Change in Pulmonary Function in Children Associated with Air Pollution Episodes

Pulmonary function of approximately 200 school children in Steubenville, OH was measured before and immediately following air pollution alerts in the fall of 1978 and 1979. TSP concentrations exceeded the National Primary Ambient Air Quality 24 h standards in 1978. SO₂ exceeded the standard in 1979. The children were then reexamined in three weekly visits following each alert. Estimated mean Forced Vital Capacity (FVC) was approximately 2% lower following each alert, although the lowest means were observed one to two weeks after the episodes. Forced Expired Volume in 0.75 sec (FEV_0.75) did not change during the 1978 study, but was 4% lower immediately following the 1979 alert. The children were measured again in five weekly examinations in the spring and fall of 1980. Air pollution levels did not exceed the standards on either occasion. In the spring of 1980, estimated mean FVC and FEV_0.75 showed a decline similar to that observed following the alerts in 1978 and 1979. In the fall of 1980, there were no significant differences in the estimated mean FVC or FEV_0.75 between the examinations. A total of 335 children were tested in the four studies, including 194 who participated in more than one study. The evidence for each child from all the studies was combined in a regression analysis of pulmonary function on TSP and SO₂ average concentrations in the previous 24 h. The distribution of the individual regression coefficients was centered significantly below zero, implying a decrease in pulmonary function with increasing TSP and SO₂ concentrations. The magnitude of the median change was less than 1% of the mean FVC and FEV_0.75 over the range of TSP and SO₂ concentrations observed.     

Decline in Children’s Pulmonary Function during an Air Pollution Episode

Pulmonary function was measured in 163 primary school children before, during and after an air pollution episode. During the episode, TSP, RSP and SO₂ concentrations were each in the range of 200-250 μg/m³, whereas during the baseline measurements, they were generally below 100 μg/m³. During the episode, pulmonary functions were significantly lower by 3-5 percent compared to the baseline measurements. The decline was still observed 16 days after the episode, but not 25 days after the episode. Differences in pulmonary function technician, pulmonary function test appliance and in the prevalence of colds between baseline and follow-up measurement were not able to explain the findings. These results suggest that an air pollution episode of a few days, with 24-hour average TSP, RSP and SO₂ concentrations in the range of 200-250 μg/m³, was associated with a decrease in pulmonary function of primary school children.     

The short-term effects of air pollution on adolescent lung function in Taiwan

A mass screening of lung function associated with air pollutants for children is limited. This study assessed the association between air pollutants exposure and the lung function of junior high school students in a mass screening program in Taipei city, Taiwan. Among 10,396 students with completed asthma screening questionnaires and anthropometric measures, 2919 students aged 12-16 received the spirometry test. Forced vital capacity (FVC) and forced expiratory flow in 1 s (FEV₁) in association with daily ambient concentrations of particulate matter with diameter of 10 μm or less (PM₁₀), sulfur dioxide (SO₂), carbon monoxide (CO), nitrogen dioxide (NO₂), and ozone (O₃) were assessed by regression models controlling for the age, gender, height, weight, student living districts, rainfall and temperature. FVC, had a significant negative association with short-term exposure to O₃ and PM₁₀ measured on the day of spirometry testing. FVC values also were reversely associated with means of SO₂, O₃, NO₂, PM₁₀ and CO exposed 1 d earlier. An increase of 1-ppm CO was associated with the reduction in FVC for 69.8 mL (95% CI: −115, −24.4 mL) or in FEV₁ for 73.7 mL (95% CI: −118, −29.7 mL). An increase in SO₂ for 1 ppb was associated with the reductions in FVC and FEV₁ for 12.9 mL (95% CI: −20.7, −5.09 mL) and 11.7 mL (95% CI: −19.3, −4.16 mL), respectively. In conclusion, the short-term exposure to O₃ and PM₁₀ was associated with reducing FVC and FEV₁. CO and SO₂ exposure had a strong 1-d lag effect on FVC and FEV₁.     

