The Link Between Exposure to Fine Particulate Matter in Indoor Environments and Respiratory Conditions: Evidence Review and Critical Analysis
DOI:
https://doi.org/10.71068/gps00003Keywords:
fine particles, PM2.5, indoor air pollution, respiratory conditions, biomass smoke, childhood.Abstract
People spend most of their time indoors, and the quality of the air they breathe in them has moved to the heart of the global public health agenda. Based on the scientific production of the period 2019 to 2023, this research examines the link between exposure to fine particles in indoor environments and respiratory conditions, through a bibliographic review oriented to the Scopus and SciELO databases that culminated in a refined corpus of eligible publications submitted to thematic content analysis. The results show that biomass combustion, environmental tobacco smoke, food cooking and poor ventilation determine indoor concentrations of PM2.5 often higher than international guidelines; whereas such exposures are associated with acute respiratory infections, wheezing, asthma, impaired lung function and chronic obstructive pulmonary disease; and that oxidative stress and inflammation mechanisms measured much of these effects, while indoor emissions reduction interventions show consistent benefits. It is concluded that the evidence supports a consistent association between indoor fine particulate matter and respiratory morbidity, with pronounced effects in childhood, in women exposed to biomass and in Latin American populations with fewer resources.
References
1. Sood, A. K., Assad, N., Barnes, P. J., Churg, A., Gordon, S. B., Harrod, K. S., Irshad, H., Kurmi, O., Martin, W. J., Meek, P., Mortimer, K., Noonan, C. W., Pérez‐Padilla, R., Smith, K. R., Tesfaigzi, Y., Ward, T., & Balmes, J. R. (2018). ERS/ATS workshop report on respiratory health effects of household air pollution. European Respiratory Journal, 51(1), 1700698–1700698. https://doi.org/10.1183/13993003.00698-2017
2. Thangavel, P., Park, D., & Lee, Y. (2022). Recent Insights into Particulate Matter (PM2.5)-Mediated Toxicity in Humans: An Overview. International Journal of Environmental Research and Public Health, 19(12), 7511–7511. https://doi.org/10.3390/ijerph19127511
3. Liu, H.-Y., Dunea, D., Iordache, Ștefania, & Pohoaţă, A. (2018). A Review of Airborne Particulate Matter Effects on Young Children’s Respiratory Symptoms and Diseases. Atmosphere, 9(4), 150–150. https://doi.org/10.3390/atmos9040150
4. Mulenga, D., & Siziya, S. (2019). Indoor Air Pollution Related Respiratory Ill Health, a Sequel of Biomass Use. SciMedicine Journal, 1(1), 30–37. https://doi.org/10.28991/scimedj-2019-0101-5
5. Sana, A., Somda, S., Méda, N., & Bouland, C. (2018). Chronic obstructive pulmonary disease associated with biomass fuel use in women: a systematic review and meta-analysis. BMJ Open Respiratory Research, 5(1). https://doi.org/10.1136/bmjresp-2017-000246
6. Kamal, R., Ak, S., Kesavachandran, C. N., Bihari, V., & Singh, A. (2021). Chronic obstructive pulmonary disease (COPD) in women due to indoor biomass burning: a meta analysis. International Journal of Environmental Health Research, 32(6), 1403–1417. https://doi.org/10.1080/09603123.2021.1887460
7. Ramírez‐Venegas, A., Montiel-López, F., Falfán‐Valencia, R., Pérez-Rubio, G., & Sansores, R. H. (2021). The “Slow Horse Racing Effect” on Lung Function in Adult Life in Chronic Obstructive Pulmonary Disease Associated to Biomass Exposure. Frontiers in Medicine, 8, 700836–700836. https://doi.org/10.3389/fmed.2021.700836
8. Mahesh, P. A., Lokesh, K. S., Madhivanan, P., Chaya, S. K., Siddaiah, J. B., Ganguly, K., & Krishna, M. (2018). The Mysuru stUdies of Determinants of Health in Rural Adults (MUDHRA), India. Epidemiology and Health, 40. https://doi.org/10.4178/epih.e2018027
