J Korean Med Assoc.  2017 May;60(5):391-398. 10.5124/jkma.2017.60.5.391.

Adverse health effects of particulate matter

Affiliations
  • 1Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea. jsw@gilhospital.com

Abstract

Particulate matter (PM) is known to have serious health effects in individuals with respiratory or cardiovascular disease. Recent studies have shown that they also have noxious effects on cerebrovascular, metabolic, and neuropsychiatric disorders, as well as pregnancy. The aim of this study is to review the various diseases associated with PM in each human organ. Regarding respiratory diseases, PM has been associated with increased acute exacerbation in patients with chronic obstructive pulmonary disease, bronchial asthma, and several other respiratory diseases, resulting in increased hospitalization and mortality. In addition, PM increases the risk of lung cancer and accelerates the decline of lung function. Individuals with cardiovascular conditions such as ischemic heart disease, heart failure, hypertension, arrhythmia, and atherosclerosis have been also found to exhibit increased morbidity and mortality when exposed to PM. PM also has been reported to cause insulin resistance and to induce increasing rates of diabetes. During pregnancy, prolonged exposure to PM has been associated with increased rates of low birth weight and preterm birth. In individuals with neurological diseases, exposure to PM reduces cognitive ability and memory, and increases stroke incidence. It has been reported that PM also exacerbates psychiatric conditions, particularly depression and anxiety disorder. Thus, PM has been shown to exert very noxious health effects on the human body, with impacts including effects on respiratory and cerebrovascular diseases, cardiovascular diseases, neuropsychiatric diseases, and low birth weight.

Keyword

Asthma; Cardiovascular diseases; Lung neoplasms; Particulate matter; Pulmonary diseases

MeSH Terms

Anxiety Disorders
Arrhythmias, Cardiac
Asthma
Atherosclerosis
Cardiovascular Diseases
Cerebrovascular Disorders
Depression
Female
Heart Failure
Hospitalization
Human Body
Humans
Hypertension
Incidence
Infant, Low Birth Weight
Infant, Newborn
Insulin Resistance
Lung
Lung Diseases
Lung Neoplasms
Memory
Mortality
Myocardial Ischemia
Particulate Matter*
Pregnancy
Pregnancy, Prolonged
Premature Birth
Pulmonary Disease, Chronic Obstructive
Stroke
Particulate Matter

Figure

  • Figure 1 Overview of diseases conditions and biomarkers affected by the particulate matter (Modified from Thurston GD, et al. Eur Respir J 2017 Jan 11 [Epub]. https://doi.org/10.1183/13993003.00419-2016) [8].


Cited by  2 articles

Particulate-Matter Related Respiratory Diseases
Sun Young Kyung, Sung Hwan Jeong
Tuberc Respir Dis. 2020;83(2):116-121.    doi: 10.4046/trd.2019.0025.

A study on the correlation between outbreak of allergic rhinitis and airborne pollen in September
Jong Seok Kim, ye Joo So, Jeong Hee Kim, Dae Hyun Lim
Allergy Asthma Respir Dis. 2019;7(4):192-198.    doi: 10.4168/aard.2019.7.4.192.