Adaptation by Older Individuals Repeatedly Exposed to 0.45 Parts per Million Ozone for Two Hours

To test for an increased reaction to ozone (O₃) in older individuals following an initial exposure, and to test for adaptation and its duration, we exposed 10 men and 6 women (60-89 years old) in an environmental chamber to filtered air and 3 consecutive days of O₃ exposure (0.45 ppm), followed by a fourth O₃ exposure day after a two day hiatus. Subjects alternated 20-min exercise (minute ventilation = 27 L) and rest periods for 2 hours during each exposure. Subjects rated from one to five, 16 possible respiratory/exercise symptoms prior to and following the exposure. Pulmonary function tests were performed before, and during each rest period and following the exposure. Metabolic measurements were obtained during each exercise period. No significant changes in any symptom question occurred, in spite of a threefold increase in the total number of reported symptoms during O₃ exposure. Small but significant pre-to-post decrements on the first and second O₃ days in forced vital capacity (FVC—111 and 104 mL), forced expiratory volume in 1 (FEV₁—171 and 164 mL) and 3 seconds (FEV₃—185 and 172 mL) occurred without concomitant changes in any flow parameter of the forced expiratory maneuver. No differences in the group mean response in FVC, FEV₁, OR FEV₃ on the third or fourth day of O₃ exposure and the filtered air exposure were found. The observed changes were due to significant physiological changes in eight of the subjects. Unlike young subjects, no evidence of an increased pulmonary function response to a second consecutive O₃ exposure was observed. Changes in small airway response to O₃ (below 75 percent of FVC) without irritant receptor activation, would explain the observed pattern of response.     

Health Significance of Pulmonary Function Responses to Airborne Irritants

Exposures to airborne irritants such as O₃, NO₂, SO₂ and H₂SO₄ can produce measurable changes in a variety of pulmonary functions such as respiratory mechanics, pulmonary gas exchange, mucociliary particle clearance, and airway permeability. The most commonly measured indices of pulmonary function are those obtained by analyzing flows and volumes during a maximal forced expiratory maneuver, because they can be obtained readily in both laboratory and field studies in humans. Other functional measures are essentially limited to laboratory studies on relatively small populations of humans, or on experimental animals. Interpretation of respiratory function changes in relation to exposures to airborne irritants is complicated by the large interindividual variability in baseline function and responsiveness, the superposition of both the transient effects of recent acute exposure and the cumulative effects of chronic exposure at any given measurement, and the inherent day-to-day variability of effort dependent indices. Furthermore, community exposures occur as mixtures. Each of several components may affect the same functions, but with different time scales, and may affect different segments of the population to different degrees. The greatest uncertainties lie in the significance of transient and apparently reversible effects, and their contribution, if any, to permanent functional changes. Use of animal models to study the role of transient changes in function on the development of permanent changes is illustrated in terms of the effects of H₂SO₄ on particle clearance function.     

Formaldehyde Dose-Response in Healthy Nonsmokers

Industrial, commercial, and domestic levels of formaldehyde exposure range from <0.1 to >5.0 ppm. Irritation of the eyes and upper respiratory tract predominate, and bronchoconstriction is described in case reports. However, pulmonary function and irritant symptoms together have not been assessed over a range of HCHO concentrations in a controlled environment. We investigated dose response in both symptoms and pulmonary function associated with 3-h exposures to 0.0-3.0 ppm HCHO in a controlled environmental chamber. Ten subjects were randomly exposed to 0.0, 0.5, 1.0, and 2.0 ppm HCHO at rest plus 2.0 ppm HCHO with exercise and nine additional subjects were randomly exposed to 0.0,1.0,2.0, and 3.0 ppm HCHO at rest plus 2.0 ppm HCHO with exercise. Significant dose-response relationships in odor and eye irritation were observed (p < 0.05). Nasal flow resistance was increased at 3.0 ppm (p < 0.01), but not at 2.0 ppm HCHO. There were no significant decrements in pulmonary function (FVC, FEV₁, FEF_25-75%, SGaw) or increases in bronchial reactivity to methacholine (log PD_35SGaw) with exposure to 0.5-3.0 ppm HCHO at rest or to 2.0 ppm HCHO with exercise.     

