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Age Ageing

Title:		The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto
Author(s):		Mendes A; Papoila AL; Carreiro-Martins P; Bonassi S; Caires I; Palmeiro T; Aguiar L; Pereira C; Neves P; Mendes D; Botelho MA; Neuparth N; Teixeira JP;
Address:		"Environmental Health Department, National Institute of Health, Porto, Portugal Institute of Public Health (ISPUP), Porto University, Porto, Portugal. CEAUL, NOVA Medical School, Lisboa, Portugal Epidemiology and Statistics Analysis Unit, Research Centre, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal. Epidemiology and Statistics Analysis Unit, Research Centre, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal CEDOC - Respiratory Diseases Research Group, NOVA Medical School, Lisboa, Portugal. Unit of Clinical and Molecular Epidemiology, IRCCS San Raffaele Pisana, Rome, Italy. CEDOC - Respiratory Diseases Research Group, NOVA Medical School, Lisboa, Portugal. Environmental Health Department, National Institute of Health, Porto, Portugal. CEDOC - Respiratory Diseases Research Group, NOVA Medical School, Lisboa, Portugal Departamento de Fisiologia, Faculty of Ciencias Medicas da Universidade Nova de Lisboa, Lisboa, Portugal"
Journal Title:		Age Ageing
Year:		2016
Volume:		20151111
Issue:		1
Page Number:		136 - 142
DOI:		10.1093/ageing/afv157
ISSN/ISBN:		1468-2834 (Electronic) 0002-0729 (Linking)
Abstract:		"BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status. OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health. DESIGN: cross-sectional study. SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal. SUBJECTS: older people living in LTC with >/=65 years old. METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC. RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2). CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms"
Keywords:		"Age Factors Aged Aged, 80 and over Aging *Air Microbiology Air Pollutants/*adverse effects *Air Pollution, Indoor Cross-Sectional Studies Environmental Monitoring Female Geriatric Assessment *Homes for the Aged Humans Inhalation Exposure/adverse effects L;"
Notes:		"MedlineMendes, Ana Papoila, Ana Luisa Carreiro-Martins, Pedro Bonassi, Stefano Caires, Iolanda Palmeiro, Teresa Aguiar, Livia Pereira, Cristiana Neves, Paula Mendes, Diana Botelho, Maria Amalia Silveira Neuparth, Nuno Teixeira, Joao Paulo eng Research Support, Non-U.S. Gov't England 2015/11/14 Age Ageing. 2016 Jan; 45(1):136-42. doi: 10.1093/ageing/afv157. Epub 2015 Nov 11"