Residential air pollution does not modify the positive association between physical activity and lung function in current smokers in the ECRHS study - Inserm - Institut national de la santé et de la recherche médicale
Article Dans Une Revue Environment International Année : 2018

Residential air pollution does not modify the positive association between physical activity and lung function in current smokers in the ECRHS study

1 ISGlobal - Instituto de Salud Global - Institute For Global Health [Barcelona]
2 CIBERESP - Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública = Consortium for Biomedical Research of Epidemiology and Public Health
3 Imperial College London
4 HMGU - Helmholtz Zentrum München = German Research Center for Environmental Health
5 LMU - Institut für Informatik [München/Munich]
6 Swiss Tropical and Public Health Institute [Basel]
7 UPF - Universitat Pompeu Fabra [Barcelona]
8 University of Melbourne
9 UNITO - Università degli studi di Torino = University of Turin
10 Fondazione IRCCS Policlinico San Matteo [Pavia]
11 Uppsala University
12 Landspitali National University Hospital of Iceland
13 UNSA - Universidad Nacional de San Agustín
14 NHLI - National Heart and Lung Institute [London]
15 University of Bristol [Bristol]
16 Sahlgrenska Academy at University of Gothenburg [Göteborg]
17 UiB - University of Bergen
18 PHERE (UMR_S_1152 / U1152) - Physiopathologie et Epidémiologie des Maladies Respiratoires
19 UNIVR - Università degli studi di Verona = University of Verona
20 Complejo Hospitalario Universitario de Albacete
21 UCLM - Universidad de Castilla-La Mancha = University of Castilla-La Mancha
22 Hospital de Galdacano [Biscay, Spain]
23 Unibas - Université de Bâle = University of Basel = Basel Universität
24 Universidad de Huelva
25 UGA [2016-2019] - Université Grenoble Alpes [2016-2019]
26 IAB - Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble)
27 Umeå University = Umeå Universitet
28 UA - University of Antwerp
29 VIMA - Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique
Déborah Jarvis
Ane Johannessen

Résumé

Background: Very few studies have examined whether a long-term beneficial effect of physical activity on lung function can be influenced by living in polluted urban areas. Objective: We assessed whether annual average residential concentrations of nitrogen dioxide (NO2) and particulate matter with aerodynamic diameters < 2.5 μm (PM2.5) and <10 μm (PM10) modify the effect of physical activity on lung function among never- (N = 2801) and current (N = 1719) smokers in the multi-center European Community Respiratory Health Survey. Methods: Associations between repeated assessments (at 27-57 and 39-67 years) of being physically active (physical activity: ≥2 times and ≥1 h per week) and forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were evaluated using adjusted mixed linear regression models. Models were conducted separately for never- and current smokers and stratified by residential long-term NO2, PM2.5 mass and PM10 mass concentrations (≤75th percentile (low/medium) versus >75th percentile (high)). Results: Among current smokers, physical activity and lung function were positively associated regardless of air pollution levels. Among never-smokers, physical activity was associated with lung function in areas with low/medium NO2, PM2.5 mass and PM10 mass concentrations (e.g. mean difference in FVC between active and non-active subjects was 43.0 mL (13.6, 72.5), 49.5 mL (20.1, 78.8) and 49.7 mL (18.6, 80.7), respectively), but these associations were attenuated in high air pollution areas. Only the interaction term of physical activity and PM10 mass for FEV1 among never-smokers was significant (p-value = 0.03). Conclusions: Physical activity has beneficial effects on adult lung function in current smokers, irrespective of residential air pollution levels in Western Europe. Trends among never-smokers living in high air pollution areas are less clear.
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Dates et versions

inserm-03156823 , version 1 (02-03-2021)

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Elaine Fuertes, Iana Markevych, Déborah Jarvis, Danielle Vienneau, Kees de Hoogh, et al.. Residential air pollution does not modify the positive association between physical activity and lung function in current smokers in the ECRHS study. Environment International, 2018, 120, pp.364-372. ⟨10.1016/j.envint.2018.07.032⟩. ⟨inserm-03156823⟩
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