Predicting Respiratory Morbidity from Pulmonary Function Tests: A Reanalysis of Ozone Chamber Studies

Some consequences of acute exposure to ozone are best measured In studies of human respiratory responses in controlled exposure chambers. These studies typically examine relationships between exposures to alternative pollutant concentrations and Indicators of lung function as measured by spirometry, such as forced expiratory volume In one second, FEV₁ However, the association of respiratory morbidity with these changes In lung function is not well established. To gain a better understanding of the relationship between ozonerelated changes in pulmonary function and respiratory symptoms, data from several clinical studies have been reanalyzed. Logistic regression models were used to determine the quantitative relationship between changes in FEV₁ and the probability of a mild or moderate lower respiratory symptom. Models were developed that corrected for repeated sampling of individuals and both population-averaged and subject-specific effects were determined. The results indicate the existence of a strong and consistent quantitative relationship between changes in lung function and the probability of a respiratory symptom. Specifically, a 10 percent reduction in FEV₁ is associated with a 15 percentage point increase In the probability of a mild, moderate or severe lower respiratory symptom and a 6 percentage point increase in the probability of a moderate or severe lower respiratory symptom.     

Effects of SO2 and/or NO2 on Native Plants of the Mojave Desert and Eastern Mojave-Colorado Desert

Ten species of plants, five perennials and five annuals, native to the Mojave desert were grown in pots and fumigated in open top plastic greenhouses, 25 hours/week, with SO₂ and/or NO₂. Three levels of SO₂: 2.0, 0.67, and 0.22 parts per million (ppm); three levels of NO₂: 1.0, 0.33, and 0.11 ppm; three treatments with 2.0 ppm SO₂ + 1.0 ppm NO₂, 0.67 ppm SO₂ + 0.33 ppm NO₂ and 0.22 ppm SO₂ + 0.11 ppm NO₂ plus untreated control plants were used in the fumigations. The perennials were fumigated for 16 weeks in 1977 and 32 weeks in 1978. Three species of annuals were grown and fumigated for 17 weeks, a fourth for 16 weeks, and a fifth for 12 weeks. A second crop of the first three annuals were grown; one for 12 weeks, a second for 8, and a third for 9 weeks.

Individual species differed widely in their particular responses to the fumigants. The fumigations of perennials with 2.0 ppm of SO₂ or NO₂ at 1.0 ppm caused extensive leaf injury, and reduced growth or dry weight of Larrea divaricate Cav., Chilopsls linearis Cav., and Ambrosia dumosa (Gray) Payne. The combined fumigants had additive effects. No suggestion of synergism was noted. These fumigants at lower concentrations stimulated lateral growth of Encelia farinosa Gray ex Torr. and Erodium cicutarium (L.) L’Her., dry weight of Atriplex canescens (Pursh) Nutt. and Plantago insularis Eastw. and increased flowering of Balleya pleniradiata Harv. and Gray, thus indicating beneficial effects.

Annual species were more severely affected by 2.0 ppm SO₂ than the perennials and extensive injury or death of plants occurred in all annuals. At the 0.67 ppm level severe leaf injury occurred. NO₂ at 1.0 ppm was less injurious than SO₂ and addition of NO₂ to SO₂ suggested an antagonistic effect. Plant survival and flowering was increased by adding NO₂ to plants being treated with SO₂

Comparison of perennial species showed Larrea sensitive, Chilopsis, Encella and Ambrosia intermediate, and Atriplex resistant. The annual species showed Erodium cicutarium and Plantago Insularis to be extremely sensitive, Phacelia crenulata Torr very sensitive and Baileya pleniradiata sensitive. Chaenactis carphoclinia Gray grew poorly and no valid rating was possible.     

