Acute Effects on Blood Pressure Following Controlled Exposure to Cookstove Air Pollution in the STOVES Study
Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( P...
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Published in | Journal of the American Heart Association Vol. 8; no. 14; p. e012246 |
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Main Authors | , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
John Wiley and Sons Inc
16.07.2019
Wiley |
Subjects | |
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Abstract | Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( PM
). Methods and Results We conducted a controlled human-exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pressure following exposure to air pollution emissions from cookstove technologies. Forty-eight healthy adults received 2-hour exposures to 5 cookstove treatments (three stone fire, rocket elbow, fan rocket elbow, gasifier, and liquefied petroleum gas), spanning PM
concentrations from 10 to 500 μg/m
, and a filtered air control (0 μg/m
). Thirty minutes after exposure, systolic pressure was lower for the three stone fire treatment (500 μg/m
PM
) compared with the control (-2.3 mm Hg; 95% CI, -4.5 to -0.1) and suggestively lower for the gasifier (35 μg/m
PM
; -1.8 mm Hg; 95% CI , -4.0 to 0.4). No differences were observed at 3 hours after exposure; however, at 24 hours after exposure, mean systolic pressure was 2 to 3 mm Hg higher for all treatments compared with control except for the rocket elbow stove. No differences were observed in diastolic pressure for any time point or treatment. Conclusions Short-term exposure to air pollution from cookstoves can elicit an increase in systolic pressure within 24 hours. This response occurred across a range of stove types and PM
concentrations, raising concern that even low-level exposures to cookstove air pollution may pose adverse cardiovascular effects. |
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AbstractList | Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( PM
). Methods and Results We conducted a controlled human-exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pressure following exposure to air pollution emissions from cookstove technologies. Forty-eight healthy adults received 2-hour exposures to 5 cookstove treatments (three stone fire, rocket elbow, fan rocket elbow, gasifier, and liquefied petroleum gas), spanning PM
concentrations from 10 to 500 μg/m
, and a filtered air control (0 μg/m
). Thirty minutes after exposure, systolic pressure was lower for the three stone fire treatment (500 μg/m
PM
) compared with the control (-2.3 mm Hg; 95% CI, -4.5 to -0.1) and suggestively lower for the gasifier (35 μg/m
PM
; -1.8 mm Hg; 95% CI , -4.0 to 0.4). No differences were observed at 3 hours after exposure; however, at 24 hours after exposure, mean systolic pressure was 2 to 3 mm Hg higher for all treatments compared with control except for the rocket elbow stove. No differences were observed in diastolic pressure for any time point or treatment. Conclusions Short-term exposure to air pollution from cookstoves can elicit an increase in systolic pressure within 24 hours. This response occurred across a range of stove types and PM
concentrations, raising concern that even low-level exposures to cookstove air pollution may pose adverse cardiovascular effects. Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter (PM2.5). Methods and Results We conducted a controlled human‐exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pressure following exposure to air pollution emissions from cookstove technologies. Forty‐eight healthy adults received 2‐hour exposures to 5 cookstove treatments (three stone fire, rocket elbow, fan rocket elbow, gasifier, and liquefied petroleum gas), spanning PM2.5 concentrations from 10 to 500 μg/m3, and a filtered air control (0 μg/m3). Thirty minutes after exposure, systolic pressure was lower for the three stone fire treatment (500 μg/m3 PM2.5) compared with the control (−2.3 mm Hg; 95% CI, −4.5 to −0.1) and suggestively lower for the gasifier (35 μg/m3 PM2.5; −1.8 mm Hg; 95% CI, −4.0 to 0.4). No differences were observed at 3 hours after exposure; however, at 24 hours after exposure, mean systolic pressure was 2 to 3 mm Hg higher for all treatments compared with control except for the rocket elbow stove. No differences were observed in diastolic pressure for any time point or treatment. Conclusions Short‐term exposure to air pollution from cookstoves can elicit an increase in systolic pressure within 24 hours. This response occurred across a range of stove types and PM2.5 concentrations, raising concern that even low‐level exposures to cookstove air pollution may pose adverse cardiovascular effects. Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( PM 2.5 ). Methods and Results We conducted a controlled human‐exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pressure following exposure to air pollution emissions from cookstove technologies. Forty‐eight healthy adults received 2‐hour exposures to 5 cookstove treatments (three stone fire, rocket elbow, fan rocket elbow, gasifier, and liquefied petroleum gas), spanning PM 2.5 concentrations from 10 to 500 μg/m 3 , and a filtered air control (0 μg/m 3 ). Thirty minutes after exposure, systolic pressure was lower for the three stone fire treatment (500 μg/m 3 PM 2.5 ) compared with the control (−2.3 mm Hg; 95% CI, −4.5 to −0.1) and suggestively lower for the gasifier (35 μg/m 3 PM 2.5 ; −1.8 mm Hg; 95% CI , −4.0 to 0.4). No differences were observed at 3 hours after exposure; however, at 24 hours after exposure, mean systolic pressure was 2 to 3 mm Hg higher for all treatments compared with control except for the rocket elbow stove. No differences were observed in diastolic pressure for any time point or treatment. Conclusions Short‐term exposure to air pollution from cookstoves can elicit an increase in systolic pressure within 24 hours. This response occurred across a range of stove types and PM 2.5 concentrations, raising concern that even low‐level exposures to cookstove air pollution may pose adverse cardiovascular effects. |
