Air Pollution and Chronic Kidney Disease Risk in Oil and Gas- Situated Communities: A Systematic Review and Meta-Analysis

Okoye, Ogochukwu Chinedum; Carnegie, Elaine; Mora, Luca

Abstract

Objective: This systematic review and meta-analysis aimed at synthesising epidemiological data on the association between long-term air pollution and kidney-related outcomes in oil and natural gas (ONG) situated communities.

Methods: We synthesised studies using the PRISMA 2020 guideline. We searched databases including Medline, Cochrane Library, CIHANL, CAB Abstracts, Greenlife, African Journal Online, Google Scholar and Web of Science, from inception to April 2021. Heterogeneity across studies and publication bias were assessed.

Results: Twenty-five studies were systematically reviewed but only 14 were included in the meta-analysis and categorised based on the outcome studied. Residents of exposed communities have increased risk for Chronic Kidney Disease (CKD) (OR = 1.70, 95% CI 1.44–2.01), lower eGFR (OR = 0.55, 95% CI 0.48–0.67) and higher serum creatinine (OR = 1.39, 95% CI 1.06–1.82) compared to less exposed or unexposed populations. The risks for hypertension and kidney cancer between the two populations were not significantly different.

Conclusion: We report an increased risk for CKD and kidney dysfunction in populations residing near petrochemical plants, although from a limited number of studies. The scientific community needs to explore this environment and non-communicable disease relationship, particularly in vulnerable populations.

Citation

Okoye, O. C., Carnegie, E., & Mora, L. (2022). Air Pollution and Chronic Kidney Disease Risk in Oil and Gas- Situated Communities: A Systematic Review and Meta-Analysis. International Journal of Public Health, 67, Article 1604522. https://doi.org/10.3389/ijph.2022.1604522

• Journal Article Type: Review
• Acceptance Date: Mar 15, 2022
• Online Publication Date: Apr 11, 2022
• Publication Date: 2022
• Deposit Date: Apr 27, 2022
• Publicly Available Date: Apr 27, 2022
• Journal: International Journal of Public Health
• Print ISSN: 1661-8556
• Electronic ISSN: 1661-8564
• Publisher: Springer
• Peer Reviewed: Peer Reviewed
• Volume: 67
• Article Number: 1604522
• DOI: https://doi.org/10.3389/ijph.2022.1604522
• Keywords: kidney disease, systematic review, air pollution, meta-analysis, petrochemical plants, hypertension, oil and natural gas
• Public URL: http://researchrepository.napier.ac.uk/Output/2867367