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Original Article
- Obesity and Metabolic Syndrome
- Air Pollution Has a Significant Negative Impact on Intentional Efforts to Lose Weight: A Global Scale Analysis
- Morena Ustulin, So Young Park, Sang Ouk Chin, Suk Chon, Jeong-taek Woo, Sang Youl Rhee
- Diabetes Metab J. 2018;42(4):320-329. Published online April 24, 2018
- DOI: https://doi.org/10.4093/dmj.2017.0104
- 5,334 View
- 48 Download
- 6 Web of Science
- 8 Crossref
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Abstract
PDF
PubReader Background Air pollution causes many diseases and deaths. It is important to see how air pollution affects obesity, which is common worldwide. Therefore, we analyzed data from a smartphone application for intentional weight loss, and then we validated them.
Methods Our analysis was structured in two parts. We analyzed data from a cohort registered to a smartphone application in 10 large cities of the world and matched it with the annual pollution values. We validated these results using daily pollution data in United States and matching them with user information. Body mass index (BMI) variation between final and initial login time was considered as outcome in the first part, and daily BMI in the validation. We analyzed: daily calories intake, daily weight, daily physical activity, geographical coordinates, seasons, age, gender. Weather Underground application programming interface provided daily climatic values. Annual and daily values of particulate matter PM10 and PM2.5 were extracted. In the first part of the analysis, we used 2,608 users and then 995 users located in United States.
Results Air pollution was highest in Seoul and lowest in Detroit. Users decreased BMI by 2.14 kg/m2 in average (95% confidence interval, −2.26 to −2.04). From a multilevel model, PM10 (β=0.04,
P =0.002) and PM2.5 (β=0.08,P <0.001) had a significant negative effect on weight loss when collected per year. The results were confirmed with the validation (βAQI*time=1.5×10–5;P <0.001) by mixed effects model.Conclusion This is the first study that shows how air pollution affects intentional weight loss applied on wider area of the world.
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Citations
Citations to this article as recorded by
- What could be the reasons for not losing weight even after following a weight loss program?
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Journal of Health, Population and Nutrition.2024;[Epub] CrossRef - Subchronic exposure to 1,2-naphthoquinone induces adipose tissue inflammation and changes the energy homeostasis of mice, partially due to TNFR1 and TLR4
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Toxicology Reports.2023; 11: 10. CrossRef - Effects of Ambient Particulate Matter (PM2.5) Exposure on Calorie Intake and Appetite of Outdoor Workers
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Nutrients.2022; 14(22): 4858. CrossRef - Efficiency in reducing air pollutants and healthcare expenditure in the Seoul Metropolitan City of South Korea
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Environmental Science and Pollution Research.2021; 28(20): 25442. CrossRef - Seasonal variation and trends in the Internet searches for losing weight: An infodemiological study
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Obesity Research & Clinical Practice.2020; 14(3): 225. CrossRef - Estimation of health benefits from air quality improvement using the MODIS AOD dataset in Seoul, Korea
Daeun Kim, Jeongyeong Kim, Jaehwan Jeong, Minha Choi
Environmental Research.2019; 173: 452. CrossRef - Appropriate Medical Technology in the Era of the 4th Industrial Revolution
Sang Youl Rhee
The Korean Journal of Medicine.2019; 94(5): 387. CrossRef - Can Air Pollution Biologically Hinder Efforts to Lose Body Weight?
Duk-Hee Lee
Diabetes & Metabolism Journal.2018; 42(4): 282. CrossRef
- What could be the reasons for not losing weight even after following a weight loss program?
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