Schikowski et al. [34]

2005

Cross- sectional study

Germany

Adults (Women)

Ÿ Distance (<100 m, ≥100 m)

Ÿ Pollutants measured

­ NO2

­ PM10

Ÿ RS

­ Chronic cough with phlegm

­ Frequent cough

Ÿ RD

­ COPD

­ Chronic bronchitis

Ÿ COPD and pulmonary function were strongest affected by PM10 a traffic related exposure.

Ÿ Women living less than 100 m from a busy road also had a significantly decreased lung function and COPD was 1.79 times more likely than for those living farther away

Ÿ Chronic exposure to PM10, NO2 and living near a major road might increase the risk of developing COPD and can have a detrimental effect on lung function

Shima et al. [35]

2003

Cohort study

Japan

Children

(6 - 9 years)

Ÿ Traffic intensity (number of vehicles/12 hours)

Ÿ Distance from trunk road (0 - 49 m; ≥50 m; rural area)

Ÿ Pollutants measured

­ NO2

­ SPM

­ SO2

Ÿ RS

­ Bronchitis ever

­ Chronic cough

­ Chronic phlegm

­ Wheeze

Ÿ RD

­ Asthma

Ÿ The prevalence of asthma increased with increases of air pollution.

Ÿ Findings suggest that traffic-related air pollution may be of a particular importance in the development of asthma among children living near major trunk roads with heavy traffic

McConnel et al. [36]

2006

Cohort study

US (Southern California)

Children (5 - 7 years)

Ÿ Distance (<75 m; 75 - 150 m; 150 m - 300 m; >300 m)

Ÿ RS

­ Current wheeze

Ÿ RD

­ Asthma

Ÿ Residence within 75 m of a major road was associated with an increased risk of lifetime asthma