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Effect of NO x and NO 2 Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland

Author

Listed:
  • Małgorzata Kowalska

    (Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, 40-055 Katowice, Poland)

  • Michał Skrzypek

    (Department of Biostatistics, School of Health Sciences in Bytom, Medical University of Silesia, 40-055 Katowice, Poland)

  • Michał Kowalski

    (Environmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, Germany)

  • Josef Cyrys

    (Environmental Exposure Assessment Group, Institute of Epidemiology, Helmholtz Zentrum München, 85764 Neuherberg, Germany)

Abstract

There is a discussion in Europe about the dominant role of air pollution for health effects, most researchers claim that the particulate matter is responsible for inflammatory processes in the respiratory system, while others underline the role of nitrogen dioxide. The aim of the study was to assess the risk related to NO x , NO 2 and PM 2.5 concentration increase and daily outpatient visits or hospitalization due to bronchitis and asthma exacerbation in the entire population of Silesian Voivodeship, Poland. To assess the relationship between daily pollutants concentrations and the number of outpatient visits or hospitalizations due to bronchitis and asthma (available in the regional registry), the multivariable log-linear Poisson regression model was used. Results were presented by relative risk (RR) of health outcomes related to the increase in pollutant concentration by unit (interquartile range). Obtained results confirmed a statistically significant association between outpatient visits and hospitalizations due to bronchitis and asthma exacerbation and daily nitrogen oxides concentrations in Silesian voivodeship, Poland. The strongest relationship was observed in the case of NO 2 and outpatient visits due to bronchitis, e.g., RR = 1.434 (1.308–1.571) for exposure expressed by the 50-day moving average concentration. In the case of hospitalizations, the health effect was lagged a few days in relation to the increase in exposure.

Suggested Citation

  • Małgorzata Kowalska & Michał Skrzypek & Michał Kowalski & Josef Cyrys, 2020. "Effect of NO x and NO 2 Concentration Increase in Ambient Air to Daily Bronchitis and Asthma Exacerbation, Silesian Voivodeship in Poland," IJERPH, MDPI, vol. 17(3), pages 1-9, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:754-:d:312779
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    References listed on IDEAS

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    1. Małgorzata Kowalska & Michał Skrzypek & Michał Kowalski & Josef Cyrys & Niewiadomska Ewa & Elżbieta Czech, 2019. "The Relationship between Daily Concentration of Fine Particulate Matter in Ambient Air and Exacerbation of Respiratory Diseases in Silesian Agglomeration, Poland," IJERPH, MDPI, vol. 16(7), pages 1-10, March.
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    Cited by:

    1. Yun-Gi Lee & Pureun-Haneul Lee & Seon-Muk Choi & Min-Hyeok An & An-Soo Jang, 2021. "Effects of Air Pollutants on Airway Diseases," IJERPH, MDPI, vol. 18(18), pages 1-17, September.
    2. Angelica I. Tiotiu & Plamena Novakova & Denislava Nedeva & Herberto Jose Chong-Neto & Silviya Novakova & Paschalis Steiropoulos & Krzysztof Kowal, 2020. "Impact of Air Pollution on Asthma Outcomes," IJERPH, MDPI, vol. 17(17), pages 1-29, August.
    3. Simeng Li, 2024. "Reviewing Air Pollutants Generated during the Pyrolysis of Solid Waste for Biofuel and Biochar Production: Toward Cleaner Production Practices," Sustainability, MDPI, vol. 16(3), pages 1-30, January.
    4. Piotr Dąbrowiecki & Andrzej Chciałowski & Agata Dąbrowiecka & Artur Badyda, 2022. "Ambient Air Pollution and Risk of Admission Due to Asthma in the Three Largest Urban Agglomerations in Poland: A Time-Stratified, Case-Crossover Study," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
    5. Alfina Grasso & Margherita Ferrante & Giovanni Arena & Rossella Salemi & Pietro Zuccarello & Maria Fiore & Chiara Copat, 2021. "Chemical Characterization and Quantification of Silver Nanoparticles (Ag-NPs) and Dissolved Ag in Seafood by Single Particle ICP-MS: Assessment of Dietary Exposure," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    6. Wojciech Nazar & Marek Niedoszytko, 2022. "Air Pollution in Poland: A 2022 Narrative Review with Focus on Respiratory Diseases," IJERPH, MDPI, vol. 19(2), pages 1-20, January.
    7. Chao Jin & Xiaodan Li & Teng Xu & Juntong Dong & Zhenlong Geng & Jia Liu & Chenyun Ding & Jingjing Hu & Ahmed El ALAOUI & Qing Zhao & Haifeng Liu, 2023. "Zero-Carbon and Carbon-Neutral Fuels: A Review of Combustion Products and Cytotoxicity," Energies, MDPI, vol. 16(18), pages 1-29, September.

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