Evidence map›Paper›PMID 40410818›Full record

Trial reportParticle and fibre toxicology2025

Acute health effects of ambient air pollution including ultrafine particles in a semi-experimental setting in young, healthy individuals.

Elisabeth Folwarczny, Felix Forster, Rudolf A Jörres, Stefan Rakete, Sheng Ye, Mark Wenig, Nadine Gawlitta, Jürgen Schnelle-Kreis, Richard Winterhalter, Alexander Müller and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Particle and fibre toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Elisabeth FolwarcznyInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Felix ForsterInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Rudolf A JörresInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Stefan RaketeInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Sheng YeDepartment of Physics, Meteorological Institute, LMU, Munich, Germany.
Mark WenigDepartment of Physics, Meteorological Institute, LMU, Munich, Germany.
Nadine GawlittaJoint Mass Spectrometry Center (JMSC) at Comprehensive Molecular Analytics (CMA), Helmholtz Zentrum München, Neuherberg, Germany.
Jürgen Schnelle-KreisJoint Mass Spectrometry Center (JMSC) at Comprehensive Molecular Analytics (CMA), Helmholtz Zentrum München, Neuherberg, Germany.
Richard WinterhalterInstitute for Occupational Health and Product Safety, Environmental Health Protection, Bavarian Health and Food Safety Authority, Munich, Germany.
Alexander MüllerTUM School of Medicine and Health, Department of Clinical Medicine - Clinical Department for Internal Medicine I, University Medical Center, Technical University of Munich, Munich, Germany.
Dennis NowakInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Stefan KarraschInstitute and Clinic for Occupational, Social and Environmental Medicine, LMU University Hospital, LMU Munich, Munich, Germany. stefan.karrasch@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple effects of ultrafine particles (UFP) on human subjects are known but there is less knowledge of how relative exposure levels between ultrafine and fine particles as typically encountered in large cities affect lung function and cardiovascular parameters.

methodsFour sites with high/low levels of ultrafine particles and/or fine particles were selected in the city of Munich, Germany: control area (woodland), urban environment, heavy traffic site, biomass combustion (beech wood). In a randomized cross-over design, 26 young, healthy individuals were exposed at each site over 75 min to atmospheric pollutants, which were monitored continuously, while performing intermittent (5 min per 15 min) light exercise. Parameters assessed pre and post exposure comprised symptoms, spirometry, lung diffusing capacity for carbon monoxide (DLCO) and nitric oxide (DLNO), alveolar volume (AV), the fractional concentration of exhaled nitric oxide (FeNO), reactive hyperemia index (RHI), blood pressure, and heart rate. Outcomes were expressed as percent changes of parameters and analyses performed by either comparing the four sites or by multiple linear regression analyses using the measured pollutant levels.

resultsThe sites showed the planned pattern of exposure levels but with large overlap. Outcomes showed no statistically significant differences between sites, except for symptoms which were elevated with heavy traffic site exposure and biomass combustion. In regression analyses, AV decreased by 0.92 (95% confidence interval (CI): 0.28 to 1.57) % per 10,000/cm

conclusionsShort-term exposures to UFP elicited a reduction in the lung volume (AV) accessible to gas transport by diffusion and convection. FeNO was slightly elevated after all exposures, but this increase was significantly smaller at higher ambient NO

Indexed as

Air PollutantsInhalation ExposureLungParticulate MatterAdultBlood PressureCross-Over StudiesEnvironmental MonitoringFemaleGermanyHealthy VolunteersHeart RateHumansMaleNitric OxideParticle SizeAir PollutantsNitric OxideParticulate MatterAir pollutantsFractional exhaled nitric oxide testingLung functionLung volume measurementsParticulate matterShort-term exposureUltrafine particles

Identifiers

PMID40410818
PMCPMC12102956

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Registered trials

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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.