Association between air pollution and osteoporosis: A systematic review

Background: Osteoporosis is a major worldwide health problem associated with lower bone mineral density (BMD) and higher fracture risk, which contributes to increased morbidity and healthcare costs. Meanwhile, some modifiable environmental factors affect bone health, including air pollution and smok...

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Main Authors: Prabowo Nurhasan Agung, Soetrisno, Nurwati Ida, Ardyanto Tonang Dwi, Poncorini Eti, Nurudhin Arief, Dirgahayu Paramasari
Format: Article
Language:English
Published: EDP Sciences 2025-01-01
Series:BIO Web of Conferences
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Online Access:https://www.bio-conferences.org/articles/bioconf/pdf/2025/06/bioconf_10thiccc_10004.pdf
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author Prabowo Nurhasan Agung
Soetrisno
Nurwati Ida
Ardyanto Tonang Dwi
Poncorini Eti
Nurudhin Arief
Dirgahayu Paramasari
author_facet Prabowo Nurhasan Agung
Soetrisno
Nurwati Ida
Ardyanto Tonang Dwi
Poncorini Eti
Nurudhin Arief
Dirgahayu Paramasari
author_sort Prabowo Nurhasan Agung
collection DOAJ
description Background: Osteoporosis is a major worldwide health problem associated with lower bone mineral density (BMD) and higher fracture risk, which contributes to increased morbidity and healthcare costs. Meanwhile, some modifiable environmental factors affect bone health, including air pollution and smoking. Objective: The current systematic review aims to summarize the available data regarding the impact of air pollution and smoking on osteoporosis. Methods: A systematic search of the observational studies published from 2000 to 2024 was performed in PubMed. ROBINS-I identified twenty-one studies based on the inclusion criteria and assessed the quality. Results: For exposure to particulate matter (PM2. 5, PM10), nitrogen oxides (NO₂) and smoking were associated with lower BMD and increased fracture risk. These mechanisms include oxidative stress, systemic inflammation, and heavy metal toxicity in women disproportionately, older adults and urban populations. Conclusion: Further public health efforts, such as regulating air quality imbalance and developing social willingness to quit smoking, shall be called upon to alleviate osteoporosis burdens and promote bone health worldwide.
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institution Kabale University
issn 2117-4458
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publishDate 2025-01-01
publisher EDP Sciences
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series BIO Web of Conferences
spelling doaj-art-08573f168dbc46b683c5aa8aee6294472025-02-05T10:43:24ZengEDP SciencesBIO Web of Conferences2117-44582025-01-011551000410.1051/bioconf/202515510004bioconf_10thiccc_10004Association between air pollution and osteoporosis: A systematic reviewPrabowo Nurhasan Agung0Soetrisno1Nurwati Ida2Ardyanto Tonang Dwi3Poncorini Eti4Nurudhin Arief5Dirgahayu Paramasari6Doctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretDoctoral Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas MaretBackground: Osteoporosis is a major worldwide health problem associated with lower bone mineral density (BMD) and higher fracture risk, which contributes to increased morbidity and healthcare costs. Meanwhile, some modifiable environmental factors affect bone health, including air pollution and smoking. Objective: The current systematic review aims to summarize the available data regarding the impact of air pollution and smoking on osteoporosis. Methods: A systematic search of the observational studies published from 2000 to 2024 was performed in PubMed. ROBINS-I identified twenty-one studies based on the inclusion criteria and assessed the quality. Results: For exposure to particulate matter (PM2. 5, PM10), nitrogen oxides (NO₂) and smoking were associated with lower BMD and increased fracture risk. These mechanisms include oxidative stress, systemic inflammation, and heavy metal toxicity in women disproportionately, older adults and urban populations. Conclusion: Further public health efforts, such as regulating air quality imbalance and developing social willingness to quit smoking, shall be called upon to alleviate osteoporosis burdens and promote bone health worldwide.https://www.bio-conferences.org/articles/bioconf/pdf/2025/06/bioconf_10thiccc_10004.pdfosteoporosisair pollutantssmokingbone densitypublic health
spellingShingle Prabowo Nurhasan Agung
Soetrisno
Nurwati Ida
Ardyanto Tonang Dwi
Poncorini Eti
Nurudhin Arief
Dirgahayu Paramasari
Association between air pollution and osteoporosis: A systematic review
BIO Web of Conferences
osteoporosis
air pollutants
smoking
bone density
public health
title Association between air pollution and osteoporosis: A systematic review
title_full Association between air pollution and osteoporosis: A systematic review
title_fullStr Association between air pollution and osteoporosis: A systematic review
title_full_unstemmed Association between air pollution and osteoporosis: A systematic review
title_short Association between air pollution and osteoporosis: A systematic review
title_sort association between air pollution and osteoporosis a systematic review
topic osteoporosis
air pollutants
smoking
bone density
public health
url https://www.bio-conferences.org/articles/bioconf/pdf/2025/06/bioconf_10thiccc_10004.pdf
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