9. Ramírez‐Venegas, A., Velázquez-Uncal, M., Pérez-Hernández, R., Guzmán-Bouilloud, N. E., Falfán‐Valencia, R., Mayar-Maya, M. E., Aranda-Chávez, A., & Sansores, R. H. (2018). Prevalence of COPD and respiratory symptoms associated with biomass smoke exposure in a suburban area. International Journal of COPD, 1727–1734. https://doi.org/10.2147/copd.s156409
10. Ni, Y., Shi, G., & Qu, J. (2019). Indoor PM2.5, tobacco smoking and chronic lung diseases: A narrative review. Environmental Research, 181, 108910–108910. https://doi.org/10.1016/j.envres.2019.108910
11. Vanker, A., Gie, R. P., & Zar, H. J. (2017). The association between environmental tobacco smoke exposure and childhood respiratory disease: a review. Expert Review of Respiratory Medicine, 11(8), 661–673. https://doi.org/10.1080/17476348.2017.1338949
12. Vork, K. L., Broadwin, R., & Blaisdell, R. J. (2007). Developing Asthma in Childhood from Exposure to Secondhand Tobacco Smoke: Insights from a Meta-Regression. Environmental Health Perspectives, 115(10), 1394–1400. https://doi.org/10.1289/ehp.10155
13. Vork, K. L., Broadwin, R., & Blaisdell, R. J. (2008). Developing asthma in childhood from exposure to secondhand tobacco smoke: insights from a meta-regression. Ciência & Saúde Coletiva, 13(4), 1313–1325. https://doi.org/10.1590/s1413-81232008000400028
14. Pattenden, S., Antova, T., Neuberger, M., Nikiforov, B., Sario, M. D., Grize, L., Heinrich, J., Hrubá, F., Janssen, N., Luttmann‐Gibson, H., Privalova, L. I., Rudnai, P., Šplíchalová, A., Złotkowska, R., & Fletcher, T. (2006). Parental smoking and children’s respiratory health: independent effects of prenatal and postnatal exposure. Tobacco Control, 15(4), 294–301. https://doi.org/10.1136/tc.2005.015065
15. Adaji, E. E., Ekezie, W., Clifford, M., & Phalkey, R. (2018). Understanding the effect of indoor air pollution on pneumonia in children under 5 in low- and middle-income countries: a systematic review of evidence. Environmental Science and Pollution Research, 26(4), 3208–3225. https://doi.org/10.1007/s11356-018-3769-1
16. Ranathunga, N., Perera, P., Nandasena, S., Sathiakumar, N., Kasturiratne, A., & Wickremasinghe, R. (2019). Effect of household air pollution due to solid fuel combustion on childhood respiratory diseases in a semi urban population in Sri Lanka. BMC Pediatrics, 19(1), 306–306. https://doi.org/10.1186/s12887-019-1674-5
17. Smith, K. R., Bruce, N., Weber, M., Hubbard, A., Jenny, A., Dherani, M., Acevedo, R., & Arana, B. (2006). Impact of a Chimney Wood Stove on Risk of Pneumonia in Children Aged Less Than 18 Months in Rural Guatemala: Results from a Randomized, Controlled Trial. Epidemiology, 17. https://doi.org/10.1097/00001648-200611001-00079
18. Bruce, N., Dherani, M., Weber, M., Díaz-Artiga, A., Arana, B., Thompson, L. M., Smith, K. R., & McCracken, J. P. (2009). Reducing Air Pollution Exposure from Biomass Fuel Has More Impact on Severe Than Non-Severe Child Pneumonia: Findings From the Respire (Guatemala) RCT. Epidemiology, 20. https://doi.org/10.1097/01.ede.0000362939.77481.96
19. Dherani, M., Díaz-Artiga, A., Jenny, A., Thomsan, L., Smith, K., & Bruce, N. (2007). Indoor Air Pollution and Childhood Pneumonia: Impact of Reduced Exposure on Severity and Clinical Features. Epidemiology, 18(5). https://doi.org/10.1097/01.ede.0000276736.21196.82
20. Simkovich, S., Goodman, D., Roa, C., Crocker, M. E., Gianella, G., Kirenga, B., Wise, R. A., & Checkley, W. (2019). The health and social implications of household air pollution and respiratory diseases. Npj Primary Care Respiratory Medicine, 29(1), 12–12. https://doi.org/10.1038/s41533-019-0126-x
