Indoor exposure to environmental cigarette smoke, but not other inhaled particulates associates with respiratory symptoms and diminished lung function in adults
Corresponding Author
Lars-Georg HERSOUG
Research Centre for Prevention and Health, Glostrup,
Lars-Georg Hersoug, Research Centre for Prevention and Health, Glostrup, Nordre Ringvej 57, Building 84/85, DK-2600 Glostrup, Denmark. Email: [email protected]Search for more papers by this authorLise L.N. HUSEMOEN
Research Centre for Prevention and Health, Glostrup,
Search for more papers by this authorTorben SIGSGAARD
Department of Occupational and Environmental Medicine, Institute of Public Health, Aarhus University, Aarhus, and
Search for more papers by this authorAllan LINNEBERG
Research Centre for Prevention and Health, Glostrup,
Search for more papers by this authorCorresponding Author
Lars-Georg HERSOUG
Research Centre for Prevention and Health, Glostrup,
Lars-Georg Hersoug, Research Centre for Prevention and Health, Glostrup, Nordre Ringvej 57, Building 84/85, DK-2600 Glostrup, Denmark. Email: [email protected]Search for more papers by this authorLise L.N. HUSEMOEN
Research Centre for Prevention and Health, Glostrup,
Search for more papers by this authorTorben SIGSGAARD
Department of Occupational and Environmental Medicine, Institute of Public Health, Aarhus University, Aarhus, and
Search for more papers by this authorAllan LINNEBERG
Research Centre for Prevention and Health, Glostrup,
Search for more papers by this authorABSTRACT
Background and objective: Exposure to particulate matter (PM) can induce airway inflammation and exacerbation of asthma. However, there is limited knowledge about the effects of exposure to indoor sources of PM. We investigated the associations between self-reported exposure to indoor sources of PM and lower airway symptoms and lung function.
Methods: A population-based cross-sectional study of 3471 persons aged 18–69 years was conducted. Information about exposure to indoor sources of PM and airway symptoms was obtained from a self-administered questionnaire.
Results: Exposure to wood stoves, candles and gas cookers was not significantly associated with an increased prevalence of lower respiratory symptoms or decreased lung function. In contrast, persons exposed to environmental tobacco smoke for >5 h/day had a significantly increased risk of ‘wheeze’ (OR 1.69, 95% CI: 1.24–2.30) and ‘chronic cough’ (OR 1.57, 95% CI: 1.12–2.20), as well as decreased lung function (FEV1% predicted), compared with those who were not exposed. Similar trends were observed in never smokers.
Conclusions: In this cross-sectional study of an adult general population, self-reported exposure to environmental tobacco smoke, but not self-reported exposure to wood stoves, candles or gas cookers, appeared to be associated with an increased prevalence of lower airway symptoms and decreased lung function.
REFERENCES
- 1 Chen H, Goldberg MS, Villeneuve PJ. A systematic review of the relation between long-term exposure to ambient air pollution and chronic diseases. Rev. Environ. Health 2008; 23: 243–97.
- 2 Qian Z, He Q, Kong L et al. Respiratory responses to diverse indoor combustion air pollution sources. Indoor Air 2007; 17: 135–42.
- 3 Cunningham J, O'Connor GT, Dockery DW et al. Environmental tobacco smoke, wheezing, and asthma in children in 24 communities. Am. J. Respir. Crit. Care Med. 1996; 153: 218–24.
- 4 Jinot J, Bayard S. Respiratory health effects of passive smoking: EPA's weight-of-evidence analysis. J. Clin. Epidemiol. 1994; 47: 339–49.
- 5 Naeher LP, Brauer M, Lipsett M et al. Woodsmoke health effects: a review. Inhal. Toxicol. 2007; 19: 67–106.
- 6 Weichenthal S, Dufresne A, Infante-Rivard C. Indoor ultrafine particles and childhood asthma: exploring a potential public health concern. Indoor Air 2007; 17: 81–91.
- 7 Ehrlich RI, Du TD, Jordaan E et al. Risk factors for childhood asthma and wheezing. Importance of maternal and household smoking. Am. J. Respir. Crit. Care Med. 1996; 154: 681–8.
- 8 Gergen PJ, Fowler JA, Maurer KR et al. The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: third National Health and Nutrition Examination Survey, 1988–1994. Pediatrics 1998; 101: E8.
- 9 Greer JR, Abbey DE, Burchette RJ. Asthma related to occupational and ambient air pollutants in nonsmokers. J. Occup. Med. 1993; 35: 909–15.
- 10 Leuenberger P, Schwartz J, Ackermann-Liebrich U et al. Passive smoking exposure in adults and chronic respiratory symptoms (SAPALDIA Study). Swiss Study on Air Pollution and Lung Diseases in Adults, SAPALDIA Team. Am. J. Respir. Crit. Care Med. 1994; 150: 1222–8.
- 11 Honicky RE, Osborne JS III, Akpom CA. Symptoms of respiratory illness in young children and the use of wood-burning stoves for indoor heating. Pediatrics 1985; 75: 587–93.
- 12 Howden-Chapman P, Pierse N, Nicholls S et al. Effects of improved home heating on asthma in community dwelling children: randomised controlled trial. BMJ 2008; 337: a1411.
- 13 Levesqu B, Allaire S, Gauvin D et al. Wood-burning appliances and indoor air quality. Sci. Total Environ. 2001; 281: 47–62.
