Influence of environmental variables on functional capacity in patients with lung disease
DOI:
https://doi.org/10.5902/2179460X67344Keywords:
Air Pollution, Chronic obstructive pulmonary disease, Air quality, Walking test, SpirometryAbstract
Air pollution is related to negative impacts mainly on people with Chronic Respiratory Diseases (CRD), reflecting on respiratory health, reduced physical performance and so on. The objective was to investigate the influence of meteorological and air quality variables on the functional capacity of patients with CRD. This was a descriptive, retrospective and cross-sectional study of information collection in a database from 2016 to 2019. For the analysis of environmental variables, three different databases were used, one from the automatic air quality monitoring station in Novo Hamburgo, and the weather stations of Novo Hamburgo and Campo Bom (RS). The monitored data were: NO2, CO, O3, PM10, PM2,5, average temperature, minimum temperature, maximum temperature, precipitation, average wind speed and relative humidity. The sample consisted of 85 individuals from the Pulmonary Rehabilitation Program (PRP), where the variables spirometry and six-minute walk test (6MWT) were collected. It was observed that the higher the concentration of PM10 and the higher the minimum temperature, the lower the spirometric results. Furthermore, the greater the concentration of PM2.5, the shorter the distance that the individual travels. A relationship was found between environmental data and functional tests, where individuals with CRD are more sensitive to high levels of air pollutants, as well as to lower temperatures.
Downloads
References
ATS – American Thoracic Society ATS Statement : Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine, [s.l.], v. 166, p. 111–117, 2002.
BOS, I. et al. Subclinical effects of aerobic training in Urban environment. Medicine and Science in Sports and Exercise, [s.l.], v. 45, n. 3, p. 439–447, 2013.
BROOK, R. D. et al. Hemodynamic, autonomic, and vascular effects of exposure to coarse particulate matter air pollution from a rural location. Environmental Health Perspectives, [s.l.], v. 122, n. 6, p. 624–630, 2014.
BROOK, R. D. et al. Particulate matter air pollution and cardiovascular disease: An update to the scientific statement from the American Heart Association. Circulation, [s.l.], v. 121, n. 21, p. 2331–2378, 2010.
CAMILLO, C. M.; SOUZA, A. M.; RAMSER, C. A. de S. Variáveis climáticas relacionadas à poluição do ar e os efeitos causados à saúde humana. Ciência e Natura, Santa Maria, v. 42, p. 1–20, 2020.
COLLACO, J. M. et al. The relationship of lung function with ambient temperature. PLoS ONE, [s.l.], v. 13, n. 1, p. 1–12, 2018.
GILES, L. V.; KOEHLE, M. S. The health effects of exercising in air pollution. Sports Medicine, [s.l.], v. 44, n. 2, p. 223–249, 2014.
GOLD - Global Initiative for Chronic Obstructive Lung Disease. Global Initiative for Chronic Obstructive Lung Disease - Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease updated: 2020 Report. c2020. Disponível em: https://goldcopd.org/wp-content/uploads/2019/12/GOLD-2020-FINAL-ver1.2-03Dec19_WMV.pdf. Acesso em: 23 ago. 2021
GREEN, J; SÁNCHEZ, S. La Calidad del Aire en América Latina: Una Visión PanorámicaClean Air Institute. Washington D.C. 25 p. Maio. 2013. Disponível em: https://sinia.minam.gob.pe/documentos/calidad-aire-america-latina-una-vision-panoramica. Acesso em: 23 ago. 2021.
HANSEL, N. N; MCCORMACK, M. C; KIM, V. The Effects of Air Pollution and Temperature on COPD. DPOC, [s.l.], v. 13, n. 3, p. 1–15, 2016.
IEMA. Instituto de Energia e Meio Ambiente - Padrões de qualidade do ar: experiência comparada Brasil, EUA e União Europeia. São Paulo: Instituto de Energia e Meio Ambiente, 2012. 81 p.
IWAMA, A. M. et al. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Brazilian Journal of Medical and Biological Research, [s.l.], v. 42, n. 11, p. 1080–1085, 2009.
KÜNZLI, N. et al. Air quality and health. Lausanne, Switzerland: European Respiratory Society, 2010. 66 p.
LACAVA, C. I. V. Avaliação Da Qualidade Do Ar. Emissões Atmosféricas. Cap. 2, p. 131–180, 2003.
LEE, K. Y. et al. Associations of autophagy with lung diffusion capacity and oxygen saturation in severe COPD: Effects of particulate air pollution. International Journal of COPD, [s.l.], v. 11, n. 1, p. 1569–1578, 2016.
LEE, S; REZAEI, M; JEONG, T. Applying multi-modal and correlation analysis on environmental parameters and effect on cardiopulmonary endurance of gender in elderly people. Iranian Journal of Public Health, [s.l.], v. 47, n. 4, p. 546–552, 2018.
LEELASITTIKUL, K. Effect of Air Quality on Cardio-Respiratory Systems in Northern Thailand (Chiang Mai, Chiang Rai and Nan Province). 2017. 101 p. Dissertação (Mestrado Physical Therapy) - Faculty of Allied Health Sciences Thammasat University, Thailand, 2017.
MORAES, A. C. L. DE et al. Wheezing in children and adolescents living next to a petrochemical plant in Rio Grande do Norte, Brazil. Jornal de Pediatria, [s.l.], v. 86, n. 4, p. 337–344, 2010.
