Associations between Health Effects and Particulate Matter and Black Carbon in Subjects with Respiratory Disease

We measured fractional exhaled nitric oxide ( FENO), spirometry, blood pressure, oxygen saturation of the blood ( SaO2), and pulse rate in 16 older subjects with asthma or chronic obstructive pulmonary disease (COPD) in Seattle, Washington. Data were collected daily for 12 days. We simultaneously co...

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Veröffentlicht in:Environmental health perspectives 2005-12, Vol.113 (12), p.1741-1746
Hauptverfasser: Jansen, Karen L., Larson, Timothy V., Koenig, Jane Q., Mar, Therese F., Fields, Carrie, Stewart, Jim, Lippmann, Morton
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container_end_page 1746
container_issue 12
container_start_page 1741
container_title Environmental health perspectives
container_volume 113
creator Jansen, Karen L.
Larson, Timothy V.
Koenig, Jane Q.
Mar, Therese F.
Fields, Carrie
Stewart, Jim
Lippmann, Morton
description We measured fractional exhaled nitric oxide ( FENO), spirometry, blood pressure, oxygen saturation of the blood ( SaO2), and pulse rate in 16 older subjects with asthma or chronic obstructive pulmonary disease (COPD) in Seattle, Washington. Data were collected daily for 12 days. We simultaneously collected PM10and PM2.5(particulate matter ≤ 10 μm or ≤ 2.5 μm, respectively) filter samples at a central outdoor site, as well as outside and inside the subjects' homes. Personal PM10filter samples were also collected. All filters were analyzed for mass and light absorbance. We analyzed within-subject associations between health outcomes and air pollution metrics using a linear mixed-effects model with random intercept, controlling for age, ambient relative humidity, and ambient temperature. For the 7 subjects with asthma, a 10 μ g/ m3increase in 24-hr average outdoor PM10and PM2.5was associated with a 5.9 [95% confidence interval (CI), 2.9-8.9] and 4.2 ppb (95% CI, 1.3-7.1) increase in FENO, respectively. A 1 μ g/ m3increase in outdoor, indoor, and personal black carbon (BC) was associated with increases in FENOof 2.3 ppb (95% CI, 1.1-3.6), 4.0 ppb (95% CI, 2.0-5.9), and 1.2 ppb (95% CI, 0.2-2.2), respectively. No significant association was found between PM or BC measures and changes in spirometry, blood pressure, pulse rate, or SaO2in these subjects. Results from this study indicate that FENOmay be a more sensitive marker of PM exposure than traditional health outcomes and that particle-associated BC is useful for examining associations between primary combustion constituents of PM and health outcomes.
doi_str_mv 10.1289/ehp.8153
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Data were collected daily for 12 days. We simultaneously collected PM10and PM2.5(particulate matter ≤ 10 μm or ≤ 2.5 μm, respectively) filter samples at a central outdoor site, as well as outside and inside the subjects' homes. Personal PM10filter samples were also collected. All filters were analyzed for mass and light absorbance. We analyzed within-subject associations between health outcomes and air pollution metrics using a linear mixed-effects model with random intercept, controlling for age, ambient relative humidity, and ambient temperature. For the 7 subjects with asthma, a 10 μ g/ m3increase in 24-hr average outdoor PM10and PM2.5was associated with a 5.9 [95% confidence interval (CI), 2.9-8.9] and 4.2 ppb (95% CI, 1.3-7.1) increase in FENO, respectively. A 1 μ g/ m3increase in outdoor, indoor, and personal black carbon (BC) was associated with increases in FENOof 2.3 ppb (95% CI, 1.1-3.6), 4.0 ppb (95% CI, 2.0-5.9), and 1.2 ppb (95% CI, 0.2-2.2), respectively. No significant association was found between PM or BC measures and changes in spirometry, blood pressure, pulse rate, or SaO2in these subjects. 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Data were collected daily for 12 days. We simultaneously collected PM10and PM2.5(particulate matter ≤ 10 μm or ≤ 2.5 μm, respectively) filter samples at a central outdoor site, as well as outside and inside the subjects' homes. Personal PM10filter samples were also collected. All filters were analyzed for mass and light absorbance. We analyzed within-subject associations between health outcomes and air pollution metrics using a linear mixed-effects model with random intercept, controlling for age, ambient relative humidity, and ambient temperature. For the 7 subjects with asthma, a 10 μ g/ m3increase in 24-hr average outdoor PM10and PM2.5was associated with a 5.9 [95% confidence interval (CI), 2.9-8.9] and 4.2 ppb (95% CI, 1.3-7.1) increase in FENO, respectively. A 1 μ g/ m3increase in outdoor, indoor, and personal black carbon (BC) was associated with increases in FENOof 2.3 ppb (95% CI, 1.1-3.6), 4.0 ppb (95% CI, 2.0-5.9), and 1.2 ppb (95% CI, 0.2-2.2), respectively. No significant association was found between PM or BC measures and changes in spirometry, blood pressure, pulse rate, or SaO2in these subjects. Results from this study indicate that FENOmay be a more sensitive marker of PM exposure than traditional health outcomes and that particle-associated BC is useful for examining associations between primary combustion constituents of PM and health outcomes.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences. National Institutes of Health. Department of Health, Education and Welfare</pub><pmid>16330357</pmid><doi>10.1289/ehp.8153</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Age Factors
Aged
Aged, 80 and over
Air Pollutants - analysis
Air pollution
Asthma
Blood Pressure
Carbon - analysis
Cohort studies
Female
Health benefits
Heart Rate
Hematocrit
Humans
Humidity
Linear Models
Lung Diseases, Obstructive - blood
Lung Diseases, Obstructive - metabolism
Lung Diseases, Obstructive - physiopathology
Male
Middle Aged
Nitric Oxide - analysis
Oxides
Oxygen - blood
Particle Size
Particulate matter
Spirometry
Temperature
Washington
title Associations between Health Effects and Particulate Matter and Black Carbon in Subjects with Respiratory Disease
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