- 14 Ostro BD, Lipsett MJ, Mann JK et al. Indoor air pollution and asthma. Results from a panel study. Am. J. Respir. Crit. Care Med. 1994; 149: 1400–6.
- 15 Thorn J, Brisman J, Toren K. Adult-onset asthma is associated with self-reported mold or environmental tobacco smoke exposures in the home. Allergy 2001; 56: 287–92.
- 16 Triche EW, Belanger K, Beckett W et al. Infant respiratory symptoms associated with indoor heating sources. Am. J. Respir. Crit. Care Med. 2002; 166: 1105–11.
- 17 Volkmer RE, Ruffin RE, Wigg NR et al. The prevalence of respiratory symptoms in South Australian preschool children. II. Factors associated with indoor air quality. J. Paediatr. Child Health 1995; 31: 116–20.
- 18 Duhme H, Weiland SK, Rudolph P et al. Asthma and allergies among children in West and East Germany: a comparison between Munster and Greifswald using the ISAAC phase I protocol. International Study of Asthma and Allergies in Childhood. Eur. Respir. J. 1998; 11: 840–7.
- 19 Von Mutius E, Illi S, Nicolai T et al. Relation of indoor heating with asthma, allergic sensitisation, and bronchial responsiveness: survey of children in south Bavaria. BMJ 1996; 312: 1448–50.
- 20 Eisner MD, Yelin EH, Katz PP et al. Exposure to indoor combustion and adult asthma outcomes: environmental tobacco smoke, gas stoves, and woodsmoke. Thorax 2002; 57: 973–8.
- 21 Kilpelainen M, Koskenvuo M, Helenius H et al. Wood stove heating, asthma and allergies. Respir. Med. 2001; 95: 911–16.
- 22 Noonan CW, Ward TJ. Environmental tobacco smoke, woodstove heating and risk of asthma symptoms. J. Asthma 2007; 44: 735–8.
- 23 Fan CW, Zhang JJ. Characterization of emissions from portable household combustion devices: particle size distributions, emission rates and factors, and potential exposures. Atmos. Environ. 2001; 35: 1281–90.
- 24 Fine PM, Cass GR, Simoneit BRT. Characterization of fine particle emissions from burning church candles. Environ. Sci. Technol. 1999; 33: 2352–62.
- 25 Larson TV, Koenig JQ. Wood smoke: emissions and noncancer respiratory effects. Annu. Rev. Public Health 1994; 15: 133–56.
- 26 Thyssen JP, Linneberg A, Menne T et al. The prevalence and morbidity of sensitization to fragrance mix I in the general population. Br. J. Dermatol. 2009; 161: 95–101.
- 27 Pekkanen J, Sunyer J, Anto JM et al. Operational definitions of asthma in studies on its aetiology. Eur. Respir. J. 2005; 26: 28–35.
- 28 Miller MR, Hankinson J, Brusasco V et al. Standardisation of spirometry. Eur. Respir. J. 2005; 26: 319–38.
- 29 Pedersen OF, Naeraa N, Lyager S et al. A device for evaluation of flow recording equipment. Bull. Eur. Physiopathol. Respir. 1983; 19: 515–20.
- 30 Quanjer PH, Tammeling GJ, Cotes JE et al. Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur. Respir. J. Suppl. 1993; 16: 5–40.
- 31 Shephard RJ, Collins R, Silverman F. ‘Passive’ exposure of asthmatic subjects to cigarette smoke. Environ. Res. 1979; 20: 392–402.
- 32 Dayal HH, Khuder S, Sharrar R et al. Passive smoking in obstructive respiratory disease in an industrialized urban population. Environ. Res. 1994; 65: 161–71.
- 33 Flodin U, Jonsson P, Ziegler J et al. An epidemiologic study of bronchial asthma and smoking. Epidemiology 1995; 6: 503–5.
- 34 Hu FB, Persky V, Flay BR et al. An epidemiological study of asthma prevalence and related factors among young adults. J. Asthma 1997; 34: 67–76.
- 35 Janson C, Chinn S, Jarvis D et al. Effect of passive smoking on respiratory symptoms, bronchial responsiveness, lung function, and total serum IgE in the European Community Respiratory Health Survey: a cross-sectional study. Lancet 2001; 358: 2103–9.
- 36 Kronqvist M, Johansson E, Pershagen G et al. Risk factors associated with asthma and rhinoconjunctivitis among Swedish farmers. Allergy 1999; 54: 1142–9.
- 37 Jaakkola MS, Jaakkola JJ, Becklake MR et al. Effect of passive smoking on the development of respiratory symptoms in young adults: an 8-year longitudinal study. J. Clin. Epidemiol. 1996; 49: 581–6.
- 38 Eisner MD. Environmental tobacco smoke exposure and pulmonary function among adults in NHANES III: impact on the general population and adults with current asthma. Environ. Health Perspect. 2002; 110: 765–70.
- 39 Sharma HP, Hansel NN, Matsui E et al. Indoor environmental influences on children's asthma. Pediatr. Clin. North Am. 2007; 54: 103–20.
- 40 Jorgensen T, Borch-Johnsen K, Thomsen TF et al. A randomized non-pharmacological intervention study for prevention of ischaemic heart disease: baseline results Inter99. Eur. J. Cardiovasc. Prev. Rehabil. 2003; 10: 377–86.
- 41 Kongstad J, Hvidtfeldt UA, Gronbaek M et al. The relationship between body mass index and periodontitis in the copenhagen city heart study. J. Periodontol. 2009; 80: 1246–53.
