Barely Significant
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The elderly as a population at risk of chronic obstructive pulmonary disease mortality due to ambient ozone exposure: results from the Global Burden of Disease Study 2021.

Environ Health · 2025 · PMC12320303 · PMID 40760464

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a decreasing trendno p-value reported
However, a decreasing trend in ASMR was observed in both groups.

also in 47,180 other papers

an increasing trendno p-value reported
The overall difference in ASMR showed an increasing trend globally and in all SDI regions, with the largest increases in low-middle SDI regions.

also in 63,971 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.