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Background  Low Emission Zones (LEZs) are areas where the most polluting vehicles are restricted from entering. The effectiveness of LEZs to lower ambient exposures is under debate. This study focused on LEZs that restricted cars of Euro 1 standard without appropriate retrofitting systems from entering and estimated LEZ effects on NO 2 , NO, and NO x  ( = NO 2 +NO).    Methods  Continuous half-hour and diffuse sampler 4-week average NO 2 , NO, and NO x  concentrations measured inside and outside LEZs in 17 German cities of 6 federal states (2005–2009) were analysed as matched quadruplets (two pairs of simultaneously measured index values inside LEZ and reference values outside LEZ, one pair measured before and one after introducing LEZs with time differences that equal multiples of 364 days) by multiple linear and log-linear fixed-effects regression modelling (covariables: e.g., wind velocity, amount of precipitation, height of inversion base, school holidays, truck-free periods). Additionally, the continuous half-hour data was collapsed into 4-week averages and pooled with the diffuse sampler data to perform joint analysis.    Results  More than 3,000,000 quadruplets of continuous measurements (half-hour averages) were identified at 38 index and 45 reference stations. Pooling with diffuse sampler data from 15 index and 10 reference stations lead to more than 4,000 quadruplets for joint analyses of 4-week averages. Mean LEZ effects on NO 2 , NO, and NO x  concentrations (reductions) were estimated to be at most −2 µg/m 3  (or −4%). The 4-week averages of NO 2  concentrations at index stations after LEZ introduction were 55 µg/m 3  (median and mean values) or 82 µg/m 3  (95th percentile).    Conclusions  This is the first study investigating comprehensively the effectiveness of LEZs to reduce NO 2 , NO, and NO x  concentrations controlling for most relevant potential confounders. Our analyses indicate that there is a statistically significant, but rather small reduction of NO 2 , NO, and NO x  concentrations associated with LEZs.

Effectiveness of Low Emission Zones: Large Scale Analysis of Changes in Environmental NO2, NO and NOx Concentrations in 17 German Cities