RT Journal Article SR Electronic T1 Adult lung function and long-term air pollution exposure. ESCAPE: a multicentre cohort study and meta-analysis JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 38 OP 50 DO 10.1183/09031936.00130014 VO 45 IS 1 A1 Martin Adam A1 Tamara Schikowski A1 Anne Elie Carsin A1 Yutong Cai A1 Benedicte Jacquemin A1 Margaux Sanchez A1 Andrea Vierkötter A1 Alessandro Marcon A1 Dirk Keidel A1 Dorothee Sugiri A1 Zaina Al Kanani A1 Rachel Nadif A1 Valérie Siroux A1 Rebecca Hardy A1 Diana Kuh A1 Thierry Rochat A1 Pierre-Olivier Bridevaux A1 Marloes Eeftens A1 Ming-Yi Tsai A1 Simona Villani A1 Harish Chandra Phuleria A1 Matthias Birk A1 Josef Cyrys A1 Marta Cirach A1 Audrey de Nazelle A1 Mark J. Nieuwenhuijsen A1 Bertil Forsberg A1 Kees de Hoogh A1 Christophe Declerq A1 Roberto Bono A1 Pavilio Piccioni A1 Ulrich Quass A1 Joachim Heinrich A1 Deborah Jarvis A1 Isabelle Pin A1 Rob Beelen A1 Gerard Hoek A1 Bert Brunekreef A1 Christian Schindler A1 Jordi Sunyer A1 Ursula Krämer A1 Francine Kauffmann A1 Anna L. Hansell A1 Nino Künzli A1 Nicole Probst-Hensch YR 2015 UL http://erj.ersjournals.com/content/45/1/38.abstract AB The chronic impact of ambient air pollutants on lung function in adults is not fully understood. The objective of this study was to investigate the association of long-term exposure to ambient air pollution with lung function in adult participants from five cohorts in the European Study of Cohorts for Air Pollution Effects (ESCAPE). Residential exposure to nitrogen oxides (NO2, NOx) and particulate matter (PM) was modelled and traffic indicators were assessed in a standardised manner. The spirometric parameters forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) from 7613 subjects were considered as outcomes. Cohort-specific results were combined using meta-analysis. We did not observe an association of air pollution with longitudinal change in lung function, but we observed that a 10 μg·m−3 increase in NO2 exposure was associated with lower levels of FEV1 (−14.0 mL, 95% CI −25.8 to −2.1) and FVC (−14.9 mL, 95% CI −28.7 to −1.1). An increase of 10 μg·m−3 in PM10, but not other PM metrics (PM2.5, coarse fraction of PM, PM absorbance), was associated with a lower level of FEV1 (−44.6 mL, 95% CI −85.4 to −3.8) and FVC (−59.0 mL, 95% CI −112.3 to −5.6). The associations were particularly strong in obese persons. This study adds to the evidence for an adverse association of ambient air pollution with lung function in adults at very low levels in Europe. The ESCAPE study finds that, even at very low levels, air pollution has adverse effects on lung function in adults http://ow.ly/A1ssB