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Association of air pollution with osteoporotic fracture risk among women over 50 years of age
Introduction Air particulate matter (PM) is an environmental exposure associated with oxidation and inflammation. Whether particulate matter is associated with risk of osteoporotic bone fracture is unclear. We investigated the association between exposure to PM and risk of bone fractures. Materials...
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| Published in: | Journal of bone and mineral metabolism 2020-11, Vol.38 (6), p.839-847 |
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| Main Authors: | , , , , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c376t-7e33a90aa4c1924872007c920413088b1884516da2773c2d7c8e3b052dc58d383 |
| container_end_page | 847 |
| container_issue | 6 |
| container_start_page | 839 |
| container_title | Journal of bone and mineral metabolism |
| container_volume | 38 |
| creator | Sung, Jung Hun Kim, Kyuwoong Cho, Yoosun Choi, Seulggie Chang, Jooyoung Kim, Sung Min Kim, Seong Rae Lee, Gyeongsil Son, Joung Sik Park, Sang Min |
| description | Introduction
Air particulate matter (PM) is an environmental exposure associated with oxidation and inflammation. Whether particulate matter is associated with risk of osteoporotic bone fracture is unclear. We investigated the association between exposure to PM and risk of bone fractures.
Materials and methods
We collected data of 44,602 participants living in three metropolitan cities in Republic of Korea from National Health Insurance Service database. We examined the association of 2 year averaged concentrations of PM and osteoporotic fracture over 4 years. Exposure to 2-year averaged air pollution [PM2.5 ( |
| doi_str_mv | 10.1007/s00774-020-01117-x |
| format | article |
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Air particulate matter (PM) is an environmental exposure associated with oxidation and inflammation. Whether particulate matter is associated with risk of osteoporotic bone fracture is unclear. We investigated the association between exposure to PM and risk of bone fractures.
Materials and methods
We collected data of 44,602 participants living in three metropolitan cities in Republic of Korea from National Health Insurance Service database. We examined the association of 2 year averaged concentrations of PM and osteoporotic fracture over 4 years. Exposure to 2-year averaged air pollution [PM2.5 (< 2.5 μm in aerodynamic diameter), PM10 [< 10 μm in aerodynamic diameter], PM coarse (PM ranging from 2.5 μm to 10 μm)] concentrations were estimated from 2008 to 2009 in Air Korea data. The adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for osteoporotic fractures were calculated using the multivariate Cox proportional hazards model.
Results
After adjusting for age, household income, and Charlson Comorbidity Index, PM 2.5 in one pollutant model increased the risk of osteoporotic fractures, compared to the first quartile group (4th quartile group aHR = 1.13, 95% CI 1.02–1.24). Also, PM 2.5 increased the risk of spine and non-spine fractures compared to the first quartile group (4th quartile group aHR = 1.17, 95% CI 1.00–1.38, aHR = 1.16, 95% CI 1.01–1.33). We found no association between PM10/PM coarse and osteoporotic fractures.