Considering the effects of ambient particulate matter on the lung function of motorcycle taxi drivers in Bangkok,Thailand

The motorcycle taxi drivers of Bangkok have been heavily exposed to high concentrations of PM₁₀ (particulate matter with an aerodynamic diameter ≤10 μm), and the impact of this on their lungs has been neither documented nor studied. This study examines the association between exposure to PM₁₀ and lung function decline among motorcycle taxi drivers. A cross-sectional study was conducted in Bangkok between two groups: a subject group of motorcycle taxi drivers and control group of enclosed vehicle taxi drivers. The findings of the Thailand Pollution Control Department were used to estimate the annual ambient PM₁₀ concentration levels in the metropolis. Pulmonary functions of motorcycle taxi drivers and enclosed vehicle taxi drivers were measured and compared using the Mann-Whitney test. Multiple linear regression analysis was applied to estimate the effects of PM₁₀ exposure on the lung function of motorcycle taxi drivers. A total of 1283 motorcycle taxi drivers and 600 taxi drivers were investigated. The mean forced expiratory volume in 1 sec/forced vital capacity (FEV₁/FVC) of the motorcycle taxi drivers was significantly lower than that of the taxi drivers (P < 0.001). The mean FEV₁/FVC of motorcycle taxi drivers exposed to ≥50 µg/m³ PM₁₀ was statistically lower (?2.82%; 95% confidence interval [CI]: ?4.54% to ?1.09%) and the mean % vital capacity (%VC) of those exposed to 40–49.9 µg/m³ PM₁₀ was statistically lower than that of motorcycle taxi drivers exposed to <30 µg/m³ PM₁₀ (?3.33%; 95% CI: ?5.79% to ?0.87%). Motorcycle taxi drivers were directly exposed to air pollution in their working environment. As a result, their lung function might decrease more than that of enclosed vehicle taxi drivers. With the possible exposure to ≥50 µg/m³ PM₁₀, the vehicular emission standards should be vigorously enforced. Further investigation is warranted to clarify the effect of lung dysfunction on the work and lifestyle of motorcycle taxi drivers.

Implications: Motorcycle taxi drivers are directly exposed to air pollution in their work environment; therefore, their lung function might decrease more than that of enclosed vehicle taxi drivers, especially when exposed to ≥50 µg/m³ PM₁₀. World Health Organization (WHO) vehicular emission standards should be recognized and eventually enforced.     

Evaluation of the Effects of Emission Reductions on Secondary Particulate Matter in the South Coast Air Basin of California

An Aerosol Trajectory Model (ATM) is applied to the South Coast Air Basin of California for a two-day episode in August 1982 to evaluate proposed control strategies that aim to reduce atmospheric aerosols. Model predictions Indicate that secondary organic aerosols decrease linearly with reactive hydrocarbon emissions. In addition, the model shows that If sulf ate is produced only in the gas phase by oxidation of SO₂, then reduction In SO₂ emissions yields a nearly proportional decrease In sulfate levels. Reduction in ammonia emissions, combined with reduction of NO_x emissions, gives the best results In terms of nitrate control. The order in which the emission controls are implemented Is predicted to have a major impact on the reduction of secondary atmospheric aerosols.     

