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白细胞与空气污染物的关联——一项基于人群的研究

The Association of White Blood Cells and Air Pollutants-A Population-Based Study.

作者信息

Hung Shih-Chiang, Cheng Hsiao-Yuan, Yang Chen-Cheng, Lin Chia-I, Ho Chi-Kung, Lee Wen-Huei, Cheng Fu-Jen, Li Chao-Jui, Chuang Hung-Yi

机构信息

Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung City 807, Taiwan.

Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung City 807, Taiwan.

出版信息

Int J Environ Res Public Health. 2021 Mar 1;18(5):2370. doi: 10.3390/ijerph18052370.

Abstract

The links of air pollutants to health hazards have been revealed in literature and inflammation responses might play key roles in the processes of diseases. WBC count is one of the indexes of inflammation, however the l iterature reveals inconsistent opinions on the relationship between WBC counts and exposure to air pollutants. The goal of this population-based observational study was to examine the associations between multiple air pollutants and WBC counts. This study recruited community subjects from Kaohsiung city. WBC count, demographic and health hazard habit data were collected. Meanwhile, air pollutants data (SO, NO, CO, PM, and O) were also obtained. Both datasets were merged for statistical analysis. Single- and multiple-pollutants models were adopted for the analysis. A total of 10,140 adults (43.2% males; age range, 33~86 years old) were recruited. Effects of short-term ambient concentrations (within one week) of CO could increase counts of WBC, neutrophils, monocytes, and lymphocytes. However, SO could decrease counts of WBC, neutrophils, and monocytes. Gender, BMI, and smoking could also contribute to WBC count increases, though their effects are minor when compared to CO. Air pollutants, particularly SO, NO and CO, may thus be related to alterations of WBC counts, and this would imply air pollution has an impact on human systematic inflammation.

摘要

空气污染物与健康危害之间的联系已在文献中有所揭示,炎症反应可能在疾病过程中起关键作用。白细胞计数是炎症指标之一,然而文献对于白细胞计数与空气污染物暴露之间的关系存在不一致的观点。这项基于人群的观察性研究的目的是检验多种空气污染物与白细胞计数之间的关联。本研究从高雄市招募社区受试者。收集了白细胞计数、人口统计学和健康危害习惯数据。同时,还获取了空气污染物数据(二氧化硫、一氧化氮、一氧化碳、颗粒物和臭氧)。将这两个数据集合并进行统计分析。采用单污染物和多污染物模型进行分析。共招募了10140名成年人(男性占43.2%;年龄范围为33至86岁)。短期环境浓度(一周内)的一氧化碳可使白细胞、中性粒细胞、单核细胞和淋巴细胞计数增加。然而,二氧化硫可使白细胞、中性粒细胞和单核细胞计数减少。性别、体重指数和吸烟也可能导致白细胞计数增加,不过与一氧化碳相比,它们的影响较小。因此,空气污染物,尤其是二氧化硫、一氧化氮和一氧化碳,可能与白细胞计数的改变有关,这意味着空气污染对人体系统性炎症有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d9/7957746/e3c1a4c4d6e8/ijerph-18-02370-g001.jpg

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