MOREIRA, G. L. et al. Incidence of chronic obstructive pulmonary disease based on three spirometric diagnostic criteria in Sao Paulo, Brazil: a nine-year follow-up since the PLATINO prevalence study. Sao Paulo Medical Journal,[s.l.], v. 133, n. 3, p. 245–251, 2015.
NASCIMENTO, L. F. C. et al. Air pollution and respiratory diseases: ecological time series. Sao Paulo Medical Journal, [s.l.], v. 134, n. 4, p. 315–321, 2016.
NOBRE, A. C. et al. Vulnerabilidades das Megacidades Brasileiras às Mudanças Climáticas. Região Metropilitana de São Paulo. São Paulo. 32 p. jun. 2010. Disponível em: https://cetesb.sp.gov.br/proclima/2010/05/13/vulnerabilidades-das-megacidades-brasileiras-as-mudancas-climaticas-regiao-metropolitana-de-sao-paulo/> Acesso em: 23 ago. 2021.
OPAS; OMS. Organização Pan-Americana de Saúde e Organização Mundial da Saúde. Nove em cada dez pessoas em todo o mundo respiram ar poluído. São Paulo, 03 mai. 2018. Disponível em: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5654:nove-em-cada-dez-pessoas-em-todo-o-mundo-respiram-ar-poluido&Itemid=839. Acesso em: 20 ago. 2021.
PEREIRA, C. A. D. C. Diretrizes para testes de função pulmonar - Espirometria. Jornal Brasileiro de Pneumologia, [s.l.], v. 28, n. 3, p. 1–82, 2002.
PINHEIRO, S. de L. L. de A. et al. Isolated and synergistic effects of PM10 and average temperature on cardiovascular and respiratory mortality. Revista de Saude Publica, [s.l.], v. 48, n. 6, p. 881–888, 2014.
SINHARAY, R. et al. Respiratory and cardiovascular responses to walking down a traffic-polluted road compared with walking in a traffic-free area in participants aged 60 years and older with chronic lung or heart disease and age-matched healthy controls: a randomised, crosso. The Lancet, [s.l.], v. 391, n. 10118, p. 339–349, 2018.
VIEIRA, J. L. et al. Effects of reducing exposure to air pollution on submaximal cardiopulmonary test in patients with heart failure: Analysis of the randomized, double-blind and controlled FILTER-HF trial. International Journal of Cardiology, [s.l.], v. 215, p. 92–97, 2016.
WHO - World Health Organization. Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide. World Health Organization, WHO: Geneva, Switzerland. 21 p. 2005.
WHO - World Health Organization. Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide: Global update 2005. Europe. Copenhagen, Denmark: WHO Regional Office for Europe, 2005. 485p. Disponível em: http://www.euro.who.int/__data/assets/pdf_file/0005/78638/E90038.pdf?ua=1. Acesso em: 20 ago. 2021.
WU, S. et al. Short-term exposure to high ambient air pollution increases airway inflammation and respiratory symptoms in chronic obstructive pulmonary disease patients in Beijing, China. Environment International, [s.l.], v. 94, p. 76–82, 2016.
XIA, X. et al. Time course of blood oxygen saturation responding to short-term fine particulate matter among elderly healthy subjects and patients with chronic obstructive pulmonary disease. Science of the Total Environment, [s.l.], v. 723, n. 2, p. 138022, 2020.
ZWART, F. DE et al. Air pollution and performance-based physical functioning in dutch older adults. Environmental Health Perspectives, [s.l.], v. 126, n. 1, p. 1–9, 2018
Published
Versions
- 2022-09-23 (2)
- 2022-09-03 (1)
How to Cite
Issue
Section
License
Copyright (c) 2022 Ciência e Natura
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
To access the DECLARATION AND TRANSFER OF COPYRIGHT AUTHOR’S DECLARATION AND COPYRIGHT LICENSE click here.
Ethical Guidelines for Journal Publication
The Ciência e Natura journal is committed to ensuring ethics in publication and quality of articles.
Conformance to standards of ethical behavior is therefore expected of all parties involved: Authors, Editors, Reviewers, and the Publisher.
In particular,
Authors: Authors should present an objective discussion of the significance of research work as well as sufficient detail and references to permit others to replicate the experiments. Fraudulent or knowingly inaccurate statements constitute unethical behavior and are unacceptable. Review Articles should also be objective, comprehensive, and accurate accounts of the state of the art. The Authors should ensure that their work is entirely original works, and if the work and/or words of others have been used, this has been appropriately acknowledged. Plagiarism in all its forms constitutes unethical publishing behavior and is unacceptable. Submitting the same manuscript to more than one journal concurrently constitutes unethical publishing behavior and is unacceptable. Authors should not submit articles describing essentially the same research to more than one journal. The corresponding Author should ensure that there is a full consensus of all Co-authors in approving the final version of the paper and its submission for publication.
Editors: Editors should evaluate manuscripts exclusively on the basis of their academic merit. An Editor must not use unpublished information in the editor's own research without the express written consent of the Author. Editors should take reasonable responsive measures when ethical complaints have been presented concerning a submitted manuscript or published paper.
Reviewers: Any manuscripts received for review must be treated as confidential documents. Privileged information or ideas obtained through peer review must be kept confidential and not used for personal advantage. Reviewers should be conducted objectively, and observations should be formulated clearly with supporting arguments, so that Authors can use them for improving the paper. Any selected Reviewer who feels unqualified to review the research reported in a manuscript or knows that its prompt review will be impossible should notify the Editor and excuse himself from the review process. Reviewers should not consider manuscripts in which they have conflicts of interest resulting from competitive, collaborative, or other relationships or connections with any of the authors, companies, or institutions connected to the papers.