Association between ionic composition of fine and coarse aerosol soluble fraction and peak expiratory flow of asthmatic patients in São Paulo city (Brazil)

Air pollutants are associated with adverse respiratory effects mainly in susceptible groups. This study was designed to assess the impact of the ionic composition of particulate matter on asthmatic respiratory functions in São Paulo city. From May to July 2002, fine and coarse particulate matter fractions were collected and their respective chemical composition with respect to major ions (Na⁺, Mg²⁺, K⁺, Ca²⁺, NH₄⁺, Cl⁻, NO₃⁻ and SO₄²⁻) were determined in each aqueous-extract fraction. The results showed predominant concentrations of SO₄²⁻ (48.4%), NO₃⁻ (19.6%) and NH₄⁺ (12.5%) in the fine fraction, whereas NO₃⁻ (35.3%), SO₄²⁻ (29.1%), Ca²⁺ (13.1%) and Cl⁻ (12.5%) were the predominant species in the coarse fraction. The association between the chemical components of both fractions and the daily peak expiratory flow (PEF) measurements (morning and evening) of the 33 asthmatic individuals were assessed through a linear mixed-effects model. The results showed a significant negative correlation (decrease of PEF) between morning PEF and coarse chloride (3-day moving average) and between evening PEF and coarse Na⁺ (3-day moving average), coarse Mg²⁺ (3-day moving average) and coarse NH₄⁺ (2- and 3-day moving average). A significant negative correlation has also been observed between morning and evening PEF and Mg²⁺ in the fine fraction. These results suggest that some particle chemical constituents may increase the responsiveness of airways and that coarse particles that deposit in the upper airways may be more relevant for asthmatic response and irritation. However, the results do not prove a clear causal relationship.     

Declining ambient air pollution and lung function improvement in Austrian children

Three thousand four hundred fifty-one Austrian elementary school children were examined (between 2 and 8 times) by spirometry by standardized methods, over a 5 yr period. The districts where they lived were grouped into those where NO₂ declined during this period (by at least 30 μg/m³ measured as half year means) and those with less or no decline in ambient NO₂. In both groups of districts, SO₂ and TSP fell by similar amounts over this period. A continuous improvement of MEF25 (maximum exspiratory flow rate at 25% vital capacity) was found in districts with declining ambient NO₂. Populations did not differ in respect of anthropometric factors, passive smoking or socioeconomic status. A birth cohort from this study population which was followed up to age 18 confirmed the improved growth of MEF25 with decline in NO₂, while the improved growth of forced vital capacity was more related to decline in SO_2. This study provides the first evidence that improvements in the outdoor air quality during the 1980s are correlated with health benefits, and suggest that adverse effects on lung function related to ambient air pollution are reversible before adulthood. Improvement of small airway functions appeared to be more dependent on reductions of NO₂ than reduction in SO₂ and TSP.     

Further Effects of Temperature and Pressure on Photochemical Oxidant Production

A procedure is described for producing a sulfur dioxide (SO₂) contaminated atmosphere within a body plethysmograph, exposing man to this atmosphere while maintaining the SO₂ concentration at a given level, and measuring the concentration with less than a oneminute lag time. A syringe is used to introduce incremental volumes of SO₂ limiting the maximum SO₂ concentration in the chamber and assuring safety of the subject. A Titrilog SO₂ analyzer with its rapid response characteristics provides quick measurement of the SO₂ concentration. The body plethysmograph used in this manner serves simultaneously as a pulmonary function measuring device and as an exposure chamber.     

Measurement of the vertical profile of atmospheric SO2 during the heating period in Beijing on days of high air pollution

This paper reports altitude-resolved concentrations of sulfur dioxide (SO₂) and particulate matter up to 10 microns in diameter (PM₁₀) in the planetary boundary layer of major urban centers during extreme pollution episodes. The concentration of SO₂ was observed continuously from November 24, 2004, to December 4, 2004, in Beijing during the heating period. Fluorescence SO₂ analyzers were used to measure the atmospheric SO₂ concentrations. Four SO₂ analyzers were placed at 4 different levels (8 m, 47 m, 120 m, and 280 m) of the 325-m high meteorological observation tower of the Institute of Atmospheric Physics (IAP), Chinese Academy of Sciences. A maximal SO₂ concentration of 172.3 ppb was measured during this pollution episode, and SO₂ concentration increased with altitude and reached its maximal value at ～50 m. The study also analyzed the meteorological situation before, during, and after the pollution episode.     

