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台湾北部和中部儿童及青少年接触颗粒物空气污染与肥胖风险之间的关联

Association Between Exposure to Particulate Matter Air Pollution with Risk of Obesity Among Children and Adolescents in Northern and Central Taiwan.

作者信息

Hu Shu-Wei, Fan Hueng-Chuen, Chen Chuan-Mu

机构信息

Division of Pediatric Gastroenterology, Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung 435403, Taiwan.

Division of Adolescent Medicine, Department of Pediatrics, Tungs' Taichung MetroHarbor Hospital, Taichung 435403, Taiwan.

出版信息

Children (Basel). 2024 Dec 19;11(12):1545. doi: 10.3390/children11121545.

Abstract

INTRODUCTION

The present study investigated the relationship between air pollution, specifically PM and PM, and childhood and adolescent obesity in northern and central Taiwan. Previous research has shown a positive correlation between air pollution and pediatric obesity, but no study has been conducted in Taiwan. We used data from the K-12 Education Administration, Ministry of Education, and the Taiwan Air Quality Monitoring Network to analyze the association between PM and PM exposures and obesity rates among elementary and junior high school students.

METHODS

Data on students' height and weight were combined with air pollution data obtained from monitoring stations to assess exposure. A multivariable model estimated the relative risk and 95% confidence intervals of obesity linked to PM and PM exposures. Cities were categorized into quartiles (Q1-Q4) based on pollutant accumulation to compare the obesity rates.

RESULTS

Students living in areas with higher PM and PM exposures (Q4) had a significantly higher risk of obesity than those living in areas with lower exposures (Q1). The effect was more pronounced in girls and older students, with PM exhibiting a stronger relationship than PM.

CONCLUSIONS

PM and PM exposures are significantly associated with an increased obesity risk in children and adolescents, particularly in girls and older students. Further research is needed to explore the underlying mechanisms and to control for socioeconomic and demographic factors.

摘要

引言

本研究调查了台湾北部和中部地区空气污染,特别是细颗粒物(PM)和可吸入颗粒物(PM)与儿童及青少年肥胖之间的关系。先前的研究表明空气污染与儿童肥胖之间存在正相关,但台湾尚未开展此类研究。我们使用了教育部K-12教育管理部门的数据以及台湾空气质量监测网络的数据,来分析小学和初中学生的PM和PM暴露与肥胖率之间的关联。

方法

将学生的身高和体重数据与从监测站获取的空气污染数据相结合,以评估暴露情况。一个多变量模型估计了与PM和PM暴露相关的肥胖的相对风险和95%置信区间。根据污染物累积情况将城市分为四分位数(Q1-Q4),以比较肥胖率。

结果

生活在PM和PM暴露较高地区(Q4)的学生比生活在暴露较低地区(Q1)的学生肥胖风险显著更高。这种影响在女孩和年龄较大的学生中更为明显,PM的关联比PM更强。

结论

PM和PM暴露与儿童及青少年肥胖风险增加显著相关,尤其是在女孩和年龄较大的学生中。需要进一步研究以探索潜在机制,并控制社会经济和人口因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7183/11727078/ea5875500a5a/children-11-01545-g001.jpg

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