Author | Devlin, Robert Volckens, John Mehaffy, John Good, Nicholas Wilson, Ander Peel, Jennifer L Walker, Ethan S Cole-Hunter, Tom Luckasen, Gary Brook, Robert D L'Orange, Christian Shelton, Rhiannon Clark, Maggie L Fedak, Kristen M Balmes, John |
AuthorAffiliation | 5 Environmental Public Health Division United States Environmental Protection Agency Chapel Hill NC 2 Department of Medicine University of California San Francisco San Francisco CA 6 Department of Mechanical Engineering Colorado State University Fort Collins CO 8 Department of Statistics Colorado State University Fort Collins CO 3 Division of Cardiovascular Medicine University of Michigan Medical School Ann Arbor MI 7 Heart Center of the Rockies Fort Collins CO 4 Centre for Air Pollution, Energy, and Health Research Queensland University of Technology Brisbane Australia 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO |
AuthorAffiliation_xml | – name: 6 Department of Mechanical Engineering Colorado State University Fort Collins CO – name: 2 Department of Medicine University of California San Francisco San Francisco CA – name: 8 Department of Statistics Colorado State University Fort Collins CO – name: 3 Division of Cardiovascular Medicine University of Michigan Medical School Ann Arbor MI – name: 5 Environmental Public Health Division United States Environmental Protection Agency Chapel Hill NC – name: 7 Heart Center of the Rockies Fort Collins CO – name: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – name: 4 Centre for Air Pollution, Energy, and Health Research Queensland University of Technology Brisbane Australia |
Author_xml | – sequence: 1 givenname: Kristen M surname: Fedak fullname: Fedak, Kristen M organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – sequence: 2 givenname: Nicholas surname: Good fullname: Good, Nicholas organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – sequence: 3 givenname: Ethan S surname: Walker fullname: Walker, Ethan S organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – sequence: 4 givenname: John surname: Balmes fullname: Balmes, John organization: 2 Department of Medicine University of California San Francisco San Francisco CA – sequence: 5 givenname: Robert D surname: Brook fullname: Brook, Robert D organization: 3 Division of Cardiovascular Medicine University of Michigan Medical School Ann Arbor MI – sequence: 6 givenname: Maggie L surname: Clark fullname: Clark, Maggie L organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – sequence: 7 givenname: Tom surname: Cole-Hunter fullname: Cole-Hunter, Tom organization: 4 Centre for Air Pollution, Energy, and Health Research Queensland University of Technology Brisbane Australia – sequence: 8 givenname: Robert surname: Devlin fullname: Devlin, Robert organization: 5 Environmental Public Health Division United States Environmental Protection Agency Chapel Hill NC – sequence: 9 givenname: Christian surname: L'Orange fullname: L'Orange, Christian organization: 6 Department of Mechanical Engineering Colorado State University Fort Collins CO – sequence: 10 givenname: Gary surname: Luckasen fullname: Luckasen, Gary organization: 7 Heart Center of the Rockies Fort Collins CO – sequence: 11 givenname: John surname: Mehaffy fullname: Mehaffy, John organization: 6 Department of Mechanical Engineering Colorado State University Fort Collins CO – sequence: 12 givenname: Rhiannon surname: Shelton fullname: Shelton, Rhiannon organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO – sequence: 13 givenname: Ander surname: Wilson fullname: Wilson, Ander organization: 8 Department of Statistics Colorado State University Fort Collins CO – sequence: 14 givenname: John surname: Volckens fullname: Volckens, John organization: 6 Department of Mechanical Engineering Colorado State University Fort Collins CO – sequence: 15 givenname: Jennifer L surname: Peel fullname: Peel, Jennifer L organization: 1 Department of Environmental and Radiological Health Sciences Colorado State University Fort Collins CO |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31286826$$D View this record in MEDLINE/PubMed |
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Keywords | blood pressure air pollution cardiovascular disease risk factors |
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Snippet | Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but... Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but... |
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SubjectTerms | Adult air pollution Air Pollution, Indoor - adverse effects Blood Pressure cardiovascular disease risk factors Cooking Female Healthy Volunteers Household Articles Humans Male Original Research Particulate Matter - adverse effects Smoke - adverse effects Young Adult |
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Title | Acute Effects on Blood Pressure Following Controlled Exposure to Cookstove Air Pollution in the STOVES Study |
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