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Acute Effects on Blood Pressure Following Controlled Exposure to Cookstove Air Pollution in the STOVES Study.


ABSTRACT: Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( PM 2.5). Methods and Results We conducted a controlled human-exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pressure following exposure to air pollution emissions from cookstove technologies. Forty-eight healthy adults received 2-hour exposures to 5 cookstove treatments (three stone fire, rocket elbow, fan rocket elbow, gasifier, and liquefied petroleum gas), spanning PM 2.5 concentrations from 10 to 500 ?g/m3, and a filtered air control (0 ?g/m3). Thirty minutes after exposure, systolic pressure was lower for the three stone fire treatment (500 ?g/m3 PM 2.5) compared with the control (-2.3 mm Hg; 95% CI, -4.5 to -0.1) and suggestively lower for the gasifier (35 ?g/m3 PM 2.5; -1.8 mm Hg; 95% CI , -4.0 to 0.4). No differences were observed at 3 hours after exposure; however, at 24 hours after exposure, mean systolic pressure was 2 to 3 mm Hg higher for all treatments compared with control except for the rocket elbow stove. No differences were observed in diastolic pressure for any time point or treatment. Conclusions Short-term exposure to air pollution from cookstoves can elicit an increase in systolic pressure within 24 hours. This response occurred across a range of stove types and PM 2.5 concentrations, raising concern that even low-level exposures to cookstove air pollution may pose adverse cardiovascular effects.

SUBMITTER: Fedak KM 

PROVIDER: S-EPMC6662148 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Acute Effects on Blood Pressure Following Controlled Exposure to Cookstove Air Pollution in the STOVES Study.

Fedak Kristen M KM   Good Nicholas N   Walker Ethan S ES   Balmes John J   Brook Robert D RD   Clark Maggie L ML   Cole-Hunter Tom T   Devlin Robert R   L'Orange Christian C   Luckasen Gary G   Mehaffy John J   Shelton Rhiannon R   Wilson Ander A   Volckens John J   Peel Jennifer L JL  

Journal of the American Heart Association 20190709 14


Background Exposure to air pollution from solid fuel used in residential cookstoves is considered a leading environmental risk factor for disease globally, but evidence for this relationship is largely extrapolated from literature on smoking, secondhand smoke, and ambient fine particulate matter ( PM <sub>2.5</sub>). Methods and Results We conducted a controlled human-exposure study (STOVES [the Subclinical Tests on Volunteers Exposed to Smoke] Study) to investigate acute responses in blood pres  ...[more]

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