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Risk of Ozone Exposure-induced Fracture

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Specialty Public Health
Date 2023 Apr 3
PMID 37006579
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Abstract

Introduction: Ozone (O) is known to induce oxidative stress that influences various cells and tissues, which may further lead to diminished bone mineral density. Nevertheless, few studies have investigated the association between O exposure and fractures. Considering the similar growing trends of O concentrations and fracture morbidity in recent years, in the present study, we aimed to examine whether O exposure is associated with the fracture morbidity.

Methods: Using a retrospective cohort study design, we analyzed the records of 8,075 patients with fracture admitted in the warm season to Beijing Jishuitan Hospital from 2014 to 2019 and matched them to the corresponding exposure time and concentration of O.

Results: The results showed that increased odds of fracture were associated with increased O concentrations, presumably because O induces oxidative stress (OS) that leads to bone mineral density (BMD) loss.

Discussion: Our findings suggest that O exposure is a risk factor for fractures, providing new evidence of the adverse health effect induced by air pollution. We can conclude that more intensive air pollution control is needed for the prevention of fracture occurrence.

Citing Articles

Causal Relationships between Air Pollutant Exposure and Bone Mineral Density and the Risk of Bone Fractures: Evidence from a Two-Stage Mendelian Randomization Analysis.

Hu X, Zhao Y, He T, Gao Z, Zhang P, Fang Y Toxics. 2024; 12(1).

PMID: 38250984 PMC: 10820864. DOI: 10.3390/toxics12010027.

References
1.
Polinder S, Haagsma J, Panneman M, Scholten A, Brugmans M, van Beeck E . The economic burden of injury: Health care and productivity costs of injuries in the Netherlands. Accid Anal Prev. 2016; 93:92-100. DOI: 10.1016/j.aap.2016.04.003. View

2.
Court-Brown C, Caesar B . Epidemiology of adult fractures: A review. Injury. 2006; 37(8):691-7. DOI: 10.1016/j.injury.2006.04.130. View

3.
Nguyen V . Environmental Air Pollution and the Risk of Osteoporosis and Bone Fractures. J Prev Med Public Health. 2018; 51(4):215-216. PMC: 6078918. DOI: 10.3961/jpmph.18.114. View

4.
Fontani F, Marcucci G, Iantomasi T, Brandi M, Vincenzini M . Glutathione, N-acetylcysteine and lipoic acid down-regulate starvation-induced apoptosis, RANKL/OPG ratio and sclerostin in osteocytes: involvement of JNK and ERK1/2 signalling. Calcif Tissue Int. 2015; 96(4):335-46. DOI: 10.1007/s00223-015-9961-0. View

5.
Grainge M, Coupland C, Cliffe S, Chilvers C, Hosking D . Association between a family history of fractures and bone mineral density in early postmenopausal women. Bone. 1999; 24(5):507-12. DOI: 10.1016/s8756-3282(99)00016-2. View