Air pollution increases the likelihood of people becoming frail in middle and old age, according to an international review of studies. The Guardian: The review team found 10 studies that looked at outdoor air pollution and frailty. The people studied came from 11 countries including China, the UK, Sweden, South Africa and Mexico. Two of the studies showed that men were more vulnerable than woman, with a stronger association between particle pollution and frailty. The risk of frailty increased with outdoor particle pollution. For the UK, this could mean about 10-20% of frailty cases are attributable to air pollution.

Exposure to secondhand smoking was the environmental factor that presented the greatest risk of frailty. The risk of frailty was increased by about 60% for people who breathed other people's smoke at home. Using solid fuels for cooking or home heating also carried an extra risk of frailty. This was about half the risk of living with a smoker, based on studies from six countries.

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