Indoor Environmental Factors and Occurrence of Lung Function Decline in Adult Residents in Summer in Southwest China
Abstract
Background: There is conflicting reports on the respiratory health effects of indoor risk factor exposure. The aim of this study was to assess the association of indoor environmental factors to pulmonary function in an adult population in Zunyi City of Southwest China.
Methods: Between July and Sep 2012, we conducted a cross-sectional survey of people aged ≥18 yr in 11 inner-city areas of Zunyi. Data on asthma and asthma-related symptoms and selected home environmental factors were assessed by questionnaire. Lung function measurements, including FVC, FEV1, FEV1/FVC and PEFR, were assessed and compared. Exposure to indoor and outdoor PM2.5 was monitored by measurement of PM2.5 emission relative concentration.
Results: Cooking oil fumes, environmental tobacco smoke (ETS) and coal fuel use were associated with impaired lung function among adults in summer season (P<0.05). Subjects exposed coal fuel combustion, cooking oil fumes, pest in kitchen, mosquito repellent, fluffy blanket, pets, visible mold in bedroom and ETS (active and passive smoking) tended to exhibit greater decreases in FVC, FEV1 and PEFR values compared with their non-exposed counterparts (P<0.05). Median PM2.5 relative concentrations in kitchen, sleeping area and outdoor were 486.0cpm, 463.0cpm and 459.0cpm, respectively. PM2.5 relative concentration in indoor kitchen and sleeping area were significant higher than outdoor (P<0.001).
Conclusion: A negative association between kitchen, sleeping area risk factors and ETS exposure and a reduction in lung function in summer was revealed in Zunyi.
Jie Y, Houjin H, Xun M, Kebin L, Xuesong Y, Jie X (2014). Relationship between pulmonary function and indoor air pollution from coal combustion among adult residents in an inner-city area of southwest China. Braz J Med Biol Res, 47(11):982-89.
Karottki DG, Bekö G, Clausen G, Madsen AM, Andersen ZJ, Massling A, et al. (2014). Cardiovascular and lung function in relation to outdoor and indoor exposure to fine and ultrafine particulate matter in middle-aged subjects. Environ Int, 73:372-81.
Tischer C, Zock JP, Valkonen M, Doekes G, Guerra , Heederik D, et al. (2015). Predictors of microbial agents in dust and respiratory health in the Ecrhs. BMC Pulm Med, 15:48.
Ma Y, Tian G, Tang F, Yu B, Chen Y, Cui Y, et al. (2015). The link between mold sensitivity and asthma severity in a cohort of northern Chinese patients. J Thorac Dis, 7(4):585-90.
Ogawa H, Fujimura M, Takeuchi Y, Makimura K (2013). Impact of Schizophyllum sensitization on decline of lung function in asthma. J Asthma, 50(7):764-68.
Kaji DA, Belli AJ, McCormack MC, Matsui EC, Williams DL, Paulin L, et al. (2014). Indoor pollutant exposure is associated with heightened respiratory symptoms in atopic compared to non-atopic individuals with COPD. BMC Pulm Med, 14:147.
Tilp C, Bucher H, Haas H, Duechs MJ, Wex E, Erb KJ (2016). Effects of conventional tobacco smoke and nicotine-free cigarette smoke on airway inflammation, airway remodeling and lung function in a triple allergen model of severe asthma. Clin Exp Allergy, 46(7):957-72.
Sibata. Dust measurement and Sibata products. https://www.sibata.co.jp/wpcms/wp-content/themes/sibata/en/pdf/Dust%20Measurement%20and%20SIBATA%20Products.pdf.
Bakke PS, Baste V, Hanoa R, Gulsvik A (1991). Prevalence of obstructive lung disease in a general population: relation to occupational title and exposure to some airborne agents. Thorax, 46(12):863-70.
Raj T JB. (2014). Altered lung function test in asymptomatic women using biomass fuel for cooking. J Clin Diagn Res, 8(10):BC01-3.
Mbatchou Ngahane BH, Afane Ze E, Chebu C, Mapoure NY, Temfack E, Nganda M, et al. (2015). Effects of cooking fuel smoke on respiratory symptoms and lung function in semi-rural women in Cameroon. Int J Occup Environ Health, 21(1):61-5.
Sukhsohale ND, Narlawar UW, Phatak MS, Agrawal SB, Ughade SN (2013). Effect of indoor air pollution during cooking on peak expiratory flow rate and its association with exposure index in rural women. Indian J Physiol Pharmacol, 57(2):184-88.
Behera D, Chakrabarti T, Khanduja KL (2001). Effect of exposure to domestic cooking fuels on bronchial asthma. Indian J Chest Dis Allied Sci, 43(1):27-31.
Langley SJ, Goldthorpe S, Craven M, Morris J, Woodcock A, Custovic A (2003). Exposure and sensitization to indoor allergens: association with lung function, bronchial reactivity, and exhaled nitric oxide measures in asthma. J Allergy Clin Immunol, 112(2):362-68.
Sunyer J, Soriano J, Antó JM, Burgos F, Pereira A, Payo F, et al. (2000). Sensitization to individual allergens as risk factors for lower FEV1 in young adults. European Community Respiratory Health Survey. Int J Epidemiol, 29(1):125-30.
Skogstad M, Kjaerheim K, Fladseth G, Gjølstad M, Daae HL, Olsen R, et al. (2006). Cross shift changes in lung function among bar and restaurant workers before and after implementation of a smoking ban. Occup Environ Med, 63(7):482-87.
Eisner MD, Wang Y, Haight TJ, Balmes J, Hammond SK, Tager IB (2007). Secondhand smoke exposure, pulmonary function, and cardiovascular mortality. Ann Epidemiol, 17(5):364-73.
De Jong K, Boezen HM, Hacken NH, Postma DS, Vonk JM (2013). GST-omega genes interact with environmental tobacco smoke on adult level of lung function. Respir Res, 14:83.
Hersoug L, Lise LH, Torben S, Flemming M, Allan L (2010). Indoor exposure to environmental cigarette smoke, but not other inhaled particulates associates with respiratory symptoms and diminished lung function in adults. Respirology, 15(6):993–1000.
Apostol GG, Jacobs DR, Tsai AW, Crow RS, Williams OD, Townsend MC, et al. (2002.). Early life factors contribute to the decrease in lung function between ages 18 and 40: the Coronary Artery Risk Development in Young Adults study. Am J Respir Crit Care Med, 166(2):166-72.
Downs SH, Brändli O, Zellweger JP, Schindler C, Künzli N, Gerbase MW, et al. (2005). Accelerated decline in lung function in smoking women with airway obstruction: SAPALDIA 2 cohort study. Respir Res, 6:45.
Jie Y, Isa ZM, Jie X, Ju ZL, Ismail NH (2013). Urban vs. Rural Factors that Affect Adult Asthma. Rev Environ Contam Toxicol, 226:33-63.
| Files | ||
| Issue | Vol 45 No 11 (2016) | |
| Section | Original Article(s) | |
| Keywords | ||
| Pulmonary function Indoor air pollution Adult | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