Reference

1. World Health Organization. WHO air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide [Internet]. Geneva: World Health Organization;2005. cited 2017 May 2. Available from: http://whqlibdoc.who.int/hq/2006/WHO_SDE_PHE_OEH_06.02_eng.pdfhttp://whqlibdoc.who.int/hq/2006/WHO_SDE_PHE_OEH_06.02_eng.pdf.
2. Dockery DW, Pope CA 3rd, Xu X, Spengler JD, Ware JH, Fay ME, Ferris BG Jr, Speizer FE. An association between air pollution and mortality in six U.S. cities. N Engl J Med. 1993; 329:1753–1759.
Article
3. Pope CA 3rd, Burnett RT, Thun MJ, Calle EE, Krewski D, Ito K, Thurston GD. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA. 2002; 287:1132–1141.
Article
4. World Health Organization Regional Office for Europe. Review of evidence on health aspects of air pollution: REVIHAAP project [Internet]. Copenhagen: World Health Organization Regional Office for Europe;2013. cited 2017 May 2. Available from: http://www.euro.who.int/__data/assets/pdf_file/0004/193108/REVIHAAP-Final-technical-report-final-version.pdf?ua=1.
5. Raaschou-Nielsen O, Andersen ZJ, Beelen R, Samoli E, Stafoggia M, Weinmayr G, Hoffmann B, Fischer P, Nieuwenhuijsen MJ, Brunekreef B, Xun WW, Katsouyanni K, Dimakopoulou K, Sommar J, Forsberg B, Modig L, Oudin A, Oftedal B, Schwarze PE, Nafstad P, De Faire U, Pedersen NL, Ostenson CG, Fratiglioni L, Penell J, Korek M, Pershagen G, Eriksen KT, Sorensen M, Tjonneland A, Ellermann T, Eeftens M, Peeters PH, Meliefste K, Wang M, Bueno-de-Mesquita B, Key TJ, de Hoogh K, Concin H, Nagel G, Vilier A, Grioni S, Krogh V, Tsai MY, Ricceri F, Sacerdote C, Galassi C, Migliore E, Ranzi A, Cesaroni G, Badaloni C, Forastiere F, Tamayo I, Amiano P, Dorronsoro M, Trichopoulou A, Bamia C, Vineis P, Hoek G. Air pollution and lung cancer incidence in 17 European cohorts: prospective analyses from the European Study of Cohorts for Air Pollution Effects (ESCAPE). Lancet Oncol. 2013; 14:813–822.
Article
6. International Agency for Research on Cancer. Air pollution and cancer [Internet]. Lyon: International Agency for Research on Cancer;2013. cited 2017 May 2. Available from: http://www.iarc.fr/en/publications/books/sp161/AirPollutionandCancer161.pdf.
7. World Health Organization. Ambient air pollution: a global assessment of exposure and burden of disease [Internet]. Geneva: World Health Organization;2016. cited 2017 May 2. Available from: http://apps.who.int/iris/bitstream/10665/250141/1/9789241511353-eng.pdf?ua=1.
8. Thurston GD, Kipen H, Annesi-Maesano I, Balmes J, Brook RD, Cromar K, De Matteis S, Forastiere F, Forsberg B, Frampton MW, Grigg J, Heederik D, Kelly FJ, Kuenzli N, Laumbach R, Peters A, Rajagopalan ST, Rich D, Ritz B, Samet JM, Sandstrom T, Sigsgaard T, Sunyer J, Brunekreef B. A joint ERS/ATS policy statement: what constitutes an adverse health effect of air pollution? An analytical framework. Eur Respir J. 2017; 01. 11. [Epub]. DOI: 10.1183/13993003.00419-2016.
Article
9. Ministry of Environment. What is the particulate matter? [Internet]. Sejong: Ministry of Environment;2016. cited 2017 May 2. Available from: http://www.me.go.kr/ebook/svs/gt/view/159.
10. Atkinson RW, Kang S, Anderson HR, Mills IC, Walton HA. Epidemiological time series studies of PM2.5 and daily mortality and hospital admissions: a systematic review and meta-analysis. Thorax. 2014; 69:660–665.
Article
11. Gauderman WJ, McConnell R, Gilliland F, London S, Thomas D, Avol E, Vora H, Berhane K, Rappaport EB, Lurmann F, Margolis HG, Peters J. Association between air pollution and lung function growth in southern California children. Am J Respir Crit Care Med. 2000; 162(4 Pt 1):1383–1390.
Article
12. Gehring U, Gruzieva O, Agius RM, Beelen R, Custovic A, Cyrys J, Eeftens M, Flexeder C, Fuertes E, Heinrich J, Hoffmann B, de Jongste JC, Kerkhof M, Klumper C, Korek M, Molter A, Schultz ES, Simpson A, Sugiri D, Svartengren M, von Berg A, Wijga AH, Pershagen G, Brunekreef B. Air pollution exposure and lung function in children: the ESCAPE project. Environ Health Perspect. 2013; 121:1357–1364.