Inhalation Route Effects on Exposure to 2.0 Parts Per Million Sulfur Dioxide in Normal Subjects

A number of Investigations have attributed the control of the nasal to oral/nasal ventilation transition to nasal resistance. To investigate possible changes In nasal resistance due to sulfur dioxide (SO₂) exposure, 14 subjects (7 men and 7 women), healthy nonsmokers, between the ages of 20 and 46 years, were exposed for 30 minutes to filtered air while free breathing and to 2.0 ppm SO₂ with either free breathing, forced oral or forced nasal breathing with continuous exercise at a workload 300 kg>m/min below the workload which Initiated cross-over from nasal to oral/nasal breathing in a preliminary incremental workload test. An Incremental work test under the ambient conditions was performed immediately following the 30-minute exercise to ascertain any change in the cross-over ventilation. Pre- and post-measures of pulmonary functions were obtained to ascertain any changes In these parameters due to the exposure. There was a significant difference in the workload at which cross-over occurred following forced oral breathing in 2.0 ppm sulfur dioxide. The nasal ventilation prior to cross-over and the nasal component of ventilation were significantly smaller for this exposure condition, indicating a possible change in nasal dynamics following the 30 minutes of forced oral breathing in 2.0 ppm SO₂. Lack of concomitant changes in pulmonary function tests including airway resistance suggests that breathing 2.0 ppm SO₂ does not affect normal subjects whether administration is by free, forced oral or forced nasal breathing.     

Biochemical and Physiological Detection of Sulfur Dioxide Injury to Pea Plants (Pisum sativum)

Biochemical and physiological experiments were conducted on pea plants (Pisum sativum) continuously exposed in growth chambers to SO₂ gas for 18 days. S0₂ gas concentrations were 0.1, 0.15, and 0.25 ppm. In plants exposed to 0.1 and 0.15 ppm it was clearly demonstrated that there was a greater accumulation of inorganic sulfur, a reduced buffer capacity of the cells relative to H-ions, and a stimulation of glutamate dehydrogenase activity. The only macroscopic symptom seen was slight chlorosis of the older leaves. There was only a slight decrease in fresh and dry weights of these plants compared to the control plants whereas in the group of plants exposed to 0.25 ppm SO₂ foliage necrosis was considerable. In addition, there was a marked reduction in the fresh and dry weights of the latter plants. However, the relationship among accumulated inorganic sulfur, reduced buffer capacity, and increased glutamate dehydrogenase activity as seen for the lower S0₂ concentrations was close. Accordingly, if might be possible to use these three parameters to diagnose S0₂ injury before any significant symptoms appear. In the case of severe SO₂ injury there was a marked increase in glutamine and ammonia concentrations suggesting that these factors in addition to the above could be used in diagnosing severe SO₂ injury. There was no significant difference between plants treated with 0.1 or 0.15 ppm SO₂ and control plants in the contents of K, Ca, P, and N fractions. Therefore, these factors would not be useful in the early detection of SO₂ injury.     

Airway Reactivity to Sulfate and Sulfuric Acid Aerosols in Normal and Asthmatic Subjects

