The adverse effects of fine particle air pollution on respiratory function in the elderly

There is increasing concern that airborne particles are critical risk factors for adverse health conditions in susceptible populations. The objective of this panel study is to investigate an association between particulate matter and the peak expiratory flow rate (PEFR) in the elderly and to compare...

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Veröffentlicht in:The Science of the total environment 2007-10, Vol.385 (1), p.28-36
Hauptverfasser: Lee, Jong-Tae, Son, Ji-Young, Cho, Yong-Sung
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Cho, Yong-Sung
description There is increasing concern that airborne particles are critical risk factors for adverse health conditions in susceptible populations. The objective of this panel study is to investigate an association between particulate matter and the peak expiratory flow rate (PEFR) in the elderly and to compare estimated risks using PM 10 or PM 2.5 levels as a measure of exposure. During a 2-year longitudinal follow-up study, we contacted subjects living in an asylum for the elderly, provided them with a mini-Wright peak flow meter, and instructed to record all the flow readings, any respiratory symptoms, passive smoking activity, and hours spent outdoors for that given day. Daily levels of particulate matter were measured by two separate mini-volume air samplers (for PM 10 and PM 2.5) placed on the rooftop of the two-story residence asylum building. In our statistical models, we assumed that the expected response varied linearly for each participant with a slope and intercept that depended on fixed or time-varying covariates using a mixed linear model. The daily mean levels of PM 10 and PM 2.5 were 78 μg/m 3 and 56 μg/m 3, respectively. For every 10 μg/m 3 increase in PM 10 and PM 2.5 levels, there was an estimated PEFR change of − 0.39 l/min (95% CI, − 0.63, − 0.14) and − 0.54 l/min (95% CI, − 0.89, − 0.19), respectively. These data also suggest that fine particles have a more adverse respiratory health impact for sensitive individuals such as the elderly and that more research and control strategies should focus on the smaller particles associated with air pollution.
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subjects Aged
Air
Air pollution
Air Pollution - adverse effects
Biological and medical sciences
Environment. Living conditions
Environmental Monitoring
Environmental pollutants toxicology
Female
Fine particle
Humans
Korea
Longitudinal Studies
Male
Medical sciences
Mixed linear model
Particle Size
Particulate Matter - toxicity
Peak Expiratory Flow Rate - drug effects
PEFR
Public health. Hygiene
Public health. Hygiene-occupational medicine
Respiration - drug effects
The elderly
Toxicology
title The adverse effects of fine particle air pollution on respiratory function in the elderly
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