| Title: | Issue 2 - 'Update on adverse respiratory effects of indoor air pollution' Part 1): Indoor air pollution and respiratory diseases: A general update and a Portuguese perspective |
| Author(s): | Rufo JC; Annesi-Maesano I; Carreiro-Martins P; Moreira A; Sousa AC; Pastorinho MR; Neuparth N; Taborda-Barata L; |
| Address: | "EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal; Laboratorio para a Investigacao Integrativa e Translacional em Saude Populacional (ITR), Universidade do Porto, Rua das Taipas, n degrees 135, 4050-600 Porto, Portugal. Institute Desbrest of Epidemiology and Public Health, University of Montpellier and INSERM, Montpellier, France. Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculdade de Ciencias Medicas, NMS, FCM, Universidade NOVA de Lisboa, Lisboa, Portugal; Immunoallergology Service, Dona Estefania Hospital, Centro Hospitalar e Universitario de Lisboa Central (CHULC), Lisbon, Portugal. Electronic address: pmartinsalergo@gmail.com. EPIUnit - Instituto de Saude Publica, Universidade do Porto, Porto, Portugal; Laboratorio para a Investigacao Integrativa e Translacional em Saude Populacional (ITR), Universidade do Porto, Rua das Taipas, n degrees 135, 4050-600 Porto, Portugal; Servico de Imunoalergologia, Centro Hospitalar Universitario Sao Joao, Porto, Portugal; Basic and Clinical Immunology Unit, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal. Comprehensive Health Research Centre (CHRC) and Department of Biology, University of Evora, Evora, Portugal; NuESA-Health and Environment Study Unit, Faculty of Health Sciences, University of Beira Interior, Covilha, Portugal. NuESA-Health and Environment Study Unit, Faculty of Health Sciences, University of Beira Interior, Covilha, Portugal; Comprehensive Health Research Centre (CHRC) and Department of Medical and Health Sciences, University of Evora, Evora, Portugal. Comprehensive Health Research Center (CHRC), NOVA Medical School, Faculdade de Ciencias Medicas, NMS, FCM, Universidade NOVA de Lisboa, Lisboa, Portugal; Immunoallergology Service, Dona Estefania Hospital, Centro Hospitalar e Universitario de Lisboa Central (CHULC), Lisbon, Portugal. NuESA-Health and Environment Study Unit, Faculty of Health Sciences, University of Beira Interior, Covilha, Portugal; UBIAir-Clinical & Experimental Lung Centre, University of Beira Interior, CACB - Clinical Academic Centre of Beiras, Covilha, Portugal; CICS-Health Sciences Research Centre, University of Beira Interior, CACB - Clinical Academic Centre of Beiras, Covilha, Portugal; Immunoallergology Service, Centro Hospitalar Universitario Cova da Beira, CACB - Clinical Academic Centre of Beiras, Covilha, Portugal" |
| DOI: | 10.1016/j.pulmoe.2023.03.006 |
| ISSN/ISBN: | 2531-0437 (Electronic) 2531-0429 (Linking) |
| Abstract: | "OBJECTIVE: To quantify the impact of different air pollutants on respiratory health based on robust estimates based on international data and to summarise the evidence of associations between indoor exposure to those pollutants and respiratory morbidity in the Portuguese population. RESULTS: Several systematic reviews and meta-analyses (MA) at the world level demonstrate the impact of indoor air quality on respiratory health, with indoor particulate matter and gasses exerting a significant effect on the airways. Volatile organic compounds (VOC) have been related to asthma and lung cancer. However, only meta-analyses on biomass use allowed documentation of long-term respiratory effects. While early publications concerning Portuguese-based populations mainly focused on indoor exposure to environmental tobacco smoke, later studies relocated the attention to relevant exposure environments, such as day care buildings, schools, residences and nursing homes. Looking at the pooled effects from the reviewed studies, high levels of carbon dioxide and particulate matter in Portuguese buildings were significantly associated with asthma and wheezing, with VOC and fungi showing a similar effect in some instances. CONCLUSIONS: Despite the significant reduction of indoor air pollution effects after the 2008 indoor smoking prohibition in public buildings, studies show that several indoor air parameters are still significantly associated with respiratory health in Portugal. The country shares the worldwide necessity of standardisation of methods and contextual data to increase the reach of epidemiological studies on household air pollution, allowing a weighted evaluation of interventions and policies focused on reducing the associated respiratory morbidity" |
| Keywords: | Air pollution Chronic respiratory diseases Epidemiology Indoor Portugal Worldwide; |
| Notes: | "PublisherRufo, J C Annesi-Maesano, I Carreiro-Martins, P Moreira, A Sousa, A C Pastorinho, M R Neuparth, N Taborda-Barata, L eng Review Spain 2023/05/26 Pulmonology. 2023 May 23:S2531-0437(23)00085-5. doi: 10.1016/j.pulmoe.2023.03.006" |
