Evidence map›Paper›PMID 30790006›Full record

SynthesisInternational journal of public health2019

Health effects of ultrafine particles: a systematic literature review update of epidemiological evidence.

Simone Ohlwein, Ron Kappeler, Meltem Kutlar Joss, Nino Künzli, Barbara Hoffmann

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Systematic review and meta-analysis on the health effects of long-term exposure to ultrafine particles.European respiratory review : an official journal of the European Respiratory Society · 2026
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  4. Meta-analysis on short-term exposure to ambient ultrafine particles and respiratory morbidity.European respiratory review : an official journal of the European Respiratory Society · 2020
    Pooled it
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47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Simone OhlweinInstitute for Occupational, Social and Environmental Medicine, Center for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Postfach 101007, 40001, Düsseldorf, Germany. simone.ohlwein@uni-duesseldorf.de.
Ron KappelerSwiss Tropical and Public Health Institute, Switzerland and University of Basel, Socinstrasse 57, 4051, Basel, Switzerland.
Meltem Kutlar JossSwiss Tropical and Public Health Institute, Switzerland and University of Basel, Socinstrasse 57, 4051, Basel, Switzerland.
Nino KünzliSwiss Tropical and Public Health Institute, Switzerland and University of Basel, Socinstrasse 57, 4051, Basel, Switzerland.
Barbara HoffmannInstitute for Occupational, Social and Environmental Medicine, Center for Health and Society, Medical Faculty, Heinrich-Heine-University Düsseldorf, Postfach 101007, 40001, Düsseldorf, Germany.

Funding

Deutsches Umweltbundesamt 00377 7205-2 UKAGEP
6 · The paper itself

Abstract

objectivesDue to their small size, ultrafine particles (UFP) are believed to exert higher toxicity than larger particles. As numerous studies on health effects of UFP have been published since the last systematic review in 2013, we aim to systematically review the new literature.

methodsWe searched MEDLINE and the specialized LUDOK database for studies published between 01.01.2011 and 11.05.2017 investigating health effects of ambient air pollution-related UFP. We included epidemiologic studies containing UFP measures and quantifiable measures of associations. Relevant data were extracted on the basis of previously developed evaluation criteria.

resultsWe identified 85 original studies, conducting short-term (n = 75) and long-term (n = 10) investigations. Panel (n = 32), scripted exposure with predefined settings (n = 16) or time series studies (n = 11) were most frequent. Thirty-four studies adjusted for at least one other pollutant. Most consistent associations were identified for short-term effects on pulmonary/systemic inflammation, heart rate variability and blood pressure.

conclusionsThe evidence suggests adverse short-term associations with inflammatory and cardiovascular changes, which may be at least partly independent of other pollutants. For the other studied health outcomes, the evidence on independent health effects of UFP remains inconclusive or insufficient.

Indexed as

Particle SizeAir PollutantsAir PollutionHumansParticulate MatterRespiratory Tract DiseasesAir PollutantsParticulate MatterAir pollutionEpidemiologyHealth effectsParticulate matterUltrafine particles

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.