Article
13. Downs SH, Schindler C, Liu LJ, Keidel D, Bayer-Oglesby L, Brutsche MH, Gerbase MW, Keller R, Kunzli N, Leuenberger P, Probst-Hensch NM, Tschopp JM, Zellweger JP, Rochat T, Schwartz J, Ackermann-Liebrich U. SAPALDIA Team. Reduced exposure to PM10 and attenuated age-related decline in lung function. N Engl J Med. 2007; 357:2338–2347.
Article
14. Gan WQ, FitzGerald JM, Carlsten C, Sadatsafavi M, Brauer M. Associations of ambient air pollution with chronic obstructive pulmonary disease hospitalization and mortality. Am J Respir Crit Care Med. 2013; 187:721–727.
Article
15. Kyung SY, Kim YS, Kim WJ, Park MS, Song WJ, Yum H, Yoon HK, Rhee CK, Jeong SH. Guideline for the prevention and management of particulate matter/Asian dust particle-induced adverse health effect on the patients with pulmonary diseases. J Korean Med Assoc. 2015; 58:1060–1069.
Article
16. Schikowski T, Adam M, Marcon A, Cai Y, Vierkotter A, Carsin AE, Jacquemin B, Al Kanani Z, Beelen R, Birk M, Bridevaux PO, Brunekeef B, Burney P, Cirach M, Cyrys J, de Hoogh K, de Marco R, de Nazelle A, Declercq C, Forsberg B, Hardy R, Heinrich J, Hoek G, Jarvis D, Keidel D, Kuh D, Kuhlbusch T, Migliore E, Mosler G, Nieuwenhuijsen MJ, Phuleria H, Rochat T, Schindler C, Villani S, Tsai MY, Zemp E, Hansell A, Kauffmann F, Sunyer J, Probst-Hensch N, Kramer U, Kunzli N. Association of ambient air pollution with the prevalence and incidence of COPD. Eur Respir J. 2014; 44:614–626.
Article
17. Guarnieri M, Balmes JR. Outdoor air pollution and asthma. Lancet. 2014; 383:1581–1592.
Article
18. Yang HJ, Kim SH, Jang AS, Kim SH, Song WJ, Kim TB, Ye YM, Yoo Y, Yu J, Yoon JS, Jee HM, Suh DI, Kim CW. Guideline for the prevention and management of particulate matter/yellow dust-induced adverse health effects on the patients with bronchial asthma. J Korean Med Assoc. 2015; 58:1034–1043.
Article
19. MacIntyre EA, Gehring U, Molter A, Fuertes E, Klumper C, Kramer U, Quass U, Hoffmann B, Gascon M, Brunekreef B, Koppelman GH, Beelen R, Hoek G, Birk M, de Jongste JC, Smit HA, Cyrys J, Gruzieva O, Korek M, Bergstrom A, Agius RM, de Vocht F, Simpson A, Porta D, Forastiere F, Badaloni C, Cesaroni G, Esplugues A, Fernandez-Somoano A, Lerxundi A, Sunyer J, Cirach M, Nieuwenhuijsen MJ, Pershagen G, Heinrich J. Air pollution and respiratory infections during early childhood: an analysis of 10 European birth cohorts within the ESCAPE Project. Environ Health Perspect. 2014; 122:107–113.
Article
20. Cai Y, Schikowski T, Adam M, Buschka A, Carsin AE, Jacquemin B, Marcon A, Sanchez M, Vierkotter A, Al-Kanaani Z, Beelen R, Birk M, Brunekreef B, Cirach M, Clavel-Chapelon F, Declercq C, de Hoogh K, de Nazelle A, Ducret-Stich RE, Valeria Ferretti V, Forsberg B, Gerbase MW, Hardy R, Heinrich J, Hoek G, Jarvis D, Keidel D, Kuh D, Nieuwenhuijsen MJ, Ragettli MS, Ranzi A, Rochat T, Schindler C, Sugiri D, Temam S, Tsai MY, Varraso R, Kauffmann F, Kramer U, Sunyer J, Kunzli N, Probst-Hensch N, Hansell AL. Cross-sectional associations between air pollution and chronic bronchitis: an ESCAPE meta-analysis across five cohorts. Thorax. 2014; 69:1005–1014.
Article
21. Suhaimi NF, Jalaludin J. Biomarker as a research tool in linking exposure to air particles and respiratory health. Biomed Res Int. 2015; 2015:962853.
Article
22. Puett RC, Hart JE, Yanosky JD, Paciorek C, Schwartz J, Suh H, Speizer FE, Laden F. Chronic fine and coarse particulate exposure, mortality, and coronary heart disease in the Nurses' Health Study. Environ Health Perspect. 2009; 117:1697–1701.
Article
