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使用贝叶斯核机器回归评估空气污染对韩国肺功能的影响。

Assessing the impact of air pollution on lung function in South Korea using Bayesian kernel machine regression.

作者信息

Lee Eun-Ji, Jo Narae, Heo Tae-Young, Young-Youl Kim, Kwon Eunjin, Kang Min Gu, Jhong Jae-Hwan

机构信息

Department of Information Statistics, 1, Chungdae-ro, Seowon-gu, Cheongju-si, Chungcheongbuk-do, 28644, Republic of Korea.

Division of Allergy and Chronic Respiratory Diseases, 187, Osongsaengmyeong2(i)-ro, Osong-eup, Heungdeok-gu, Cheongju-si, Chungcheongbuk-do, 28159, Republic of Korea.

出版信息

Sci Rep. 2025 Sep 1;15(1):32138. doi: 10.1038/s41598-025-17352-z.

DOI:10.1038/s41598-025-17352-z
PMID:40890432
Abstract

This study investigates the relationship between air pollution and lung function in the South Korean adult population using Bayesian Kernel Machine Regression (BKMR). By integrating 2017 Korea National Health and Nutrition Examination Survey (KNHANES) data with air pollution data, the study examines the individual and joint effects of key air pollutants-[Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and CO-on lung function indicators, including COPD (binary) and [Formula: see text]FVC (continuous). The findings reveal that [Formula: see text] and [Formula: see text] have negative effects on lung function, both individually and interactively. As the concentrations of these pollutants increase, the probability of developing COPD and the decline in [Formula: see text]FVC become more pronounced. This study highlights the compounded risks posed by pollutant mixtures, providing critical insights for public health interventions and air quality policy improvements in South Korea. Future research directions include addressing time-lagged effects and regional variations to enhance the understanding of these relationships.

摘要

本研究使用贝叶斯核机器回归(BKMR)调查了韩国成年人群中空气污染与肺功能之间的关系。通过将2017年韩国国家健康与营养检查调查(KNHANES)数据与空气污染数据相结合,该研究考察了主要空气污染物——[公式:见原文]、[公式:见原文]、[公式:见原文]、[公式:见原文]、[公式:见原文]和一氧化碳——对肺功能指标的个体和联合影响,这些指标包括慢性阻塞性肺疾病(二元变量)和[公式:见原文]用力肺活量(连续变量)。研究结果显示,[公式:见原文]和[公式:见原文]对肺功能均有负面影响,无论是单独影响还是交互影响。随着这些污染物浓度的增加,患慢性阻塞性肺疾病的概率以及[公式:见原文]用力肺活量的下降变得更加明显。本研究强调了污染物混合物带来的复合风险,为韩国的公共卫生干预措施和空气质量政策改进提供了关键见解。未来的研究方向包括解决时间滞后效应和区域差异问题,以加深对这些关系的理解。

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本文引用的文献

1
Joint effect of long-term exposure to ambient air pollution on the prevalence of chronic obstructive pulmonary disease using the Korea National Health and Nutrition Examination Survey 2010-2019.长期暴露于环境空气污染对 2010-2019 年韩国国家健康和营养检查调查中慢性阻塞性肺疾病患病率的联合影响。
Chemosphere. 2024 Jun;358:142137. doi: 10.1016/j.chemosphere.2024.142137. Epub 2024 Apr 24.
2
Ultrafine particulate matter exposure during second year of life, but not before, associated with increased risk of autism spectrum disorder in BKMR mixtures model of multiple air pollutants.在生命的第二年暴露于超细颗粒物中,而不是在此之前,与多种空气污染物 BKMR 混合模型中自闭症谱系障碍的风险增加有关。
Environ Res. 2024 Feb 1;242:117624. doi: 10.1016/j.envres.2023.117624. Epub 2023 Nov 11.
3
Independent and combined associations of multiple-heavy-metal exposure with lung function: a population-based study in US children.多种重金属暴露与肺功能的独立和联合关联:美国儿童的一项基于人群的研究。
Environ Geochem Health. 2023 Jul;45(7):5213-5230. doi: 10.1007/s10653-023-01565-0. Epub 2023 Apr 25.
4
Oxidative Stress and Air Pollution: Its Impact on Chronic Respiratory Diseases.氧化应激与空气污染:对慢性呼吸道疾病的影响。
Int J Mol Sci. 2023 Jan 3;24(1):853. doi: 10.3390/ijms24010853.
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Association between short-term exposure to ambient PM and PM and forced vital capacity in Chinese children and adolescents.大气 PM 和 PM 短期暴露与中国儿童和青少年用力肺活量的关系。
Environ Sci Pollut Res Int. 2022 Oct;29(47):71665-71675. doi: 10.1007/s11356-022-20842-6. Epub 2022 May 23.
6
The Impact of Air Pollutants and Meteorological Factors on Chronic Obstructive Pulmonary Disease Exacerbations: A Nationwide Study.空气污染物质和气象因素对慢性阻塞性肺病恶化的影响:一项全国性研究。
Ann Am Thorac Soc. 2022 Feb;19(2):214-226. doi: 10.1513/AnnalsATS.202103-298OC.
7
Health effects of air pollutant mixtures on overall mortality among the elderly population using Bayesian kernel machine regression (BKMR).基于贝叶斯核机器回归(BKMR)探讨大气污染物混合对老年人群全因死亡率的健康影响。
Chemosphere. 2022 Jan;286(Pt 1):131566. doi: 10.1016/j.chemosphere.2021.131566. Epub 2021 Jul 17.
8
Long-term exposure to PM and NO in relation to lung function and imaging phenotypes in a COPD cohort.长期暴露于 PM 和 NO 与 COPD 队列中的肺功能和影像学表型的关系。
Respir Res. 2020 Sep 23;21(1):247. doi: 10.1186/s12931-020-01514-w.
9
Is PM similar to PM? A new insight into the association of PM and PM with children's lung function.PM 与 PM 是否相似?对 PM 和 PM 与儿童肺功能关联的新认识。
Environ Int. 2020 Dec;145:106092. doi: 10.1016/j.envint.2020.106092. Epub 2020 Sep 8.
10
Airborne Occupational Exposures and Lung Function in the Lifelines Cohort Study.空气中的职业暴露与 Lifelines 队列研究中的肺功能。
Ann Am Thorac Soc. 2021 Jan;18(1):60-67. doi: 10.1513/AnnalsATS.201909-678OC.