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Relationship between fine particulate matter (PM2.5) ambient air pollution exposure to cardiorespiratory and muscular fitness in adults from MEDELLIN cohort study, 2022-2023

Background: Air pollution caused by fine particles has been recognized as a significant environmental risk factor. Over the past two decades, there has been a substantial increase in evidence on the impact of air pollutants on mortality and morbidity in vulnerable groups, such as children under 5 years of age, people over 60 years of age, and people with comorbidities, primarily in low- and middle-income countries. However, most studies have focused on nosologically identified respiratory and cardiovascular events. Our objective was to evaluate the relationship between PM2.5 ambient air pollution exposure and -physical fitness (PF), an attribute that determines an individual’s physical performance and general health, in adults from Medellin, Colombia. Methods: A cross-sectional nested cohort study was conducted to establish exposure to PM2.5 by each participant’s residence address. Physical fitness was assessed using the Dundee step test, sit-to-stand muscle power test, and grip strength. Multiple linear regression models adjusted for personal medical history were constructed to evaluate the study relationship. Results: 320 participants were included, with an average age of 60 +/- 8.7 years and an annual PM2.5 ambient air pollution of 18.9 +/- 1.75 microg/m3. People with PM2.5 exposures above the 75th percentile showed greater use of the heart rate reserve (beta coefficient= 7.11; 95%CI 1.11-13.12) and better relative muscle power (beta coefficient= 0.50; 95%CI 0.23). -0.77) and grip strength (beta coefficient= 3.59; 95%CI 1.63-5.56). Conclusions: This is the first study to explore the relationship between ambient PM2.5 ambient air pollution and cardiorespiratory and muscular fitness in a Latin American city. Our results indicate that people with greater exposure to PM2.5 have worse cardiorespiratory fitness (CRF) and better muscular fitness (MF).

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