Gas stove use and respiratory health among adults with asthma in NHANES III

Gas stove use and respiratory health among adults with asthma in NHANES III
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DOI:
10.1136/oem.60.10.759
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发表时间:
2003-10-01
影响因子:
4.9
通讯作者:
Blanc, PD
Blanc, PD
中科院分区:
医学2区
文献类型:
--
作者:
Eisner, MD;Blanc, PD

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背景:燃气灶释放呼吸道刺激物,如二氧化氮和其他燃烧副产物。成年哮喘患者可能容易受到煤气炉暴露的影响,因为他们潜在的气道高反应性,但这种关联一直难以建立。目的:研究煤气炉使用和呼吸系统健康之间的关联。研究方法:该分析使用的数据来自美国第三次全国健康和营养检查调查的445名成年哮喘患者(代表480万人的条件)。结果:近一半的成年哮喘患者家中有燃气灶(47.1%)。使用燃气灶与FEV 1(平均变化146 ml; 95% CI - 50至342 ml)、FVC(0 ml; 95% CI - 151至152 ml)或FEF25%-75%(357 ml; 95% CI - 7至722 ml)之间无相关性。使用燃气灶与自我报告的咳嗽(OR 0.8; 95% CI 0.4 - 1.7)、喘息(OR 1.5; 95% CI 0.7 - 3.2)或其他呼吸道症状的风险之间也没有关系。控制社会人口,吸烟,住房和地理因素并没有明显影响这些results.Conclusions:在成人哮喘患者中,没有明显的影响,使用煤气炉对肺功能或呼吸道症状。这些结果应该让成年哮喘患者及其医疗保健提供者放心。
Background: Gas stoves release respiratory irritants, such as nitrogen dioxide and other combustion by-products. Adults with asthma may be susceptible to the effects of gas stove exposure because of their underlying airway hyperresponsiveness, but this association has been difficult to establish.Aims: To examine the association between gas stove use and respiratory health. Methods: The analysis used data from the US Third National Health and Nutrition Examination Survey among 445 adults with asthma (representing 4.8 million persons with the condition).Results: Nearly half of the adults with asthma had a gas stove in their home (47.1%). There was no association between gas stove use and FEV1 (mean change 146 ml; 95% CI - 50 to 342 ml), FVC (0 ml; 95% CI - 151 to 152 ml), or FEF25%-75% (357 ml; 95% CI - 7 to 722 ml). There was also no relation between gas stove use and the risk of self reported cough (OR 0.8; 95% CI 0.4 to 1.7), wheeze (OR 1.5; 95% CI 0.7 to 3.2), or other respiratory symptoms. Controlling for sociodemographic, smoking, housing, and geographic factors did not appreciably affect these results.Conclusions: Among adults with asthma, there was no apparent impact of gas stove use on pulmonary function or respiratory symptoms. These results should be reassuring to adults with asthma and their health care providers.