical literature reviews and commentaries, as well as special issues devoted to topical subjects or themes. International in scope, the journal presents papers that inform and stimulate a global readership, as the topic addressed are global in their import. Consequently, we do not encourage submission of papers involving local data that relate to local problems. Unless they demonstrate wide applicability, these are better submitted to national or regional journals. Air Quality, Atmosphere & Health addresses such topics as acid precipitation; airborne particulate matter; air quality monitoring and management; exposure assessment; risk assessment; indoor air quality; atmospheric chemistry; atmospheric modeling and prediction; air pollution climatology; climate change and air quality; air pollution measurement; atmospheric impact assessment; forest-fire emissions; atmospheric science; greenhouse gases; health and ecological effects; clean air technology; regional and global change and satellite measurements. This journal benefits a diverse audience of researchers, public health officials and policy makers addressing problems that call for solutions based in evidence from atmospheric and exposure assessment scientists, epidemiologists, and risk assessors. Publication in the journal affords the opportunity to reach beyond defined disciplinary niches to this broader readership.