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Liu H, Wang K, Yang L, Zhou Y, Li Y, Tang E, Li D, Gan Y, Zhou C, Wang L, Liang X, Cai T. The modification effect of concentration on the correlation between ambient ozone and psoriasis: a hospital-based time-series study. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2025; 69:671-680. [PMID: 39789335 DOI: 10.1007/s00484-024-02847-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 11/15/2024] [Accepted: 12/12/2024] [Indexed: 01/12/2025]
Abstract
The effects of short-term ambient ozone (O3) exposure on health outcomes have received growing concerns, but its effects on psoriasis is still unclear. The purpose of our study was to investigate the effects of short-term exposure to O3 on psoriasis, and to find out potential modifiers. A hospital-based time-series study with outpatient visit data of psoriasis was performed in Chongqing, the largest metropolitan in Southeast China. General additive models combined quasi-Poisson regression were implied to reveal the association between short-term exposure to O3 and psoriasis. Moreover, the potential modifiers were found out through subgroup analyses. Totally, 23,921 psoriasis outpatient visits were included. For the whole patient population, no significant association between exposure to O3 and outpatient visits for psoriasis was observed. Interestingly, the stratified analyses based on concentrations showed that low concentration of O3 (below the recommended limitation of 100 μg/m3 by WHO and China), rather than high concentration of O3, was negatively associated with psoriasis outpatient visits at various lag days, and the greatest decrease was observed at lag03 (-2.05%; 95%CI: -3.55%, -0.53%). Moreover, stronger associations were observed in cool seasons, patients aged 40 or above, and males. Additionally, the negative associations of low-concentration O3 on psoriasis outpatient visits were still robust in sensitivity analyses. Our study discovered that low-concentrations of O3, rather than high concentrations of O3, can be associated with decreased outpatient visits for psoriasis, especially for males, population aged 40 and above, and in cool seasons.
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Affiliation(s)
- Hao Liu
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
| | - Kexue Wang
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
| | - Lili Yang
- Department of Information, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China
| | - Yumeng Zhou
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
| | - Yuanchao Li
- Department of Dermatology, Rheumatology and Immunology, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Enjie Tang
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
| | - Dawei Li
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
| | - Ya Gan
- Department of Epidemiology, College of Preventive Medicine, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Chongqing, 400038, China
| | - Chunbei Zhou
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
- Chongqing Center for Disease Control and Prevention, Chongqing, 400042, China
| | - Liangmei Wang
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China
- School of Public Health, The key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, 561113, China
| | - Xiaohua Liang
- Department of Clinical Epidemiology and Biostatistics, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, 400014, China.
| | - Tongjian Cai
- Department of Disease Prevention and Control, Daping Hospital, State Key Laboratory of Trauma and Chemical Poisoning, Army Medical University (Third Military Medical University), Changjiang Branch St, 10#, Yuzhong, Chongqing, 400042, China.
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Bi Z, Meng Y, Ji Q, Zhang A, Liu M, Xu X, Zhan Y. Association between volatile organic compounds and serum neurofilament light chain in US adults. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 926:171893. [PMID: 38531449 DOI: 10.1016/j.scitotenv.2024.171893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Revised: 03/18/2024] [Accepted: 03/20/2024] [Indexed: 03/28/2024]
Abstract
OBJECTIVE This study aimed to investigate the associations between exposure to blood volatile organic compounds (VOCs) and the level of serum neurofilament light chain (NfL) in adults. METHODS We analyzed data from the 2013-2014 National Health and Nutrition Examination Survey (NHANES), including 2008 participants aged 20 to 75 years old. Multiple linear regression models were used to examine the associations between 28 VOCs and NfL after adjusting for multiple potential confounders. Restricted cubic spline (RCS) was used to examine the potential non-linear associations. RESULTS The linear regression models showed that higher levels of 2,5-dimethylfuran (β = 0.042, 95 % confidence interval [CI]: 0.001, 0.096), ethyl acetate (β = 0.118, 95 % CI = 0.008, 0.304), and m-/p-xylene (β = 0.043, 95%CI = 0.012, 0.074) were associated with higher NfL levels. These estimates were largely consistent after adjusting for multiple confounders. CONCLUSION The findings of our study suggest a potential association between certain volatile organic compounds (2,5-dimethylfuran, ethyl acetate, and m-/p-xylene) and blood NfL levels, implying that they may have a role in revealing neurodegeneration and influencing neurological health.
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Affiliation(s)
- Zhuochang Bi
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China
| | - Yaxian Meng
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China
| | - Qianqian Ji
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China
| | - Aijie Zhang
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China
| | - Miao Liu
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China.
| | - Xiaowei Xu
- Department of Neurology, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, Guangdong 518107, China.
| | - Yiqiang Zhan
- School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, Guangdong 518107, China.
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