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Published on: August 7, 2017
Association between Outdoor Fungal Concentrations during Winter and Pulmonary Function in Children with and without
Masanari Watanabe1, Hisashi Noma2, Jun Kurai3
1Department of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, 36-1 Nishi-Cho, Yonago 683-8504, Japan. watanabm@grape.med.tottori-u.ac.jp.
Abstract:
Outdoor fungi are important components of airborne particulate matter (PM). However, the associations between pulmonary function and outdoor fungi are less well known compared to other airborne PM constituents. The objective of this study was to investigate the association between outdoor fungi and pulmonary function in children. Morning peak expiratory flow (PEF) rates were measured daily in 339 schoolchildren (including 36 with asthma), aged 10 to 12, 2 to 27 February 2015. Airborne PM was collected on filters, using a high volume air sampler, each day during the study period. The daily concentration of outdoor fungi-associated PM was calculated using a culture-based method. A linear mixed model was used to estimate the association between PEF values and daily concentrations of outdoor fungi, and the daily levels of suspended PM (SPM) and PM ≤ 2.5 μm (PM2.5). An increase in the interquartile range (46.2 CFU/m³) for outdoor fungal concentration led to PEF changes of -1.18 L/min (95% confidence interval, -2.27 to -0.08) in all children, 1.22 L/min (-2.96 to 5.41) in children without asthma, and -1.44 L/min (-2.57 to -0.32) in children with asthma. Outdoor fungi showed a significant negative correlation with PM2.5 levels (r = -0.4, p = 0.04), but not with SPM (r = ‒0.3, p = 0.10) levels. Outdoor fungi may be associated with pulmonary dysfunction in children. Furthermore, children with asthma may show greater pulmonary dysfunction than those without asthma.
Insights
Outdoor fungi in airborne particulate matter may negatively impact children's lung function. Children with asthma experienced greater reductions in peak expiratory flow (PEF) with increased fungal exposure.
Area of Science:
- Environmental Health
- Pulmonary Medicine
- Mycology
Background:
- Outdoor fungi are significant components of airborne particulate matter (PM).
- The relationship between outdoor fungi and respiratory health, particularly pulmonary function in children, is not well-established.
- Understanding these associations is crucial for public health, especially for vulnerable populations like asthmatic children.
Purpose of the Study:
- To investigate the association between daily outdoor fungal concentrations and pulmonary function in schoolchildren.
- To determine if children with asthma are more susceptible to the effects of outdoor fungi on lung function.
- To explore the relationship between outdoor fungi and specific airborne particulate matter fractions (SPM and PM2.5).
Main Methods:
- Daily morning peak expiratory flow (PEF) was measured in 339 schoolchildren (aged 10-12) over 25 days.
- Airborne particulate matter was collected daily, and outdoor fungal concentrations were quantified using a culture-based method.
- Linear mixed-effects models were employed to analyze the association between fungal exposure, PEF, and PM levels (SPM, PM2.5).
Main Results:
- An increase in outdoor fungal concentration was associated with a significant decrease in PEF for all children (-1.18 L/min).
- Children with asthma showed a more pronounced negative association between fungal exposure and PEF (-1.44 L/min) compared to non-asthmatic children.
- Outdoor fungi exhibited a significant negative correlation with PM2.5 levels but not with SPM levels.
Conclusions:
- Outdoor fungal exposure may be linked to reduced pulmonary function in children.
- Children with asthma appear to be more vulnerable to the adverse pulmonary effects of outdoor fungi.
- Further research is warranted to elucidate the specific fungal species and mechanisms involved in respiratory impairment.
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