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Association between Exposure to Ambient Air Pollution and Age-Related Cataract: A Nationwide Population-Based Retrospective Cohort Study

Author

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  • Jinyoung Shin

    (Department of Family Medicine, Konkuk University Medical Center, Seoul 05030, Korea)

  • Hyungwoo Lee

    (Department of Ophthalmology, Konkuk University Medical Center, Seoul 05030, Korea)

  • Hyeongsu Kim

    (Department of Preventive Medicine, Konkuk University School of Medicine, Seoul 05030, Korea)

Abstract

This study aimed to investigate the association between ambient air pollutants and cataracts in the general population aged 50 years or older using data from the Korean National Insurance Service—National Sample Cohort. Cataract patients were defined as those diagnosed by a physician and having undergone cataract surgery. After matching the average concentrations of PM 2.5 , PM 10 , NO 2 , CO, SO 2 , and O 3 in residential areas, the association between quartile level of air pollutants and incidence of cataract was analyzed using a multivariate Cox-proportional hazard risk model. Among the 115,728 participants, 16,814 (14.5%) were newly diagnosed with cataract and underwent related surgery between 1 January 2004, and 31 December 2015. Exposure to PM 10 , NO 2 , and SO 2 was positively associated with cataract incidence, while O 3 was negatively associated. The adjusted hazard ratio (HR) with 95% confidence interval was 1.069 (1.025–1.115) in PM 10 and 1.080 (1.030–1.133) in NO 2 . However, the association between cataract and the quartile of PM 2.5 measured during one year in 2015 was not clear. The HR of female participants aged 65 or older was significantly increased according to quartile of air pollutants. We identified exposure to PM 10 , NO 2 , SO 2 , and O 3 associated with cataract development in Korean adults aged ≥ 50 years. This information may be helpful for policymaking to control air pollution as a risk factor for eye health.

Suggested Citation

  • Jinyoung Shin & Hyungwoo Lee & Hyeongsu Kim, 2020. "Association between Exposure to Ambient Air Pollution and Age-Related Cataract: A Nationwide Population-Based Retrospective Cohort Study," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9231-:d:459886
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    References listed on IDEAS

    as
    1. Jinyoung Shin & Seol-Heui Han & Jaekyung Choi, 2019. "Exposure to Ambient Air Pollution and Cognitive Impairment in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 16(19), pages 1-13, October.
    2. Jia-Yu Zhong & Yuan-Chieh Lee & Chia-Jung Hsieh & Chun-Chieh Tseng & Lih-Ming Yiin, 2018. "Association between Dry Eye Disease, Air Pollution and Weather Changes in Taiwan," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
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    Cited by:

    1. Chiyou Song & Chris Chaeha Lim & Birhan Legese Gurmu & Mingi Kim & Sangoon Lee & Jinsoo Park & Sungroul Kim, 2023. "Comparison of Personal or Indoor PM 2.5 Exposure Level to That of Outdoor: Over Four Seasons in Selected Urban, Industrial, and Rural Areas of South Korea: (K-IOP Study)," IJERPH, MDPI, vol. 20(17), pages 1-12, August.
    2. Chin-Shyan Chen & Conmin Chen & Tsai-Ching Liu, 2022. "Dust Storms Increase the Risk of Age-Related Macular Degeneration," IJERPH, MDPI, vol. 19(12), pages 1-13, June.

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