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Frailty Related to the Exposure to Particulate Matter and Ozone: The Korean Frailty and Aging Cohort Study

Author

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  • Jinyoung Shin

    (Department of Family Medicine, Research Institute on Healthy Aging, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Korea)

  • Jaekyung Choi

    (Department of Family Medicine, Research Institute on Healthy Aging, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Korea)

Abstract

This study aims to identify the association between the concentration of particulate matter <2.5 μm (PM 2.5 ), <10 μm (PM 10 ), and ozone (O 3 ) and frailty. The Korean Frailty Scale (KFS, 0–6 points) assessing physical, psychological, and social frailty, was applied to 2912 community-dwelling older adults between April 2016 and December 2017. Daily average concentrations of PM 2.5 , PM 10 , and O 3 (2015–2017) were obtained and matched with the residential areas. The frailty risk associated with exposure to PM 2.5 , PM 10 , and O 3 was evaluated using multiple logistic regression after adjusting for age, sex, BMI, lifestyle, socioeconomic status, and comorbidity. Participants were categorized into robust (0 points, 28.7%), pre-frail (1–2 points, 50.1%), and frail (≥3 points, 21.2%) groups. Each 1 μg/m 3 increase of PM 2.5 and PM 10 increased the odds ratios (ORs) and 95% confidence intervals (CIs) of the frail group compared to the robust group: 1.055 (1.002, 1.112) and 1.095 (1.060, 1.131), and the pre-frail group: 1.053 (1.017, 1.090) and 1.062 (1.037, 1.087), respectively. Each 1-ppb increase of O 3 increased the OR (95% CI) of the frail group: 1.041 (1.023, 1.059) and the pre-frail group: 1.005 (0.985, 1.025). PM 2.5 , PM 10 , and O 3 may be associated dose-dependently with the frailty.

Suggested Citation

  • Jinyoung Shin & Jaekyung Choi, 2021. "Frailty Related to the Exposure to Particulate Matter and Ozone: The Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11796-:d:676110
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    References listed on IDEAS

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    1. Eva Anna Christina Hart & Jeroen Lakerveld & Martin McKee & Jean-Michel Oppert & Harry Rutter & Hélène Charreire & Ruut Veenhoven & Helga Bárdos & Sofie Compernolle & Ilse De Bourdeaudhuij & Johannes , 2018. "Contextual correlates of happiness in European adults," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-17, January.
    2. Heeeun Jung & Miji Kim & Yunhwan Lee & Chang Won Won, 2020. "Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-20, October.
    3. 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.
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