Evidence map›Paper›PMID 31391318›Full record

ArticleThorax2019

Ambient air pollution exposure and risk and progression of interstitial lung abnormalities: the Framingham Heart Study.

Mary B Rice, Wenyuan Li, Joel Schwartz, Qian Di, Itai Kloog, Petros Koutrakis, Diane R Gold, Robert W Hallowell, Chunyi Zhang, George O'Connor and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Thorax, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% of its field
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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
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  10. Review
  11. Pulmonary Fibrosis-Focusing on the Future: Aspen Lung Conference 2024 Summary.American journal of respiratory cell and molecular biology · 2025
    Article
  12. Race, Environmental Exposures, and Interstitial Lung Abnormalities.American journal of respiratory and critical care medicine · 2025
    Article
  13. Review
  14. Review
  15. Air pollution and alveolar health.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  16. Article
  17. Article
  18. Current perspectives on interstitial lung abnormalities.The Korean journal of internal medicine · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Mary B RiceMedicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA mrice1@bidmc.harvard.edu.ORCID 0000-0003-2538-391X
Wenyuan LiEpidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Joel SchwartzEnvironmental Health, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Qian DiEnvironmental Health, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Itai KloogGeography and Environmental Development, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Petros KoutrakisEnvironmental Health, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Diane R GoldEnvironmental Health, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Robert W HallowellMedicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Chunyi ZhangMedicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
George O'ConnorMedicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
George R WashkoMedicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gary M HunninghakeMedicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Murray A MittlemanEpidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Harvard University · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USBen-Gurion University of the Negev · ILBoston University · US

Funding

Clinical Genetics and Screening for Pulmonary FibrosisR01HL130974 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GARY MATTHEW HUNNINGHAKE, Benjamin Alexander Raby · 2016 to 2026
$10.0M
Genetic and Genomic Characterization of the Occurrence and Progression of Interstitial Lung AbnormalitiesR01HL135142 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL H. CHO, GARY MATTHEW HUNNINGHAKE · 2017 to 2026
$7.7M
Interstitial Lung Abnormalities: Defining the Phenotype, Causes, and Consequences.R01HL111024 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HUNNINGHAKE, GARY MATTHEW · 2013 to 2022
$6.4M
Air Pollution and the Lung in Health and COPD: Obstructive, Restrictive and Vascular PathwaysK23ES026204 · NIEHS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI RICE, MARY B · 2016 to 2020
$883k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS N01 HC025195NHLBI NIH HHS R01 HL111024NHLBI NIH HHS R01 HL130974NHLBI NIH HHS R01 HL135142NIEHS NIH HHS K23 ES026204
6 · The paper itself

Abstract

backgroundAmbient air pollution accelerates lung function decline among adults, however, there are limited data about its role in the development and progression of early stages of interstitial lung disease.

aimsTo evaluate associations of long-term exposure to traffic and ambient pollutants with odds of interstitial lung abnormalities (ILA) and progression of ILA on repeated imaging.

methodsWe ascertained ILA on chest CT obtained from 2618 Framingham participants from 2008 to 2011. Among 1846 participants who also completed a cardiac CT from 2002 to 2005, we determined interval ILA progression. We assigned distance from home address to major roadway, and the 5-year average of fine particulate matter (PM

resultsAmong 2618 participants with a chest CT, 176 (6.7%) had ILA, 1361 (52.0%) had no ILA, and the remainder were indeterminate. Among 1846 with a preceding cardiac CT, 118 (6.4%) had ILA with interval progression. In adjusted logistic regression models, an IQR difference in 5-year EC exposure of 0.14 µg/m

conclusionsExposure to EC may increase risk of progressive ILA, however, associations with other measures of ambient pollution were inconclusive.

Indexed as

Disease ProgressionAgedAir PollutionCarbonEnvironmental ExposureFemaleHealth SurveysHumansLongitudinal StudiesLung Diseases, InterstitialMaleMiddle AgedOzoneParticulate MatterResidence CharacteristicsRisk FactorsCarbonOzoneParticulate Matterclinical epidemiologyimaging/CT MRI etcinterstitial fibrosis

Identifiers

PMID31391318
PMCPMC7136036
OpenAlexW2966018399

What OpenQuestion holds

Textmetadata
LicenceTDM
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.