A Panel Study on Lung Function and Bronchial Inflammation among Children Exposed to Ambient SO₂ from an Oil Refinery

To determine the acute effects on respiratory function of children exposed to sulphur dioxide (SO₂), we conducted two population-based longitudinal investigations near a major oil refinery. We enrolled 233 children, age 8⁻14, in Sarroch (Italy). The first study entailed five monthly spirometric visi...

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Veröffentlicht in:International journal of environmental research and public health 2019-03, Vol.16 (6), p.1057
Hauptverfasser: Barbone, Fabio, Catelan, Dolores, Pistelli, Riccardo, Accetta, Gabriele, Grechi, Daniele, Rusconi, Franca, Biggeri, Annibale
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container_issue 6
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container_title International journal of environmental research and public health
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creator Barbone, Fabio
Catelan, Dolores
Pistelli, Riccardo
Accetta, Gabriele
Grechi, Daniele
Rusconi, Franca
Biggeri, Annibale
description To determine the acute effects on respiratory function of children exposed to sulphur dioxide (SO₂), we conducted two population-based longitudinal investigations near a major oil refinery. We enrolled 233 children, age 8⁻14, in Sarroch (Italy). The first study entailed five monthly spirometric visits (Panel 5). In a subgroup, children positive for history of respiratory symptoms were tested weekly (20 times) with spirometry and fractional exhaled nitric oxide (FeNO) measurement (Panel 20). Baseline questionnaires and daily diaries were recorded. SO₂, NO₂, PM and O₃ were measured by monitoring stations. Multiple regression models were fitted. Using a multipollutant model, we found that a 10 µg/m³ SO₂ increase at lag0⁻2 days determined a percent variation (PV) of -3.37 (90% confidence interval, CI: -5.39; -1.30) for forced expiratory volume after one second (FEV1) in Panel 5 and a PV = -3.51 (90% CI: -4.77; -2.23) in Panel 20. We found a strong dose-response relation: 1-h SO₂ peaks >200 µg/m³ at lag2 days = FEV1 PV -2.49. For FeNO, we found a PV = 38.12 (90% CI: 12.88; 69.01) for each 10 µg/m³ SO₂ increase at 8-h time lag and a strong dose-response relation. Exposure to SO₂ is strongly associated with reduction of lung function and an increase in airway inflammation. This new evidence of harmful effects of SO₂ peaks should induce regulatory intervention.
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We enrolled 233 children, age 8⁻14, in Sarroch (Italy). The first study entailed five monthly spirometric visits (Panel 5). In a subgroup, children positive for history of respiratory symptoms were tested weekly (20 times) with spirometry and fractional exhaled nitric oxide (FeNO) measurement (Panel 20). Baseline questionnaires and daily diaries were recorded. SO₂, NO₂, PM and O₃ were measured by monitoring stations. Multiple regression models were fitted. Using a multipollutant model, we found that a 10 µg/m³ SO₂ increase at lag0⁻2 days determined a percent variation (PV) of -3.37 (90% confidence interval, CI: -5.39; -1.30) for forced expiratory volume after one second (FEV1) in Panel 5 and a PV = -3.51 (90% CI: -4.77; -2.23) in Panel 20. We found a strong dose-response relation: 1-h SO₂ peaks &gt;200 µg/m³ at lag2 days = FEV1 PV -2.49. For FeNO, we found a PV = 38.12 (90% CI: 12.88; 69.01) for each 10 µg/m³ SO₂ increase at 8-h time lag and a strong dose-response relation. Exposure to SO₂ is strongly associated with reduction of lung function and an increase in airway inflammation. This new evidence of harmful effects of SO₂ peaks should induce regulatory intervention.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>30909566</pmid><doi>10.3390/ijerph16061057</doi><orcidid>https://orcid.org/0000-0003-1337-5111</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Air Pollutants - adverse effects
Air pollution
Asthma
Bronchi - drug effects
Bronchi - physiopathology
Child
Coal-fired power plants
Correlation analysis
Dose-Response Relationship, Drug
Emissions
Environmental protection
Female
Forced Expiratory Volume - drug effects
Humans
Industrial plant emissions
Inflammation - chemically induced
Italy
Longitudinal studies
Lung - drug effects
Lung - physiopathology
Male
Nitric Oxide - analysis
Nitrogen dioxide
Petrochemicals industry
Petroleum refineries
Pollutants
Population
Questionnaires
Refineries
Respiratory function
Respiratory Function Tests
Short term
Socioeconomic factors
Spirometry
Statistical analysis
Studies
Sulfur dioxide
Sulfur Dioxide - adverse effects
Time lag
title A Panel Study on Lung Function and Bronchial Inflammation among Children Exposed to Ambient SO₂ from an Oil Refinery
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