Adherence to reduced-polluting biomass fuel stoves improves respiratory and sleep symptoms in children
Roberto A Accinelli1, Oscar Llanos, Lidia M López
1Laboratorio de Respiración del Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. roberto.accinelli@upch.pe.
Insights
Exclusive use of improved kitchen stoves significantly reduced sleep apnea symptoms in children exposed to biomass fuel smoke. Adherence to improved stove use is key for respiratory and sleep health improvements.
Area of Science:
- Environmental Health
- Pediatric Health
- Respiratory Medicine
Background:
- Biomass fuel smoke exposure in children is linked to increased sleep apnea symptoms.
- Improved indoor biomass pollution control via kitchen stoves can mitigate these symptoms.
- The impact of consistent use of improved stoves requires further investigation.
Purpose of the Study:
- To evaluate the impact of exclusive and partial use of improved kitchen stoves on sleep and respiratory symptoms in children.
- To assess the association between indoor biomass pollution and children's respiratory and sleep health.
- To examine the role of adherence to improved stove usage.
Main Methods:
- Sleep-related symptom questionnaires administered to children under 15 years of age.
- Data collected from 56 families before and 2 years after Inkawasi stove installation.
- Comparison of symptom changes based on stove usage patterns (exclusive, partial, traditional).
Main Results:
- Children exclusively using Inkawasi stoves showed significant improvements in sleep and respiratory symptoms.
- Minor but significant improvements were observed when both traditional and improved stoves were used concurrently.
- Exclusive use yielded greater benefits compared to alternating or traditional stove use alone.
Conclusions:
- Exclusive utilization of improved kitchen stoves is necessary for substantial improvements in respiratory and sleep-related symptoms.
- Elevated indoor biomass pollution negatively impacts children's respiratory and sleep health.
- Implementation and consistent use of improved stoves are critical for mitigating these adverse effects.
Background:
Symptoms of sleep apnea are markedly increased in children exposed to smoke from biomass fuels and are reduced by kitchen stoves that improve indoor biomass pollution. However, the impact of adherence to the use of improved stoves has not been critically examined.
Methods:
Sleep-related symptom questionnaires were obtained from children <15 years of age in 56 families residing in the communities of Lliupapuquio, Andahuaylas province in Peru before and 2 years after installation of less-polluting Inkawasi cooking stoves.
Results:
82 children with lifetime exposures to indoor fuel pollution were included. When compared to those alternating between both types of stoves or those using traditional stoves only, those children who exclusively used Inkawasi cooking stoves showed significant improvements in sleep and respiratory related symptoms, but some minor albeit significant improvements occurred when both stoves were concomitantly used.
Conclusions:
Improvements in respiratory and sleep-related symptoms associated with elevated indoor biomass pollution occur only following implementation and exclusive utilization of improved kitchen stoves.
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