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Cardio-respiratory health effects of exposure to traffic-related air pollutants while exercising outdoors: A systematic review

dc.contributor.authorMadureira, Joana
dc.contributor.authorBrancher, Emerson Antonio
dc.contributor.authorCosta, Carla
dc.contributor.authorAurino de Pinho, Ricardo
dc.contributor.authorTeixeira, João Paulo
dc.date.accessioned2020-05-08T16:27:41Z
dc.date.available2020-05-08T16:27:41Z
dc.date.issued2019-08-16
dc.description.abstractDespite physical exercise provides numerous health benefits, outdoor exercisers are frequently exposed to traffic-related air pollutants (TRAP) known to be associated with respiratory and cardiovascular diseases. The aim of this systematic review was to investigate the effects of TRAP exposure, specifically particulate matter and nitrogen dioxide (NO2), during outdoor exercise on cardio-respiratory health effects. Systematic database searches of PubMed, Web of Science, Scopus and Medline were performed by two researchers to identify peer-reviewed studies from 2000 to 2018. Combinations of keywords related to cardio-respiratory health effects, physical exercise and ambient air pollution were used. Thirteen studies were included, originating predominantly from European countries but also the American. They suggested that exercising in an environment with high TRAP exposure increases markers of respiratory and systemic inflammation, as well as, impairs the vascular function and increases artery pressure, when compared with an environment with low-TRAP exposure. In addition, the smaller particles appear to have the most severe health consequences compared with the larger coarse particles and NO2. This study also provides evidence that specific groups of the population have enhanced susceptibility to adverse effects from particulate matter exposure while exercising. There is a need for more studies focused on the relationship between air pollution, physical exercise and health, as large societal benefits can be obtained from healthy environments that can promote outdoor physical exercise.pt_PT
dc.description.abstractHighlights: High TRAP exposure increases markers of respiratory and systemic inflammation; Evidence of impairment of vascular function and increased artery pressure was noted; Severe health consequences were observed for PM2.5, compared with PM10 and NO2; The healthy population can be also affected by TRAP exposure.pt_PT
dc.description.sponsorshipThis study was supported by Fundação para a Ciência e a Tecnologia (FCT) through the scholarship SFRH/BPD/115112/2016 (Joana Madureira), FUMDES Fund for Support to the Maintenance and Development of Higher Education of the Santa Catarina State and Coordination for the Improvement of Higher Education Personnel- CAPES/Brazil.
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEnviron Res. 2019 Nov;178:108647. doi: 10.1016/j.envres.2019.108647. Epub 2019 Aug 16pt_PT
dc.identifier.doi10.1016/j.envres.2019.108647pt_PT
dc.identifier.issn0013-9351
dc.identifier.urihttp://hdl.handle.net/10400.18/6620
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier/ Academic Presspt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S001393511930444X?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAir Pollutantspt_PT
dc.subjectAir Pollutionpt_PT
dc.subjectCardiovascular Diseasespt_PT
dc.subjectEnvironmental Exposurept_PT
dc.subjectEuropept_PT
dc.subjectHumanspt_PT
dc.subjectParticulate Matterpt_PT
dc.subjectRespiratory Tract Diseasespt_PT
dc.subjectVehicle Emissionspt_PT
dc.subjectExercisept_PT
dc.subjectAr e Saúde Ocupacionalpt_PT
dc.titleCardio-respiratory health effects of exposure to traffic-related air pollutants while exercising outdoors: A systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage108647pt_PT
oaire.citation.titleEnvironmental Researchpt_PT
oaire.citation.volume178pt_PT
rcaap.embargofctDe acordo com política editorial da revista.pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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