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The impact of outdoor pollution and extreme temperatures on asthma‐related outcomes: A systematic review for the EAACI guidelines on environmental science for allergic diseases and asthma

Ioana AgacheFaculty of Medicine Transylvania University Brasov RomaniaCarlos Canelo‐AybarDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainIsabella Annesi‐MaesanoInstitute Desbrest of Epidemiology and Public Health, University of Montpellier and INSERM Montpellier FranceLorenzo CecchiCentre of Bioclimatology University of Florence Florence ItalyDavid RigauDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainL. Yesenia Rodríguez‐TantaDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainWendy Nieto-GutiérrezDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainYang SongDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainYahveth Cantero‐FortizCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) Madrid SpainMarta Roqué i FigulsCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) Madrid SpainJuan Carlos VasquezDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainIván SolàCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) Madrid SpainBenedetta BiagioniAllergy and Clinical Immunology Unit San Giovanni di Dio Hospital Florence ItalyKian Fan ChungImperial College London UKGennaro D’AmatoMedical School of Respiratory Diseases University of Naples Federico II Naples ItalyAthanasios DamialisDepartment of Ecology, School of Biology, Faculty of Sciences Aristotle University of Thessaloniki Thessaloniki GreeceStefano Del GiaccoDepartment of Medical Sciences and Public Health University of Cagliari Monserrato ItalyLeticia de las VecillasDepartment of Allergy Hospital La Paz Institute for Health Research (IdiPAZ) Madrid SpainJavier Domínguez‐OrtegaDepartment of Allergy Hospital La Paz Institute for Health Research (IdiPAZ) Madrid SpainCarmen GalánDepartment of Botany, Ecology and Plant Physiology International Campus of Excellence on Agrifood (ceiA3), University of Córdoba Córdoba SpainStefanie GillesEnvironmental Medicine, Faculty of Medicine University of Augsburg Augsburg GermanyMattia GiovanniniAllergy Unit Meyer Children's Hospital IRCCS Florence ItalyStephen T. HolgateFaculty of Medicine University of Southampton Southampton UKMohamed F. JeebhayOccupational Medicine Division and Centre for Environmental & Occupational Health Research University of Cape Town Rondebosch South AfricaKari C. NadeauJohn Rock Professor of Climate and Population Studies; Chair, Department of Environmental Health, Interim Director Center for Climate, Health, and The Global Environment, Harvard T.H. Chan School of Public Health Boston Massachusetts USANikolaos G. PapadopoulosAllergy and Clinical Immunology Unit, Second Pediatric Clinic National and Kapodistrian University of Athens Athens GreeceSantiago QuirceDepartment of Allergy Hospital La Paz Institute for Health Research (IdiPAZ) Madrid SpainJ. SastreInstituto Carlos III, Ministry of Science and Innovation, Allergy Service, Fundación Jiménez Díaz Faculty of Medicine Universidad Autónoma de Madrid and CIBERES Madrid SpainClaudia Traidl‐HoffmannChristine Kühne Center for Allergy Research and Education Davos SwitzerlandJolanta Walusiak‐SkorupaDepartment of Occupational Diseases and Environmental Health Nofer Institute of Occupational Medicine Lodz PolandBernardo Sousa‐PintoMEDCIDS‐Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine University of Porto Porto PortugalPablo Alonso‐CoelloCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) Madrid SpainJosefina SalazarDepartment of Clinical Epidemiology and Public Health, Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau (IIB Sant Pau) Barcelona SpainMarek JutelDepartment of Clinical Immunology, ALL‐MED Medical Research Institute Wrocław Medical University Wroclaw PolandCezmi A. Akdiş

2024en

ABI

Annotatsiya

Abstract Air pollution is one of the biggest environmental threats for asthma. Its impact is augmented by climate change. To inform the recommendations of the EAACI Guidelines on the environmental science for allergic diseases and asthma, a systematic review (SR) evaluated the impact on asthma‐related outcomes of short‐term exposure to outdoor air pollutants (PM2.5, PM10, NO 2 , SO 2 , O 3 , and CO), heavy traffic, outdoor pesticides, and extreme temperatures. Additionally, the SR evaluated the impact of the efficacy of interventions reducing outdoor pollutants. The risk of bias was assessed using ROBINS‐E tools and the certainty of the evidence by using GRADE. Short‐term exposure to PM2.5, PM10, and NO 2 probably increases the risk of asthma‐related hospital admissions (HA) and emergency department (ED) visits (moderate certainty evidence). Exposure to heavy traffic may increase HA and deteriorate asthma control (low certainty evidence). Interventions reducing outdoor pollutants may reduce asthma exacerbations (low to very low certainty evidence). Exposure to fumigants may increase the risk of new‐onset asthma in agricultural workers, while exposure to 1,3‐dichloropropene may increase the risk of asthma‐related ED visits (low certainty evidence). Heatwaves and cold spells may increase the risk of asthma‐related ED visits and HA and asthma mortality (low certainty evidence).

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Identifikatorlar

DOI: 10.1111/all.16041

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