21. Chithra, V. S., & Nagendra, S. M. S. (2018). A Review of Scientific Evidence on Indoor Air of School Building: Pollutants, Sources, Health Effects and Management. Asian Journal of Atmospheric Environment, 12(2), 87–108. https://doi.org/10.5572/ajae.2018.12.2.87
22. Majd, E., McCormack, M. C., Davis, M. F., Curriero, F. C., Berman, J. D., Connolly, F., Leaf, P. J., Rule, A. M., Green, T., Clemons-Erby, D., Gummerson, C. E., & Koehler, K. (2018). Indoor air quality in inner-city schools and its associations with building characteristics and environmental factors. Environmental Research, 170, 83–91. https://doi.org/10.1016/j.envres.2018.12.012
23. Sadrizadeh, S., Yao, R., Feng, Y., Awbi, H., Bahnfleth, W. P., Bi, Y., Cao, G., Croitoru, C., Dear, R. de, Haghighat, F., Kumar, P., Malayeri, M., Nasiri, F., Ruud, M., Sadeghian, P., Wargocki, P., Xiong, J., Yu, W., & Li, B. (2022). Indoor air quality and health in schools: A critical review for developing the roadmap for the future school environment. Journal of Building Engineering, 57, 104908–104908. https://doi.org/10.1016/j.jobe.2022.104908
24. Noonan, C. W., Semmens, E. O., Ware, D., Smith, P., Boyer, B. B., Erdei, E., Hopkins, S. E., Lewis, J., & Ward, T. (2019). Wood stove interventions and child respiratory infections in rural communities: KidsAir rationale and methods. Contemporary Clinical Trials, 89, 105909–105909. https://doi.org/10.1016/j.cct.2019.105909
25. Kim, S., Lee, J., Park, S., Rudasingwa, G., Lee, S., Yu, S., & Lim, D. H. (2020). Association between Peak Expiratory Flow Rate and Exposure Level to Indoor PM2.5 in Asthmatic Children, Using Data from the Escort Intervention Study. International Journal of Environmental Research and Public Health, 17(20), 7667–7667. https://doi.org/10.3390/ijerph17207667
26. Park, J., Lee, T. J., Park, M. J., Oh, H., & Jo, Y. M. (2019). Effects of air cleaners and school characteristics on classroom concentrations of particulate matter in 34 elementary schools in Korea. Building and Environment, 167, 106437–106437. https://doi.org/10.1016/j.buildenv.2019.106437
27. Smith‐Sivertsen, T., Díaz, E., Pope, D., Lie, R. T., Díaz-Artiga, A., McCracken, J. P., Bakke, P., Arana, B., Smith, K. R., & Bruce, N. (2009). Effect of Reducing Indoor Air Pollution on Women’s Respiratory Symptoms and Lung Function: The RESPIRE Randomized Trial, Guatemala. American Journal of Epidemiology, 170(2), 211–220. https://doi.org/10.1093/aje/kwp100
28. Isiugo, K., Jandarov, R., Cox, J., Ryan, P., Newman, N., Grinshpun, S. A., Indugula, R., Vesper, S., & Reponen, T. (2019). Indoor particulate matter and lung function in children. The Science of The Total Environment, 663, 408–417. https://doi.org/10.1016/j.scitotenv.2019.01.309
29. Li, T., Yu, Y., Sun, Z., & Duan, J. (2022). A comprehensive understanding of ambient particulate matter and its components on the adverse health effects based from epidemiological and laboratory evidence. Particle and Fibre Toxicology, 19(1), 67–67. https://doi.org/10.1186/s12989-022-00507-5
30. Valacchi, G., Magnani, N., Woodby, B., Ferreira, S. M., & Evelson, P. (2020). Particulate Matter Induces Tissue OxInflammation: From Mechanism to Damage. Antioxidants and Redox Signaling, 33(4), 308–326. https://doi.org/10.1089/ars.2019.8015
31. Vardoulakis, S., Giagloglou, E., Steinle, S., Davis, A., Sleeuwenhoek, A., Galea, K. S., Dixon, K., & Crawford, J. (2020). Indoor Exposure to Selected Air Pollutants in the Home Environment: A Systematic Review. International Journal of Environmental Research and Public Health, 17(23), 8972–8972. https://doi.org/10.3390/ijerph17238972
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