Kumar Raj, Nagar Jitendra K, Goel Nitin, Kumar Pawan, Kushwah Alka S, Gaur Shailendra N
Department of Respiratory Allergy and Applied Immunology National Centre of Respiratory Allergy, Asthma and Immunology, V P Chest Institute, University of Delhi, India.
Pneumonol Alergol Pol. 2015;83(4):275-82. doi: 10.5603/PiAP.2015.0047.
Several studies in developed countries have shown association between indoor air pollution and asthma in children. The present research was undertaken to study this association at Delhi, India.
This study took place at Delhi, capital of India. Eight locations based on the source of pollution such as industrial, residential and villages were included. Recording of the demographic profile and clinical examination of each child was conducted at their residence. Indoor SO₂, NO₂ and SPM (suspended particulate matter) levels were measured by using Handy Air Sampler (Low Volume Sampler).
A total of 3104 children were examined of which 60.3% were male and 39.7% were female. 32.4% children were exposed to environmental tobacco smoke. 31.5 % children's families were using biomass fuels for cooking. History of respiratory symptoms included cough (43.9%), phlegm production (21.9%), shortness of breath (19.3%) and wheezing (14.0%). 7.9% children were diagnosed as having asthma, which was highest in industrial areas (11.8%), followed by residential (7.5%) and village areas (3.9%). The mean indoor SO₂, NO₂ and SPM levels were 4.28 ± 4.61 mg/m³, 26.70 ± 17.72 mg/m³ and 722.0 ± 457.6 mg/m³ respectively. Indoor SPM was the highest in industrial area followed by residential area and urban village area. Indoor SPM level was significantly (p < 0.001) higher in the asthmatic children's houses.
This study suggests that industry plays an important role in increasing the concentration of indoor suspended particulate matter and occurrence of asthma in children in developing countries like India.
发达国家的多项研究表明,室内空气污染与儿童哮喘之间存在关联。本研究旨在印度德里研究这种关联。
本研究在印度首都德里进行。选取了八个基于污染来源的地点,如工业区、居民区和村庄。在每个孩子的住所记录其人口统计学资料并进行临床检查。使用便捷式空气采样器(低流量采样器)测量室内二氧化硫、二氧化氮和悬浮颗粒物(SPM)水平。
共检查了3104名儿童,其中60.3%为男性,39.7%为女性。32.4%的儿童暴露于环境烟草烟雾中。31.5%儿童的家庭使用生物质燃料做饭。呼吸道症状病史包括咳嗽(43.9%)、咳痰(21.9%)、呼吸急促(19.3%)和喘息(14.0%)。7.9%的儿童被诊断为患有哮喘,其中工业区最高(11.8%),其次是居民区(7.5%)和村庄地区(3.9%)。室内二氧化硫、二氧化氮和悬浮颗粒物的平均水平分别为4.28±4.61毫克/立方米、26.70±17.72毫克/立方米和722.0±457.6毫克/立方米。工业区的室内悬浮颗粒物最高,其次是居民区和城中村地区。哮喘儿童家中的室内悬浮颗粒物水平显著更高(p<0.001)。
本研究表明,在印度等发展中国家,工业在增加室内悬浮颗粒物浓度和儿童哮喘发病方面起着重要作用。