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Study on the association between gaseous air pollutants and inflammatory indices in patients with schizophrenia
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Bai-hua CHEN1, Xiao-lan HUANG1, Xue-hong LAN1, Dong-mei LI1, Li SU1, 2
Modern Preventive Medicine | 2025, 52(7) : 1216 - 1220
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Modern Preventive Medicine | 2025, 52(7): 1216-1220
Environmental and Occupational Health
Study on the association between gaseous air pollutants and inflammatory indices in patients with schizophrenia
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Bai-hua CHEN1, Xiao-lan HUANG1, Xue-hong LAN1, Dong-mei LI1, Li SU1, 2
Affiliations
  • School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China
Published: 2025-04-10 doi: 10.20043/j.cnki.MPM.202410253
Outline
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Objective

To explore the relationship between gaseous air pollutants and inflammatory indices in patients with schizophrenia (SCZ).

Methods

A total of 866 hospitalized SCZ patients were included from October 2020 to December 2023.The daily average exposure values of gaseous air pollutants (SO2, NO2, O3, CO) for the seven days prior to hospitalization were estimated using Kriging interpolation. Based on the biochemical test results on the day of admission, four inflammatory indices were calculated for the SCZ patients: Platelet to Lymphocyte Ratio (PLR), Neutrophil to Lymphocyte Ratio (NLR), Systemic Immune Inflammation Index (SII), and Systemic Inflammation Response Index (SIRI). Spearman correlation and multiple linear regression models were employed to analyze the association between individual gaseous air pollutants and inflammatory indices;Bayesian Kernel Machine Regression (BKMR) was used to assess the joint effects of mixed gaseous air pollutants on inflammatory indices.

Results

The daily average exposure values of SO2, NO2, and CO in the seven days prior to hospitalization showed a positive correlation with PLR(rSO-PLR=0.08;rNO-PLR= 0.069; rCO-PLR=0.078)、NLR(rSO-NLR=0.075; rNO-NLR= 0.077; rCO-NLR=0.069) and SII(rSO-SII=0.081; rNO-SII=0.072; rCO-SII=0.075), with statistical significance (all P<0.05). The multiple linear regression results indicated a positive correlation between the daily average NO2 exposure and NLR levels, with β=0.006(95%CI: 0.001-0.011). The BKMR analysis revealed that when the daily averages of the four gaseous air pollutants exceeded their 50th percentile (P50) in the seven days prior to hospitalization, the mixture of SO2, NO2, CO, and O3 had a positive joint effect on the NLR and SII of SCZ patients.

Conclusion

Short-term exposure to a mixture of gaseous air pollutants may influence the inflammatory response in SCZ patients.

Gaseous air pollutants  /  Inflammatory indices  /  Schizophrenia
Bai-hua CHEN, Xiao-lan HUANG, Xue-hong LAN, Dong-mei LI, Li SU. Study on the association between gaseous air pollutants and inflammatory indices in patients with schizophrenia[J]. Modern Preventive Medicine, 2025 , 52 (7) : 1216 -1220 . DOI: 10.20043/j.cnki.MPM.202410253
Year 2025 volume 52 Issue 7
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Article Info
doi: 10.20043/j.cnki.MPM.202410253
  • Receive Date:2024-10-13
  • Online Date:2026-03-18
  • Published:2025-04-10
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  • Received:2024-10-13
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    School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China
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表12种不同金属材料的力学参数

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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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