Acute changes in lung function following controlled exposure to cookstove air pollution in the subclinical tests of volunteers exposed to smoke (STOVES) study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Kristen M. Fedak
  • Nicholas Good
  • Ethan S. Walker
  • John Balmes
  • Robert D. Brook
  • Maggie L. Clark
  • Cole-Hunter, Tom
  • Robert Devlin
  • Christian L’Orange
  • Gary Luckasen
  • John Mehaffy
  • Rhiannon Shelton
  • Ander Wilson
  • John Volckens
  • Jennifer L. Peel

Background: Exposure to household air pollution generated as a result of cooking and heating is a leading contributor to global disease. The effects of cookstove-generated air pollution on adult lung function, however, remain uncertain. Objectives: We investigated acute responses in lung function following controlled exposures to cookstove-generated air pollution. Methods: We recruited 48 healthy adult volunteers to undergo six two-hour treatments: a filtered-air control and emissions from five different stoves with fine particulate matter (PM2.5) targets from 10 to 500 µg/m3. Spirometry was conducted prior to exposure and immediately, and three and 24 h post-exposure. Mixed-effect models were used to estimate differences in post-exposure lung function for stove treatments versus control. Results: Immediately post-exposure, lung function was lower compared to the control for the three highest PM2.5-level stoves. The largest differences were for the fan rocket stove (target 250 µg/m3; forced vital capacity (FVC): −60 mL, 95% confidence interval (95% CI) -135, 15; forced expiratory volume (FEV1): −51 mL, 95% CI -117, 16; mid-expiratory flow (FEF25–75): −116 mL/s, 95% CI -239, 8). At 3 h post-exposure, lung function was lower compared to the control for all stove treatments; effects were of similar magnitude for all stoves. At 24 h post-exposure, results were consistent with a null association for FVC and FEV1; FEF25–75 was lower relative to the control for the gasifier, fan rocket, and three stone fire. Conclusions: Patterns suggesting short-term decreases in lung function follow from exposure to cookstove air pollution even for stove exposures with low PM2.5 levels.

OriginalsprogEngelsk
TidsskriftInhalation Toxicology
Vol/bind32
Udgave nummer3
Sider (fra-til)115-123
Antal sider9
ISSN0895-8378
DOI
StatusUdgivet - 2020
Eksternt udgivetJa

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