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Effects of ambient air pollution on lung function growth in Chinese schoolchildren

  • Qi Qiang He
  • , Tze Wai Wong*
  • , Lin Du
  • , Zhuo Qin Jiang
  • , Yang Gao
  • , Hong Qiu
  • , Wei Jia Liu
  • , Jia Gang Wu
  • , Andromeda Wong
  • , Tak Sun Ignatius Yu
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

58 Citations (Scopus)

Abstract

Objective: To evaluate the adverse effect of exposure to air pollution on lung function growth in school-aged children. 

Methods: A cohort of 1983 children from three districts in Guangzhou, China was followed-up for 6 months. The children performed pulmonary function tests twice, and their parents reported the child's respiratory symptoms by self-administered questionnaires in both surveys.

Results: The annual mean concentrations of air pollutants for the past 5 years for particulate matter less than 10 microns in diameter (PM 10), nitrogen (NO2), and sulfur dioxide (SO2) were respectively: 96.1 μg/m3, 76.0 μg/m3, and 65.7 μg/m3 in the highly-polluted district (HPD), 80.3 μg/m 3, 67.6 μg/m3, and 54.5 μg/m3 in the moderately-polluted district (MPD), and 80.0 μg/m3, 48.1 μg/m3, and 52.2 μg/m3 in the least-polluted district (LPD). After adjustment for potential confounders, significant deficits were found in the annual growth rates of forced expiratory flows at 25% (FEF 25), and between 25% and 75% (FEF25-75) in boys and FEF25 in girls (In boys, for FEF25, -0.136 l/s, p = 0.008 in MPD and -0.153 l/s, p = 0.004 in HPD, respectively; for FEF25-75, -0.176 l/s, p = 0.013 in MPD and -0.167 l/s, p = 0.021 in HPD, respectively. In girls, for FEF25, -0.123 l/s, p = 0.043 in HPD), using LPD as the reference. Deficits in the annual growth rate of forced expiratory volume in 1 s (FEV1) were also negatively associated with air pollution in boys (-0.063 L, p = 0.032 in HPD).

Conclusions: The study adds more evidence that exposure to air pollution has adverse effects on lung function growth in schoolchildren.

Original languageEnglish
Pages (from-to)1512-1520
Number of pages9
JournalRespiratory Medicine
Volume104
Issue number10
Early online date14 May 2010
DOIs
Publication statusPublished - Oct 2010

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

User-Defined Keywords

  • Air pollution
  • Children
  • Cohort study
  • Lung function growth

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