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Impact of Exposure to Ambient Fine Particulate Matter Pollution on Adults with Knee Osteoarthritis

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  • Hongbo Chen

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China
    School of Nursing, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Junhui Wu

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Mengying Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Siyue Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Jiating Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Huan Yu

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Yonghua Hu

    (Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, China
    Medical Informatics Center, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

  • Shaomei Shang

    (School of Nursing, Peking University, No. 38 Xueyuan Road, Beijing 100191, China)

Abstract

The impact of exposure to fine particulate matter (PM 2.5 ) on the incidence of knee osteoarthritis is unclear, especially in Beijing which is a highly polluted city. We conducted a time-series study to examine the correlation between PM 2.5 exposure and outpatient visits for knee osteoarthritis in Beijing. Changes (in percentage) in the number of outpatient visits corresponding to every 10-μg/m 3 increase in the PM 2.5 concentration were determined using a generalized additive quasi-Poisson model. There were records of 9,797,446 outpatient visits for knee osteoarthritis in the study period from 1 January 2010 to 31 December 2017. The daily concentration of PM 2.5 was 86.8 (74.3) μg/m 3 over this period. A 10-μg/m 3 increase in PM 2.5 concentrations on lag days 0–3 was associated with a 1.41% (95% confidence interval: 1.40–1.41%) increase in outpatient visits for knee osteoarthritis. Females and patients aged above 65 years were more sensitive to the adverse effects of PM 2.5 exposure. The present findings demonstrate that short-term exposure to PM 2.5 resulted in an increase in the number of outpatient visits for knee osteoarthritis in Beijing. The findings shed light on the effects of air pollution on knee osteoarthritis and could guide risk-mitigating strategies in cities such as Beijing.

Suggested Citation

  • Hongbo Chen & Junhui Wu & Mengying Wang & Siyue Wang & Jiating Wang & Huan Yu & Yonghua Hu & Shaomei Shang, 2021. "Impact of Exposure to Ambient Fine Particulate Matter Pollution on Adults with Knee Osteoarthritis," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9644-:d:634647
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    References listed on IDEAS

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    1. Man Li & Yao Wu & Yao-Hua Tian & Ya-Ying Cao & Jing Song & Zhe Huang & Xiao-Wen Wang & Yong-Hua Hu, 2018. "Association Between PM 2.5 and Daily Hospital Admissions for Heart Failure: A Time-Series Analysis in Beijing," IJERPH, MDPI, vol. 15(10), pages 1-9, October.
    2. Jin-Feng Wang & Mao-Gui Hu & Cheng-Dong Xu & George Christakos & Yu Zhao, 2013. "Estimation of Citywide Air Pollution in Beijing," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
    3. Daniel Jandacka & Jaroslav Uchytil & David Zahradnik & Roman Farana & Dominik Vilimek & Jiri Skypala & Jan Urbaczka & Jan Plesek & Adam Motyka & Denisa Blaschova & Gabriela Beinhauerova & Marketa Ryge, 2020. "Running and Physical Activity in an Air-Polluted Environment: The Biomechanical and Musculoskeletal Protocol for a Prospective Cohort Study 4HAIE (Healthy Aging in Industrial Environment—Program 4)," IJERPH, MDPI, vol. 17(23), pages 1-20, December.
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