Longitudinal associations between ambient PM2.5 exposure and lipid levels in two Indian cities.

Background: Exposure to ambient PM2.5 is known to affect lipid metabolism through systemic inflammation and oxidative stress. Evidence from developing countries, such as India with high levels of ambient PM2.5 and distinct lipid profiles, is sparse. Methods: Longitudinal nonlinear mixed-effects analysis was conducted on >10,000 participants of Centre for cArdiometabolic Risk Reduction in South Asia (CARRS) cohort in Chennai and Delhi, India. We examined associations between 1-month and 1-year average ambient PM2.5 exposure derived from the spatiotemporal model and lipid levels (total cholesterol [TC], triglycerides [TRIG], high-density lipoprotein cholesterol [HDL-C], and low-density lipoprotein cholesterol [LDL-C]) measured longitudinally, adjusting for residential and neighborhood-level confounders. Results: The mean annual exposure in Chennai and Delhi was 40 and 102 µg/m3 respectively. Elevated ambient PM2.5 levels were associated with an increase in LDL-C and TC at levels up to 100 µg/m3 in both cities and beyond 125 µg/m3 in Delhi. TRIG levels in Chennai increased until 40 µg/m3 for both short- and long-term exposures, then stabilized or declined, while in Delhi, there was a consistent rise with increasing annual exposures. HDL-C showed an increase in both cities against monthly average exposure. HDL-C decreased slightly in Chennai with an increase in long-term exposure, whereas it decreased beyond 130 µg/m3 in Delhi. Conclusion: These findings demonstrate diverse associations between a wide range of ambient PM2.5 and lipid levels in an understudied South Asian population. Further research is needed to establish causality and develop targeted interventions to mitigate the impact of air pollution on lipid metabolism and cardiovascular health.

Nationwide estimation of daily ambient PM2.5 from 2008 to 2020 at 1 km2 in India using an ensemble approach.

High-resolution assessment of historical levels is essential for assessing the health effects of ambient air pollution in the large Indian population. The diversity of geography, weather patterns, and progressive urbanization, combined with a sparse ground monitoring network makes it challenging to accurately capture the spatiotemporal patterns of ambient fine particulate matter (PM2.5) pollution in India. We developed a model for daily average ambient PM2.5 between 2008 and 2020 based on monitoring data, meteorology, land use, satellite observations, and emissions inventories. Daily average predictions at each 1 km × 1 km grid from each learner were ensembled using a Gaussian process regression with anisotropic smoothing over spatial coordinates, and regression calibration was used to account for exposure error. Cross-validating by leaving monitors out, the ensemble model had an R2 of 0.86 at the daily level in the validation data and outperformed each component learner (by 5-18%). Annual average levels in different zones ranged between 39.7 µg/m3 (interquartile range: 29.8-46.8) in 2008 and 30.4 µg/m3 (interquartile range: 22.7-37.2) in 2020, with a cross-validated (CV)-R2 of 0.94 at the annual level. Overall mean absolute daily errors (MAE) across the 13 years were between 14.4 and 25.4 µg/m3. We obtained high spatial accuracy with spatial R2 greater than 90% and spatial MAE ranging between 7.3-16.5 µg/m3 with relatively better performance in urban areas at low and moderate elevation. We have developed an important validated resource for studying PM2.5 at a very fine spatiotemporal resolution, which allows us to study the health effects of PM2.5 across India and to identify areas with exceedingly high levels.

Personal exposure to fine particulate matter concentrations in central business district of a tropical coastal city.

In the present study, personal exposure to fine particulate matter (particulate matter with an aerodynamic diameter <2.5 µm [PM2.5]) concentrations in an urban hotspot (central business district [CBD]) was investigated. The PM monitoring campaigns were carried out at an urban hotspot from June to October 2015. The personal exposure monitoring was performed during three different time periods, i.e., morning (8 a.m.-9 a.m.), afternoon (12.30 p.m.-1.30 p.m.), and evening (4 p.m.-5 p.m.), to cover both the peak and lean hour activities of the CBD. The median PM2.5 concentrations were 38.1, 34.9, and 40.4 µg/m3 during the morning, afternoon, and evening hours on the weekends. During weekdays, the median PM2.5 concentrations were 59.5, 29.6, and 36.6 µg/m3 in the morning, afternoon, and evening hours, respectively. It was observed that the combined effect of traffic emissions, complex land use, and micrometeorological conditions created localized air pollution hotspots. Furthermore, the total PM2.5 lung dose levels for an exposure duration of 1 hr were 8.7 ± 5.7 and 12.3 ± 5.2 µg at CBD during weekends and weekdays, respectively, as compared with 2.5 ± 0.8 µg at the urban background (UB). This study emphasizes the need for mobile measurement for short-term personal exposure assessment complementing the fixed air quality monitoring. IMPLICATIONS: Personal exposure monitoring at an urban hotspot indicated space and time variation in PM concentrations that is not captured by the fixed air quality monitoring networks. The short-term exposure to higher concentrations can have a significant impact on health that need to be considered for the health risk-based air quality management. The study emphasizes the need of hotspot-based monitoring complementing the already existing fixed air quality monitoring in urban areas. The personal exposure patterns at hotspots can provide additional insight into sustainable urban planning.