空气中花粉对中国北京不同年龄段变应性鼻炎和哮喘的影响
2024/02/23
摘要
背景：在全球变暖和快速城市化的背景下，花粉已成为中国公民关注的重大公共卫生问题。然而，在中国，关于花粉对变应性鼻炎和哮喘等过敏原相关疾病影响的流行病学研究还很缺乏。
方法和目的：利用2013年至2019年北京朝阳医院的数据，包括过敏性鼻炎和哮喘发病率、气象记录和空气污染数据，我们采用广义加性模型(GAM)来研究总体和类型特异性花粉浓度与不同人群暴露之间的关系。
结果：我们发现，在不同人群中，花粉总浓度的增加显著增加了过敏性鼻炎和哮喘的风险。值得注意的是，在相同花粉浓度下，过敏性鼻炎的风险高于哮喘。季节性趋势表明，春季花粉高峰(主要来自树木)与秋季花粉高峰(主要来自杂草)相比，过敏性鼻炎和哮喘的风险都较低。
结论：这项研究强调了识别花粉种类的重要性，这些花粉种类在不同的季节对不同的人口群体构成更高的风险，从而为公共卫生机构提供有针对性的干预措施。
Effects of airborne pollen on allergic rhinitis and asthma across different age groups in Beijing, China.
Zhaobin S, Yuxin Z, Xingqin A,
Abstrast
Background: In the context of global warming and rapid urbanization, pollen has become a significant public health concern for Chinese citizens. However, there is a paucity of epidemiological research on the impact of pollen on allergen-linked diseases, such as allergic rhinitis and asthma, in China.
Methods and objective: Using data from the Beijing Chaoyang Hospital between 2013 and 2019, which included allergic rhinitis and asthma incidence, meteorological records, and air pollution data, we employed a Generalized Additive Model (GAM) to examine the relationship between overall and type-specific pollen concentrations in relation to varying population exposures.
Results：We found that increased overall pollen concentrations significantly increased the risks of allergic rhinitis and asthma in diverse populations. Notably, the risk of allergic rhinitis was higher than that of asthma at equivalent pollen concentrations. Seasonal trends indicated that spring pollen peaks, primarily from trees, were associated with a lower risk of both allergic rhinitis and asthma than autumn peaks, predominantly from weeds.
Conclusions: This study underscores the importance of identifying pollen species that pose heightened risks to different demographic groups across seasons, thereby providing targeted interventions for public health agencies.
背景：在全球变暖和快速城市化的背景下，花粉已成为中国公民关注的重大公共卫生问题。然而，在中国，关于花粉对变应性鼻炎和哮喘等过敏原相关疾病影响的流行病学研究还很缺乏。
方法和目的：利用2013年至2019年北京朝阳医院的数据，包括过敏性鼻炎和哮喘发病率、气象记录和空气污染数据，我们采用广义加性模型(GAM)来研究总体和类型特异性花粉浓度与不同人群暴露之间的关系。
结果：我们发现，在不同人群中，花粉总浓度的增加显著增加了过敏性鼻炎和哮喘的风险。值得注意的是，在相同花粉浓度下，过敏性鼻炎的风险高于哮喘。季节性趋势表明，春季花粉高峰(主要来自树木)与秋季花粉高峰(主要来自杂草)相比，过敏性鼻炎和哮喘的风险都较低。
结论：这项研究强调了识别花粉种类的重要性，这些花粉种类在不同的季节对不同的人口群体构成更高的风险，从而为公共卫生机构提供有针对性的干预措施。
(中日友好医院呼吸与危重症医学科 万静萱 摘译 林江涛 审校)
(Sci Total Environ 2024 Feb 20;912; doi: 10.1016/j.scitotenv.2023.169215.IF：6.551)
(Sci Total Environ 2024 Feb 20;912; doi: 10.1016/j.scitotenv.2023.169215.IF：6.551)
Effects of airborne pollen on allergic rhinitis and asthma across different age groups in Beijing, China.
Zhaobin S, Yuxin Z, Xingqin A,
Abstrast
Background: In the context of global warming and rapid urbanization, pollen has become a significant public health concern for Chinese citizens. However, there is a paucity of epidemiological research on the impact of pollen on allergen-linked diseases, such as allergic rhinitis and asthma, in China.
Methods and objective: Using data from the Beijing Chaoyang Hospital between 2013 and 2019, which included allergic rhinitis and asthma incidence, meteorological records, and air pollution data, we employed a Generalized Additive Model (GAM) to examine the relationship between overall and type-specific pollen concentrations in relation to varying population exposures.
Results：We found that increased overall pollen concentrations significantly increased the risks of allergic rhinitis and asthma in diverse populations. Notably, the risk of allergic rhinitis was higher than that of asthma at equivalent pollen concentrations. Seasonal trends indicated that spring pollen peaks, primarily from trees, were associated with a lower risk of both allergic rhinitis and asthma than autumn peaks, predominantly from weeds.
Conclusions: This study underscores the importance of identifying pollen species that pose heightened risks to different demographic groups across seasons, thereby providing targeted interventions for public health agencies.
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体育活动和久坐行为作为可治疗性特征对中重度哮喘的临床控制的影响
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普通人群中慢性气道疾病的2型炎症和肺功能下降