23. Cesaroni G, Forastiere F, Stafoggia M, Andersen ZJ, Badaloni C, Beelen R, Caracciolo B, de Faire U, Erbel R, Eriksen KT, Fratiglioni L, Galassi C, Hampel R, Heier M, Hennig F, Hilding A, Hoffmann B, Houthuijs D, Jockel KH, Korek M, Lanki T, Leander K, Magnusson PK, Migliore E, Ostenson CG, Overvad K, Pedersen NL, J JP, Penell J, Pershagen G, Pyko A, Raaschou-Nielsen O, Ranzi A, Ricceri F, Sacerdote C, Salomaa V, Swart W, Turunen AW, Vineis P, Weinmayr G, Wolf K, de Hoogh K, Hoek G, Brunekreef B, Peters A. Long term exposure to ambient air pollution and incidence of acute coronary events: prospective cohort study and meta-analysis in 11 European cohorts from the ESCAPE Project. BMJ. 2014; 348:f7412.
Article
24. Shah AS, Langrish JP, Nair H, McAllister DA, Hunter AL, Donaldson K, Newby DE, Mills NL. Global association of air pollution and heart failure: a systematic review and meta-analysis. Lancet. 2013; 382:1039–1048.
Article
25. Link MS, Dockery DW. Air pollution and the triggering of cardiac arrhythmias. Curr Opin Cardiol. 2010; 25:16–22.
Article
26. Chen H, Burnett RT, Kwong JC, Villeneuve PJ, Goldberg MS, Brook RD, van Donkelaar A, Jerrett M, Martin RV, Kopp A, Brook JR, Copes R. Spatial association between ambient fine particulate matter and incident hypertension. Circulation. 2014; 129:562–569.
Article
27. Kunzli N, Jerrett M, Mack WJ, Beckerman B, LaBree L, Gilliland F, Thomas D, Peters J, Hodis HN. Ambient air pollution and atherosclerosis in Los Angeles. Environ Health Perspect. 2005; 113:201–206.
Article
28. Kim IS, Jang JY, Kim TH, Park J, Shim J, Kim JB, Byun YS, Sung JH, Yoon YW, Kim JY, Cho YJ, Kim C, Joung B. Guidelines for the prevention and management of cardiovascular disease associated with fine dust/Asian dust exposure. Korean Med Assoc. 2015; 58:1044–1059.
Article
29. Rao X, Patel P, Puett R, Rajagopalan S. Air pollution as a risk factor for type 2 diabetes. Toxicol Sci. 2015; 143:231–241.
Article
30. Eze IC, Hemkens LG, Bucher HC, Hoffmann B, Schindler C, Kunzli N, Schikowski T, Probst-Hensch NM. Association between ambient air pollution and diabetes mellitus in Europe and North America: systematic review and meta-analysis. Environ Health Perspect. 2015; 123:381–389.
Article
31. McIntire DD, Bloom SL, Casey BM, Leveno KJ. Birth weight in relation to morbidity and mortality among newborn infants. N Engl J Med. 1999; 340:1234–1238.
Article
32. Pedersen M, Giorgis-Allemand L, Bernard C, Aguilera I, Andersen AM, Ballester F, Beelen RM, Chatzi L, Cirach M, Danileviciute A, Dedele A, Eijsden Mv, Estarlich M, Fernandez-Somoano A, Fernandez MF, Forastiere F, Gehring U, Grazuleviciene R, Gruzieva O, Heude B, Hoek G, de Hoogh K, van den Hooven EH, Haberg SE, Jaddoe VW, Klumper C, Korek M, Kramer U, Lerchundi A, Lepeule J, Nafstad P, Nystad W, Patelarou E, Porta D, Postma D, Raaschou-Nielsen O, Rudnai P, Sunyer J, Stephanou E, Sorensen M, Thiering E, Tuffnell D, Varro MJ, Vrijkotte TG, Wijga A, Wilhelm M, Wright J, Nieuwenhuijsen MJ, Pershagen G, Brunekreef B, Kogevinas M, Slama R. Ambient air pollution and low birth-weight: a European cohort study (ESCAPE). Lancet Respir Med. 2013; 1:695–704.
Article
33. Ailshire JA, Crimmins EM. Fine particulate matter air pollution and cognitive function among older US adults. Am J Epidemiol. 2014; 180:359–366.
Article
34. Wang Y, Eliot MN, Koutrakis P, Gryparis A, Schwartz JD, Coull BA, Mittleman MA, Milberg WP, Lipsitz LA, Wellenius GA. Ambient air pollution and depressive symptoms in older adults: results from the MOBILIZE Boston study. Environ Health Perspect. 2014; 122:553–558.
Article
35. Brauer M. Air pollution, stroke, and anxiety. BMJ. 2015; 350:h1510.
Article
36. Power MC, Kioumourtzoglou MA, Hart JE, Okereke OI, Laden F, Weisskopf MG. The relation between past exposure to fine particulate air pollution and prevalent anxiety: observational cohort study. BMJ. 2015; 350:h1111.
Article
Full Text Links
  • JKMA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr