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Effects of airborne particulate matter on respiratory morbidity in asthmatic children
Lu Ma1, Masayuki Shima, Yoshiko Yoda
1Department of Public Health, Hyogo College of Medicine, Japan.
Insights
Exposure to indoor particulate matter (PM) significantly impacts asthmatic children's lung function and wheezing. Indoor PM2.5 (PM with a diameter less than 2.5 micrometers) showed a greater effect than outdoor PM.
Area of Science:
- Environmental Health
- Pediatric Pulmonology
- Air Quality Science
Background:
- Airborne particulate matter (PM) poses significant risks to human health.
- Asthma and respiratory symptoms in children are a major public health concern.
Purpose of the Study:
- To evaluate the acute effects of particulate matter exposure on peak expiratory flow (PEF) and wheezing in children with asthma.
- To compare the impact of indoor and outdoor PM concentrations.
Main Methods:
- A panel study involving 19 asthmatic children over 5 months in Japan.
- Daily measurements of PEF and wheezing.
- Monitoring of PM2.5 concentrations indoors and outdoors using a laser diode dust monitor (PM2.5(LD)).
- Analysis of the association between PM concentrations and respiratory outcomes.
Main Results:
- Increased indoor PM2.5(LD) concentrations were significantly associated with decreased PEF and increased wheezing prevalence in asthmatic children.
- Indoor PM2.5(LD) exhibited a stronger effect on PEF and wheezing compared to outdoor PM2.5(LD) and stationary-site PM2.5.
- The observed effects remained significant even after adjusting for nitrogen dioxide levels.
Conclusions:
- Both indoor and outdoor PM2.5(LD) are linked to reduced lung function and increased wheezing in asthmatic children.
- Indoor PM2.5(LD) exposure demonstrates a more pronounced negative impact on pediatric asthma symptoms than outdoor or stationary-site PM.
Background:
The effects of airborne particulate matter (PM) are a major human health concern. In this panel study, we evaluated the acute effects of exposure to PM on peak expiratory flow (PEF) and wheezing in children.
Methods:
Daily PEF and wheezing were examined in 19 asthmatic children who were hospitalized in a suburban city in Japan for approximately 5 months. The concentrations of PM less than 2.5 mum in diameter (PM(2.5)) were monitored at a monitoring station proximal to the hospital. Moreover, PM(2.5) concentrations inside and outside the hospital were measured using the dust monitor with a laser diode (PM(2.5(LD))). The changes in PEF and wheezing associated with PM concentration were analyzed.
Results:
The changes in PEF in the morning and evening were significantly associated with increases in the average concentration of indoor PM(2.5(LD)) 24 h prior to measurement (-2.86 L/min [95%CI: -4.12, -1.61] and -3.59 L/min [95%CI: -4.99, -2.20] respectively, for 10-mug/m(3) increases). The change in PEF was also significantly associated with outdoor PM(2.5(LD)) concentrations, but the changes were smaller than those observed for indoor PM(2.5(LD)). Changes in PEF and concentration of stationary-site PM(2.5) were not associated. The prevalence of wheezing in the morning and evening were also significantly associated with indoor PM(2.5(LD)) concentrations (odds ratios = 1.014 [95%CI: 1.006, 1.023] and 1.025 [95%CI: 1.013, 1.038] respectively, for 10-microg/m(3) increases). Wheezing in the evening was significantly associated with outdoor PM(2.5(LD)) concentration. The effects of indoor and outdoor PM(2.5(LD)) remained significant even after adjusting for ambient nitrogen dioxide concentrations.
Conclusion:
Indoor and outdoor PM(2.5(LD)) concentrations were associated with PEF and wheezing among asthmatic children. Indoor PM(2.5(LD)) had a more marked effect than outdoor PM(2.5(LD)) or stationary-site PM(2.5).
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