Air pollution exposure and adverse sleep health across the life course: A systematic review.
Air pollution exposure and adverse sleep health across the life course: A systematic review.
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DOI：
10.1016/j.envpol.2020.114263
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发表时间：
2020-07
期刊：
影响因子：
--
通讯作者：
Chen JC
中科院分区：
文献类型：
--
作者：
Liu J;Wu T;Liu Q;Wu S;Chen JC
越来越多的流行病学研究已经将空气污染视为对睡眠健康不利的可能因素，但结果好坏参半。这项系统性综述的目的是调查和总结暴露于空气污染物和整个生命周期的各种睡眠指标之间的关联。PubMed，CINAHL，科克伦，Scopus，Web of Science和PsycInfo检索到2019年10月，以确定基于原始数据的研究，研究环境和室内空气污染暴露与各种睡眠健康指标之间的直接流行病学关联，包括睡眠质量，睡眠时间，睡眠障碍和白天嗜睡。本综述选择了2010年至2019年的22篇文章，包括广泛的研究人群（从幼儿到老年人）和地点（10例亚洲人，4例北美人，3例欧洲人，5例其他人）。由于暴露和结局评估的差异，进行荟萃分析不合理。21项研究报告了暴露和睡眠质量差之间的普遍正相关。虽然大多数研究都集中在环境空气污染物上，但有五项研究评估了室内暴露的具体影响。在儿童和青少年中，暴露于环境和室内污染物的增加与呼吸睡眠问题的增加和各种其他不良睡眠结果有关。在成年人中，空气污染暴露与睡眠呼吸障碍最明显相关。现有文献普遍显示，不同年龄组、国家和措施的人群暴露于空气污染和睡眠健康之间存在负相关关系。虽然空气污染和睡眠结果之间的许多关联已经被调查，但混合的研究方法和主观空气污染和睡眠测量的使用导致了广泛的特定关联。合理的毒理学机制仍无定论。未来的研究利用客观的睡眠措施和控制所有的空气污染暴露和个人的遭遇可能有助于改善目前已发表的文献报告的结果的变化。
An increasing number of epidemiological studies have examined air pollution as a possible contributor to adverse sleep health, but results are mixed. The aims of this systematic review are to investigate and summarize the associations between exposures to air pollutants and various sleep measures across the lifespan. PubMed, CINAHL, Cochrane, Scopus, Web of Science, and PsycInfo were searched through October 2019 to identify original data-based research examining direct epidemiological associations between ambient and indoor air pollution exposures and various sleep health measures, including sleep quality, sleep duration, sleep disturbances, and daytime sleepiness. Twenty-two articles from 2010 to 2019 were selected for inclusion in this review, including a wide range of study populations (from early childhood to elderly) and locations (10 Asian, 4 North American, 3 European, 5 other). Due to variation in both exposure and outcome assessments, conducting a meta-analysis was not plausible. Twenty-one studies reported a generally positive association between exposure and poor sleep quality. While most studies focused on ambient air pollutants, five assessed the specific effect of indoor exposure. In children and adolescents, increased exposure to both ambient and indoor pollutants is associated with increased respiratory sleep problems and a variety of additional adverse sleep outcomes. In adults, air pollution exposure was most notably related to sleep disordered breathing. Existing literature generally shows a negative relationship between exposures to air pollution and sleep health in populations across different age groups, countries, and measures. While many associations between air pollution and sleep outcomes have been investigated, the mixed study methods and use of subjective air pollution and sleep measures result in a wide range of specific associations. Plausible toxicological mechanisms remain inconclusive. Future studies utilizing objective sleep measures and controlling for all air pollution exposures and individual encounters may help ameliorate variability in the results reported by current published literature.
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影响因子：
2.1
作者：
Brockmeyer S;D'Angiulli A
通讯作者：
D'Angiulli A
影响因子：
3.1
作者：
Castaneda, Jacqueline L.;Kheirandish-Gozal, Leila;Accinelli, Roberto A.
通讯作者：
Accinelli, Roberto A.
影响因子：
5.2
作者：
An, R.;Yu, H.
通讯作者：
Yu, H.
影响因子：
9.6
作者：
Cassol, Cristiane Maria;Martinez, Denis;Goncalves Bos, Angelo Jose
通讯作者：
Goncalves Bos, Angelo Jose
影响因子：
8.9
作者：
Chuang, Hsiao-Chi;Su, Ting-Yao;Lai, Ching-Huang
通讯作者：
Lai, Ching-Huang