Living near a busy road could trigger a life-threatening lung disease, research suggests.
A new study found air pollution is fuelling an alarming rise in cases of chronic obstructive pulmonary disease (COPD).
COPD is an incurable condition that occurs when the lungs become inflamed, damaged and narrowed.
Living near a busy road can trigger a deadly lung disease, research suggests (stock)
The research was carried out by Leicester University.
Study author Professor Anna Hansell, an environmental epidemiologist, said: ‘In one of the largest analyses to date we found outdoor air pollution exposure is directly linked to lower lung function and increased COPD prevalence.
‘We found people exposed to higher levels of pollutants had lower lung function equivalent to at least a year of ageing.
‘Worryingly, we found air pollution had much larger effects on people from lower income households.
COPD describes a number of lung conditions.
These include emphysema, which affects the air sacs and chronic bronchitis, which impacts the airways.
Around 1.2million people in the UK are diagnosed with COPD, British Lung Foundation statistics show.
This makes it the second most common lung disease after asthma.
And in the US, 16million people suffer from COPD, according to the Centers for Disease Control and Prevention.
‘There are surprisingly few studies that look at how air pollution affects lung health,’ Professor Hansell said.
‘To try and address this, we assessed more than 300,000 people using data from the UK Biobank study to examine whether air pollution exposure was linked to changes in lung function.
‘And whether it affected participants’ risk of developing COPD.
‘Air pollution had approximately twice the impact on lung function decline and three times the increased COPD risk on lower-income participants compared to higher-income participants who had the same air pollution exposure.
‘We accounted for participants’ smoking status and if their occupation might affect lung health, and think this disparity could be related to poorer housing conditions or diet, worse access to healthcare or long-term effects of poverty affecting lung growth in childhood.
‘However, further research is needed to investigate the differences in effects between people from lower- and higher-income homes.’
The study published in the European Respiratory Journal suggests the impact of air pollution is worse than previously feared – contributing to the ageing process as well as harming the lungs.
Her team looked at a range of pollutants including nitrogen dioxide (NO2) and tiny particles called PM10s and PM2.5s from vehicle exhausts and factories.
They get into the lungs and bloodstream via the nose. It’s been suggested they cut British lives by an average of six months and limit the growth of children’s lungs.
The study showed for each annual average increase of five micrograms per cubic metre of PM2.5 in the air, the reduction in lung function was similar to the effects of two years of ageing. They are about 20 times smaller than a grain of sand.
For those living in areas above World Health Organisation (WHO) annual average guidelines of ten micrograms per cubic meter (10 *g/m3), COPD prevalence was four times higher than among people exposed to passive smoking at home.
It was also half that of those who had ever smoked. What is more, the participants were generally wealthier and healthier than the wider general public.
This could have resulted in underestimations of the strength of the links between declining lung function and air pollution exposure, say the researchers.
The current EU air quality limits for PM2.5 is 25 micrograms per cubic meter (25 *g/m3).
This is higher than the levels that the researchers noted as being linked to reduced lung function.
The researchers used a validated air pollution model to estimate the amounts participants were exposed to at their homes when they signed up to the study between 2006 and 2010.
They answered detailed health questionnaires and lung function was measured using a technique called spirometry. It measures how much air can be breathed out in one forced go.
Multiple tests then revealed how long-term exposure to higher levels of the pollutants was linked to changes.
The individuals’ age, sex, BMI (body mass index), household income, education level, smoking status and exposure to secondhand smoke were taken into account.
Further analyses also looked at whether working in occupations that increase the risk of developing COPD impacted disease prevalence.
Professor Tobias Welte, from Hannover University, Germany, who is president of the European Respiratory Society and was not involved in the study, said : ‘The findings of this large study reinforce that exposure to polluted air seriously harms human health by reducing life expectancy and making people more prone to developing chronic lung disease.
‘Access to clean air is a fundamental need and right for all citizens in Europe. Governments have a responsibility to protect this right by ensuring that maximum pollutant levels indicated by the World Health Organisation are not breached across our cities and towns.
‘Breathing is the most basic human function required to sustain life, which is why we must continue to fight for the right to breathe clean air.’
The researchers are conducting further studies to look at whether genetic factors interact with air pollution and its effects on health.
Air pollution has been linked to heart attacks, respiratory conditions like asthma – and even dementia.
In the UK, more children suffer from respiratory conditions than anywhere else in Europe.
The UN agency Unicef recently reported around one in three British children are living in areas with unsafe levels of pollution.