Generic placeholder image

Current Respiratory Medicine Reviews

Editor-in-Chief

ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

Research Article

Association of Exposure to Biomass Smoke with Reduced Pulmonary Functions in Rural School Children- A Cross-sectional Study Findings

Author(s): Vitthal Khode*, Mahesh Maralihalli, Goutam Kabbin, Satish Patil, Komal Ruikar and Sneha Miskin

Volume 17, Issue 1, 2021

Published on: 11 March, 2021

Page: [46 - 50] Pages: 5

DOI: 10.2174/1573398X17666210311144247

Price: $65

Abstract

Background: Children are at higher risk of developing respiratory diseases when they expose to biomass smoke. Very few studies have compared the duration of exposure to pulmonary function tests in children. The purpose of the study was to observe the effect of biomass fuel smoke on respiratory functions in 40 school-going children aged between 7 to 14 years and to compare these parameters with 40 age and sex-matched healthy children of the same school, and correlate their duration of exposure through pulmonary function tests.

Methods: This prospective cross-sectional study was carried out over six months (August 2018 to January 2019). The selection of the study population was carried out from one of the Government primary schools. Eighty students participated in the study. The study population was divided into two groups. Group-1 consisted of 40 school children exposed to biomass smoke aged between 7 to 14 years as cases. Group-2 consisted of the same number of sex and age-matched controls who had no exposure to biomass smoke. After the relevant history, questionnaire, and respiratory examinations, children were subjected to spirometry. Schiller’s Spirovit-SP1 was also used.

Results: The prevalence of some of the respiratory symptoms in biomass smokers was significant compared to non-smokers. There was a significant 1.125 fold reduction in FVC (p=0.003*) and 1.195 fold reduction in FEV1 (p=0.000*) in smokers compared to non-smokers. A significant correlation existed between duration of exposure to FVC (r=-0.508 p=0.001) and FEV1 (r=-0.462 p=0.005).

Conclusion: We concluded that biomass smoke significantly reduced FVC and FEV1 in children, and these parameters are negatively correlated with the number of hours of exposure.

Keywords: Biomass fuel, pulmonary function test, children, FEV1, FVC, rural.

Graphical Abstract

[1]
International Institute of population Sciences (IIPS). National family health survey (MCH and family planning): India 2005-2006. 2007. Available from: https://dhsprogram.com/pubs/pdf/frind3/frind3-vol1andvol2.pdf
[2]
World Health Organization. The World health statistics: 2012. 2012. Available from: https://www.who.int/gho/publications/world_health_statistics/2012/en/
[3]
Behear D, Dash S, Malik S. Blood carboxy haemoglobin levels following acute exposure to smoke of biomass fuel. Indian J Med Res 1998; 88: 522-42. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC463132/
[4]
Salvi S, Barnes PJ. Is exposure to biomass smoke the biggest risk factor for COPD globally? Chest 2010; 138(1): 3-6.
[http://dx.doi.org/10.1378/chest.10-0645] [PMID: 20605806]
[5]
Ezzati M, Kammen DM. The health impacts of exposure to indoor air pollution from solid fuels in developing countries: knowledge, gaps, and data needs. Environ Health Perspect 2002; 110(11): 1057-68.
[http://dx.doi.org/10.1289/ehp.021101057] [PMID: 12417475]
[6]
Smith KR, Mehta S. The burden of disease from indoor air pollution in developing countries: comparison of estimates. Int J Hyg Environ Health 2003; 206(4-5): 279-89.
[http://dx.doi.org/10.1078/1438-4639-00224] [PMID: 12971683]
[7]
Prasad R, Singh A, Garg R, Giridhar GB. Biomass fuel exposure and respiratory diseases in India. Biosci Trends 2012; 6(5): 219-28.
[http://dx.doi.org/10.5582/bst.2012.v6.5.219] [PMID: 23229114]
[8]
Ferris BG. Epidemiology standardization project. Am Rev Respir Dis 1978; 118(6 Pt 2): 1-120.
[PMID: 742764]
[9]
Barnes B, Mathee A, Moiloa K. Assessing child time–activity patterns in relation to indoor cooking fires in developing countries: A methodological comparison. Int J Hyg Environ Health 2005; 208: 219-25.
[10]
Ezzati M, Kammen D. Indoor air pollution from biomass combustion and acute respiratory infections in Kenya: An exposure-response study. Lancet 2001; 358(9282): 619-24.
[http://dx.doi.org/10.1016/S0140-6736(01)05777-4] [PMID: 11530148]
[11]
Regalado J, Perez-Padilla R, Sansores R, Paramo Ramirez JI, Brauer M. The effect of biomass burning on respiratory symptoms and lung function in rural Mexican women. Am J Respir Crit Care Med 2006; 174: 901-5. Available from: https://pubmed.ncbi.nlm.nih.gov/16799080/
[12]
Norman R, Barnes B, Mathee A, Bradshaw D. Estimating the burden of disease attributable to indoor air pollution from household use of solid fuels in South Africa in 2000. S Afr Med J 2007; 97(8 Pt 2): 764-71.
[PMID: 17952235]
[13]
Noonan CW, Balmes JR. Biomass smoke exposures: Health outcomes measures and study design. Inhal Toxicol 2010; 22(2): 108-12.
[http://dx.doi.org/10.3109/08958370903008888] [PMID: 20044883]
[14]
Smith KR, Samet JM, Romieu I, Bruce N. Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax 2000; 55(6): 518-32.
[http://dx.doi.org/10.1136/thorax.55.6.518] [PMID: 10817802]
[15]
Dherani M, Pope D, Mascarenhas M, Smith KR, Weber M, Bruce N. Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under five years: A systematic review and meta-analysis. Bull World Health Organ 2008; 86(5): 390-398C.
[http://dx.doi.org/10.2471/BLT.07.044529] [PMID: 18545742]
[16]
Hu G, Zhou Y, Tian J, et al. Risk of COPD from exposure to biomass smoke: A metaanalysis. Chest 2010; 138: 20-31. Available from: https://pubmed.ncbi.nlm.nih.gov/20139228/
[17]
Kurmi OP, Semple S, Simkhada P, Smith WC, Ayres JG. COPD and chronic bronchitis risk of indoor air pollution from solid fuel: A systematic review and meta-analysis. Thorax 2010; 65(3): 221-8.
[http://dx.doi.org/10.1136/thx.2009.124644] [PMID: 20335290]
[18]
Behera D, Sood P, Singh S. Passive smoking, domestic fuels and lung function in north Indian children. Indian J Chest Dis Allied Sci 1998; 40(2): 89-98.
[PMID: 9775566]
[19]
Fagbule D, Ekanem EE. Some environmental risk factors for childhood asthma: A case-control study. Ann Trop Paediatr 1994; 14(1): 15-9.
[http://dx.doi.org/10.1080/02724936.1994.11747686] [PMID: 7516128]
[20]
Noorhassim I, Rampal KG, Hashim JH. The relationship between prevalence of asthma and environmental factors in rural households. Med J Malaysia 1995; 50(3): 263-7.
[PMID: 8926906]
[21]
Qureshi KA. Domestic smoke pollution and prevalence of chronic bronchitis/asthma in a rural area of Kashmir. Indian J Chest Dis Allied Sci 1994; 36(2): 61-72.
[PMID: 7851950]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy