Air Pollutants and Ovarian Reserve: A Systematic Review of the Evidence

Abstract

, dual abstract and full-text screening was performed, followed by a single review. Data extraction was cross-checked by a second reviewer. Findings were narratively described using summary statistics. Results: We analyzed 182 articles, primarily life cycle assessments and modeling studies (92 out of 182), with only one study being a randomized controlled trial. The research covered various health-care practices, including consultation methods/telemedicine (32%), surgical and medical device usage (26%), medication (25%), surgical procedures (19%), as well as diagnostic tests, screening, and imaging (13%). The main sustainability strategies mentioned were 'Rethink' (99%) and 'Reduce' (81%), with 'Reuse' (32%), 'Recycle' (19%), and 'Refuse' (10%) being less utilized. Environmental outcomes reported included global warming (88%), resource consumption (27%), and chemical hazards (23%). Most studies were conducted in Europe (48%), followed by the USA (37%), with 75% published after 2020. Conclusions: The environmental impact of healthcare is a pivotal area for public health action and fortunately, it is also emerging as a significant research field. Utilizing methodological approaches less common in evidence-based healthcare research underscores the necessity for innovative interdisciplinary collaboration and capacity building. The most pressing research gap lies in the impact of de-implementation strategies ("refuse") targeting low-value care practices. Key messages: • Measuring the environmental impact of healthcare demands the development of novel cross-disciplinary research methods and collaborations. • De-implementing low-value care represents a future win-win scenario for patients, the financial viability of healthcare systems, and global environmental sustainability. Abstract citation ID: ckae144.1386 Why greenhouse agricultural workers do not use subthemes. The main themes identified were a) personal attitudes/ characteristics b) negative features of the physical environment, c) negative features of personal protective equipment. Conclusions: The reasons why greenhouse agricultural workers do not use pesticide protection methods are individual attitudes/char-acteristics such as laziness and not to care about, negative characteristics of the environment such as temperature, humidity and wetness, and negative characteristics of personal protective equipment such as being heavy and inflexibility. Health institutions and health professionals serving in regions where agricultural workers should develop interventional studies, intervention programs and strategies to protect and improve the health of these individuals. Key messages: • Greenhouse agriculture workers do not use any of the pesticide protection methods due to individual attitudes/characteristics, negative characteristics of environment and personal protective equipment. • Health professionals can ensure that greenhouse agricultural workers use pesticide protection methods by increasing their awareness of health risks and planning interventional studies. Abstract citation ID: ckae144.1387 Background: Growing evidence points to an association between ambient air pollution and decreased human reproductive potential. The aim of this study was to systematically review the association between air pollutants and female ovarian reserve.