Recent epidemiologic studies have emphasized a relationship between alteration in lung function, respiratory symptoms in asthmatics, and elevated levels of sulfate air pollutants. In asthmatics, it has been reported that 1) the more acidic sulfate aerosols, sulfuric acid (H₂SO₄) and ammonium bisulfate (NH₄HSO₄), provoked the greatest changes in lung function and 2) a definite exposure-response relationship exists for H₂SO₄ inhalation. To determine if sulfate aerosol exposure caused increased reactivity to a known bronchoconstrictor, normal and asthmatic subjects inhaled subthreshold doses of carbachol after the following sulfates: H₂SO₄, NH4HSO4, and sodium bisulfate. A NaCI aerosol served as a control. Exposure times averaged 16 minutes with sulfate concentrations ranging from 100 μ/m³ to 1000 jtg/m₃. In normal subjects, prior inhalation of either 1000 yug/m₃ H₂SO₄ or NH4HSO4 significantly potentiated (P < 0.05) the bronchoconstrictor action of carbachol on airway conductance compared to NaCI and carbachol or carbachol alone by t-tests. For the asthmatic group, prior inhalation of either 1000/tg/m₃ H₂SO₄ or NH₄HSO₄ (P < 0.05), or 450 μ/m³ H₂SO₄ (P < 0.05) similarly enhanced the carbachol bronchoconstrictor effect compared to NaCI and carbachol. At the low 100 μ/m³, no sulfates altered the effects of carbachol on pulmonary function. Although mean changes between the sulfate groups did not attain significance by an analysis of variance, it was found that the bronchoconstrictor action of carbachol was potentiated by the sulfate aerosols more or less in relation to their acidity.     

Size mass distribution of water-soluble ionic species and gas conversion to sulfate and nitrate in particulate matter in southern Taiwan

A Micro-Orifice Uniform Deposition Impactor (MOUDI) and a Nano-MOUDI were employed to determine the size-segregated mass distributions of ambient particulate matter (PM) and water-soluble ionic species for particulate constituents. In addition, gas precursors, including HCl, HONO, HNO₃, SO₂, and NH₃ gases, were analyzed by an annular denuder system. PM size mass distribution, mass concentration, and ionic species concentration were measured during the day and at night during episode and non-episode periods in winter and summer. Average total suspended particle (TSP) concentrations during episode days in winter were as high as 153?±?33 μg/m³, and PM mass concentrations in summer were as low as one-third of that in winter. Generally, PM concentration at night was higher than that in the daytime in southern Taiwan during the sampling periods. In winter during the episode periods, the size-segregated mass distribution of PM mass concentration was mostly in the 0.32–3.2-μm range, and the PM concentration increased significantly in the range of 0.32–3.2 μm at night. Ammonium, nitrate, and sulfate were the dominant water-soluble ionic species in PM, contributing 34–48 % of TSP mass. High concentrations of ammonia (12.9–49 μg/m³) and SO₂ (2.6–27 μg/m³) were observed in the gas precursors. The conversion ratio was high in the PM size range of 0.18–3.2 μm both during the day and at night in winter, and the conversion ratio of episode days was 20 % higher than that of non-episode days. The conversion factor was high for both nitrogen and sulfur species at nighttime, especially on episode days.     

Effects of individual ozone exposure on lung function in the elderly: a cross-sectional study in China

The aim of this study was to assess the acute health effects of individual ozone (O₃) exposure on the respiratory system in the elderly. A total of 40 non-smoking elderly volunteers completed personal 24 h of measurement for O₃ and fine particulate matter (PM_2.5). To assess health effects, we measured the pulmonary function and five inflammatory biomarkers in exhaled breath condensate (EBC), including interleukin-2 (IL-2), interferon-γ (IFN-γ), prostaglandin E₂ (PGE₂), and tumor necrosis factor α/β (TNFα/β). We used the generalized additive model to analyze the association between O₃ and these health effects, after adjusting PM_2.5, BMI, and sex as confounders. As a result, we found a negative correlation between O₃ and forced vital capacity (FVC) or forced expiratory volume-one second (FEV1). With the increasing of O₃ by 10 μg/m³, FVC and FEV1 decreased by 0.13 L (95% CI 0.01, 0.26) and 0.11 L (95% CI 0.02, 0.20), respectively. We found no statistical significance between O₃ and biomarkers in EBC. The results suggested that individual 24-h O₃ exposure was associated with decreased pulmonary function in the elderly.