The Sun (Malaysia)

Air pollution affects our health – and sleep

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NEW research has found yet another way that the current levels of air pollution is impacting our health, this time by disrupting our sleep.

Presented at the ATS (American Thoracic Society) 2017 Internatio­nal Conference, the findings suggest that high levels of air pollution not only affect heart health, breathing, and lung function, as found in previous studies, but also sleep quality.

For the new research, the team analysed data from 1,863 participan­ts with an average age of 68, who were taking part in the Multi-Ethnic Study of Atheroscle­rosis (Mesa) and both of Mesa’s Sleep and Air Pollution studies.

The study looked at the effects of two of the most common air pollutants – NO2, a traffic-related pollutant gas, and PM2.5, or fine-particle pollution – and estimated exposure to air pollution at each participan­t’s home both one year and five years into the study.

Participan­ts wore a wrist device for a seven-day period to measure their sleep and activity, and calculate ‘sleep efficiency’ – a measure of the percentage of time in bed spent asleep versus awake.

After finding that 25% of participan­ts had a sleep efficiency of 88% or less, the team decided to look at whether exposure to pollution was impacting the sleep of this low-efficiency group.

The group was divided into four sub-groups according to the levels of pollution.

The team then compared those who experience­d the highest levels of pollution against those who experience­d the lowest levels.

After taking into account various factors including age, body mass, obstructiv­e sleep apnea, race/ethnicity, income and smoking status, the results showed that those exposed to the highest levels of NO2 over five years had an almost 60% increased chance of having low sleep efficiency compared to those with the lowest NO2 levels.

Those exposed to the highest levels of small particulat­es (PM2.5) had a nearly 50% increased chance of having low sleep efficiency.

Lead author Martha E. Billings, commented: “We thought an effect was likely given that air pollution causes upper airway irritation, swelling and congestion, and may also affect the central nervous system and brain areas that control breathing patterns and sleep.”

However, she added that further research is needed in order to look at an associatio­n between sleep and other air pollutants not included in this study, as well as how pollutants may disrupt sleep patterns.

Another possibilit­y is that it is traffic noise rather than pollutants that is contributi­ng to poor sleep quality.

“There may be acute sleep effects to short-term exposure to high pollution levels as well, but we lacked the data to study that link,” said Billings. – AFPRelaxne­ws

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