Short-term exposure to desert dust and sandstorms and all-cause and cause-specific mortality and morbidity: A systematic review and meta-analysis
Por:
Tobías, A, Querol, X, Roqué, M, Lwin, KS, Yuan, L, Ith, S, Wai, HZ, Chua, PL, Solá, I, Renzi, M, Stafoggia, M, Hashizume, M
Publicada:
1 feb 2025
Ahead of Print:
1 ene 2025
Resumen:
Background: Desert dust and sandstorms raise concerns about their adverse effects on human health. Over the last decade, special attention has been given to mineral dust particles from desert sand. However, evidence from previous literature reviews has yielded inconclusive results regarding their health effects. We aim to systematically synthesize evidence on the short-term health effects of desert dust exposure from major dust source areas. Methods: The bibliographic search was conducted using the MEDLINE (PubMed), Scopus, and Web of Science databases to investigate the health effects of short-term exposure to desert dust in human populations, using time series or case-crossover study designs. Study selection and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We evaluated the risk of bias (RoB) for individual studies and the certainty of evidence (CoE) for environmental exposures, as developed by a group of experts convened by the World Health Organization (WHO). Publication bias was examined using funnel plots and Begg's asymmetry test. Results: A total of 71 studies were included in the review, covering data from 1993 to 2024. Most studies focused on Asian and African desert dust, with fewer studies from Arabian, American, and Australian regions. We found a significant increase in the risk for all-cause mortality (Relative Risk, RR = 1.0121, 95 %CI = [1.0045, 1.0199]). In addition, the mortality risk associated with particulate matter less than 10 mu m (PM10) was slightly higher on dust days compared to non-dust days, while for particulate matter less than 2.5 mu m (PM2.5), the risk was higher on non-dust days. We also observed a significant increase in the risk for cardiovascular mortality (RR = 1.0252, 95 % CI = [1.0100, 1.0407]) during dust days compared to non-dust days, but not for respiratory mortality (RR = 1.0001, 95 % CI = [0.9773, 1.0277]). The risk also increased for cardiovascular (RR = 1.0094, 95 % CI = [1.0014, 1.0174]) and respiratory morbidity (RR = 1.0693, 95 % CI = [1.0188, 1.1224]).
Filiaciones:
Tobías, A:
Spanish Council Sci Res CSIC, Inst Environm Assessment & Water Res IDAEA, C Jordi Girona 18-26, Barcelona 08034, Spain
Querol, X:
Spanish Council Sci Res CSIC, Inst Environm Assessment & Water Res IDAEA, C Jordi Girona 18-26, Barcelona 08034, Spain
Roqué, M:
Iberoamer Cochrane Ctr, Barcelona, Spain
Biomed Res Inst St Pau IIB St Pau, CIBER Epidemiol & Publ Hlth CIBERESP, Barcelona, Spain
Lwin, KS:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
SingHlth Duke NUS Global Hlth Inst, Singapore, Singapore
Yuan, L:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
Ith, S:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
Wai, HZ:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
Chua, PL:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
Solá, I:
Iberoamer Cochrane Ctr, Barcelona, Spain
Renzi, M:
ASL Roma 1, Lazio Reg Hlth Serv, Dept Epidemiol, Rome, Italy
Stafoggia, M:
ASL Roma 1, Lazio Reg Hlth Serv, Dept Epidemiol, Rome, Italy
Hashizume, M:
Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo, Japan
Green Submitted, gold
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