Conclusion
We found that PM2.5 is a risk factor for osteoporotic bone fractures.</description><identifier>ISSN: 0914-8779</identifier><identifier>EISSN: 1435-5604</identifier><identifier>DOI: 10.1007/s00774-020-01117-x</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Air pollution ; Fractures ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Original Article ; Orthopedics ; Osteoporosis ; Oxidation ; Particulate matter ; Pollutants ; Risk factors</subject><ispartof>Journal of bone and mineral metabolism, 2020-11, Vol.38 (6), p.839-847</ispartof><rights>The Japanese Society Bone and Mineral Research and Springer Japan KK, part of Springer Nature 2020</rights><rights>The Japanese Society Bone and Mineral Research and Springer Japan KK, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-7e33a90aa4c1924872007c920413088b1884516da2773c2d7c8e3b052dc58d383</citedby><cites>FETCH-LOGICAL-c376t-7e33a90aa4c1924872007c920413088b1884516da2773c2d7c8e3b052dc58d383</cites><orcidid>0000-0002-1670-995X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Sung, Jung Hun</creatorcontrib><creatorcontrib>Kim, Kyuwoong</creatorcontrib><creatorcontrib>Cho, Yoosun</creatorcontrib><creatorcontrib>Choi, Seulggie</creatorcontrib><creatorcontrib>Chang, Jooyoung</creatorcontrib><creatorcontrib>Kim, Sung Min</creatorcontrib><creatorcontrib>Kim, Seong Rae</creatorcontrib><creatorcontrib>Lee, Gyeongsil</creatorcontrib><creatorcontrib>Son, Joung Sik</creatorcontrib><creatorcontrib>Park, Sang Min</creatorcontrib><title>Association of air pollution with osteoporotic fracture risk among women over 50 years of age</title><title>Journal of bone and mineral metabolism</title><addtitle>J Bone Miner Metab</addtitle><description>Introduction
Air particulate matter (PM) is an environmental exposure associated with oxidation and inflammation. Whether particulate matter is associated with risk of osteoporotic bone fracture is unclear. We investigated the association between exposure to PM and risk of bone fractures.
Materials and methods
We collected data of 44,602 participants living in three metropolitan cities in Republic of Korea from National Health Insurance Service database. We examined the association of 2 year averaged concentrations of PM and osteoporotic fracture over 4 years. Exposure to 2-year averaged air pollution [PM2.5 (< 2.5 μm in aerodynamic diameter), PM10 [< 10 μm in aerodynamic diameter], PM coarse (PM ranging from 2.5 μm to 10 μm)] concentrations were estimated from 2008 to 2009 in Air Korea data. The adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for osteoporotic fractures were calculated using the multivariate Cox proportional hazards model.
Results
After adjusting for age, household income, and Charlson Comorbidity Index, PM 2.5 in one pollutant model increased the risk of osteoporotic fractures, compared to the first quartile group (4th quartile group aHR = 1.13, 95% CI 1.02–1.24). Also, PM 2.5 increased the risk of spine and non-spine fractures compared to the first quartile group (4th quartile group aHR = 1.17, 95% CI 1.00–1.38, aHR = 1.16, 95% CI 1.01–1.33). We found no association between PM10/PM coarse and osteoporotic fractures.
Conclusion
We found that PM2.5 is a risk factor for osteoporotic bone fractures.</description><subject>Air pollution</subject><subject>Fractures</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Oxidation</subject><subject>Particulate matter</subject><subject>Pollutants</subject><subject>Risk factors</subject><issn>0914-8779</issn><issn>1435-5604</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kM1KAzEURoMoWKsv4Crgxs3ovUlmklmW4h8U3OjWkKaZOnU6qcmMtm_js_hkxlYQXLjJhXDOx70fIacIFwggL2N6pMiAQQaIKLP1Hhmg4HmWFyD2yQBKFJmSsjwkRzEuAFDmEgfkaRSjt7Xpat9SX1FTB7ryTdNvP97r7pn62Dm_8sF3taVVMLbrg6Ohji_ULH07p-9-6ZL85gLN4fNj40yI26y5OyYHlWmiO_mZQ_J4ffUwvs0m9zd349Eks1wWXSYd56YEY4TFkgklWbrHlgwEclBqikqJHIuZYVJyy2bSKsenkLOZzdWMKz4k57vcVfCvvYudXtbRuqYxrfN91EwgSAQBLKFnf9CF70ObtkuUxEIwJnmi2I6ywccYXKVXoV6asNEI-rtyvatcp8r1tnK9ThLfSTHB7dyF3-h_rC-Iy4Py</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Sung, Jung Hun</creator><creator>Kim, Kyuwoong</creator><creator>Cho, Yoosun</creator><creator>Choi, Seulggie</creator><creator>Chang, Jooyoung</creator><creator>Kim, Sung Min</creator><creator>Kim, Seong Rae</creator><creator>Lee, Gyeongsil</creator><creator>Son, Joung Sik</creator><creator>Park, Sang Min</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1670-995X</orcidid></search><sort><creationdate>20201101</creationdate><title>Association of air pollution with osteoporotic fracture risk among women over 50 years of age</title><author>Sung, Jung Hun ; Kim, Kyuwoong ; Cho, Yoosun ; Choi, Seulggie ; Chang, Jooyoung ; Kim, Sung Min ; Kim, Seong Rae ; Lee, Gyeongsil ; Son, Joung Sik ; Park, Sang Min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-7e33a90aa4c1924872007c920413088b1884516da2773c2d7c8e3b052dc58d383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Air pollution</topic><topic>Fractures</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Oxidation</topic><topic>Particulate matter</topic><topic>Pollutants</topic><topic>Risk factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sung, Jung Hun</creatorcontrib><creatorcontrib>Kim, Kyuwoong</creatorcontrib><creatorcontrib>Cho, Yoosun</creatorcontrib><creatorcontrib>Choi, Seulggie</creatorcontrib><creatorcontrib>Chang, Jooyoung</creatorcontrib><creatorcontrib>Kim, Sung Min</creatorcontrib><creatorcontrib>Kim, Seong Rae</creatorcontrib><creatorcontrib>Lee, Gyeongsil</creatorcontrib><creatorcontrib>Son, Joung Sik</creatorcontrib><creatorcontrib>Park, Sang Min</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and mineral metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sung, Jung Hun</au><au>Kim, Kyuwoong</au><au>Cho, Yoosun</au><au>Choi, Seulggie</au><au>Chang, Jooyoung</au><au>Kim, Sung Min</au><au>Kim, Seong Rae</au><au>Lee, Gyeongsil</au><au>Son, Joung Sik</au><au>Park, Sang Min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of air pollution with osteoporotic fracture risk among women over 50 years of age</atitle><jtitle>Journal of bone and mineral metabolism</jtitle><stitle>J Bone Miner Metab</stitle><date>2020-11-01</date><risdate>2020</risdate><volume>38</volume><issue>6</issue><spage>839</spage><epage>847</epage><pages>839-847</pages><issn>0914-8779</issn><eissn>1435-5604</eissn><abstract>Introduction
Air particulate matter (PM) is an environmental exposure associated with oxidation and inflammation. Whether particulate matter is associated with risk of osteoporotic bone fracture is unclear. We investigated the association between exposure to PM and risk of bone fractures.
Materials and methods
We collected data of 44,602 participants living in three metropolitan cities in Republic of Korea from National Health Insurance Service database. We examined the association of 2 year averaged concentrations of PM and osteoporotic fracture over 4 years. Exposure to 2-year averaged air pollution [PM2.5 (< 2.5 μm in aerodynamic diameter), PM10 [< 10 μm in aerodynamic diameter], PM coarse (PM ranging from 2.5 μm to 10 μm)] concentrations were estimated from 2008 to 2009 in Air Korea data. The adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for osteoporotic fractures were calculated using the multivariate Cox proportional hazards model.
Results
After adjusting for age, household income, and Charlson Comorbidity Index, PM 2.5 in one pollutant model increased the risk of osteoporotic fractures, compared to the first quartile group (4th quartile group aHR = 1.13, 95% CI 1.02–1.24). Also, PM 2.5 increased the risk of spine and non-spine fractures compared to the first quartile group (4th quartile group aHR = 1.17, 95% CI 1.00–1.38, aHR = 1.16, 95% CI 1.01–1.33). We found no association between PM10/PM coarse and osteoporotic fractures.
Conclusion
We found that PM2.5 is a risk factor for osteoporotic bone fractures.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><doi>10.1007/s00774-020-01117-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1670-995X</orcidid></addata></record> |
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| subjects | Air pollution Fractures Medicine Medicine & Public Health Metabolic Diseases Original Article Orthopedics Osteoporosis Oxidation Particulate matter Pollutants Risk factors |
| title | Association of air pollution with osteoporotic fracture risk among women over 50 years of age |
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