The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto

Ana Mendes; Ana Luísa Papoila; Pedro Carreiro Martins; Stefano Bonassi; Iolanda  Caires; Teresa Palmeiro; Lívia Aguiar; Cristiana Pereira; Paula Neves; Diana Mendes; Maria Amália Silveira Botelho; Nuno Neuparth; João Paulo Teixeira

doi:10.1093/ageing/afv157

The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto

Ana Mendes, Ana Luísa Papoila, Pedro Carreiro Martins, Stefano Bonassi, Iolanda Caires, Teresa Palmeiro, Lívia Aguiar, Cristiana Pereira, Paula Neves, Diana Mendes, Maria Amália Silveira Botelho, Nuno Neuparth, João Paulo Teixeira

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Abstract

BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status.

OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health.

DESIGN: cross-sectional study.

SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal.

SUBJECTS: older people living in LTC with ≥65 years old.

METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC.

RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2).

CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms.

Original language	English
Pages (from-to)	136-42
Number of pages	7
Journal	Age And Ageing
Volume	45
Issue number	1
DOIs	https://doi.org/10.1093/ageing/afv157
Publication status	Published - Jan 2016

Keywords

allergic rhinitis
indoor air quality
long-term care residences
older people
respiratory health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

Mendes, A., Papoila, A. L., Martins, P. C., Bonassi, S., Caires, I., Palmeiro, T., Aguiar, L., Pereira, C., Neves, P., Mendes, D., Botelho, M. A. S., Neuparth, N., & Teixeira, J. P. (2016). The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto. Age And Ageing, 45(1), 136-42. https://doi.org/10.1093/ageing/afv157

@article{8700389af90b44d7ab75831ade97fd45,

title = "The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto",

abstract = "BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status.OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health.DESIGN: cross-sectional study.SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal.SUBJECTS: older people living in LTC with ≥65 years old.METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC.RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2).CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms.",

keywords = "allergic rhinitis, indoor air quality, long-term care residences, older people, respiratory health",

author = "Ana Mendes and Papoila, {Ana Lu{\'i}sa} and Martins, {Pedro Carreiro} and Stefano Bonassi and Iolanda Caires and Teresa Palmeiro and L{\'i}via Aguiar and Cristiana Pereira and Paula Neves and Diana Mendes and Botelho, {Maria Am{\'a}lia Silveira} and Nuno Neuparth and Teixeira, {Jo{\~a}o Paulo}",

note = "Funding This work was supported by GERIA Project PTDC/ SAU-SAP/116563/2010, a PhD Grant (SFRH/BD/72399/ 2010) from Foundation for Science and Technology (Funda{\c c}{\~a}o para a Ci{\^e}ncia e Tecnologia - FCT) through Operational Competitiveness Programme (COMPETE) as part of the National Strategic Reference Framework and a grant funded by AIRC (Associazione Italiana per la Ricerca sul Cancro).",

year = "2016",

month = jan,

doi = "10.1093/ageing/afv157",

language = "English",

volume = "45",

pages = "136--42",

journal = "Age And Ageing",

issn = "0002-0729",

publisher = "Oxford University Press",

number = "1",

}

Mendes, A, Papoila, AL , Martins, PC, Bonassi, S, Caires, I , Palmeiro, T, Aguiar, L, Pereira, C, Neves, P, Mendes, D, Botelho, MAS , Neuparth, N & Teixeira, JP 2016, 'The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto', Age And Ageing, vol. 45, no. 1, pp. 136-42. https://doi.org/10.1093/ageing/afv157

TY - JOUR

T1 - The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto

AU - Mendes, Ana

AU - Papoila, Ana Luísa

AU - Martins, Pedro Carreiro

AU - Bonassi, Stefano

AU - Caires, Iolanda

AU - Palmeiro, Teresa

AU - Aguiar, Lívia

AU - Pereira, Cristiana

AU - Neves, Paula

AU - Mendes, Diana

AU - Botelho, Maria Amália Silveira

AU - Neuparth, Nuno

AU - Teixeira, João Paulo

N1 - Funding This work was supported by GERIA Project PTDC/ SAU-SAP/116563/2010, a PhD Grant (SFRH/BD/72399/ 2010) from Foundation for Science and Technology (Fundação para a Ciência e Tecnologia - FCT) through Operational Competitiveness Programme (COMPETE) as part of the National Strategic Reference Framework and a grant funded by AIRC (Associazione Italiana per la Ricerca sul Cancro).

PY - 2016/1

Y1 - 2016/1

N2 - BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status.OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health.DESIGN: cross-sectional study.SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal.SUBJECTS: older people living in LTC with ≥65 years old.METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC.RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2).CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms.

AB - BACKGROUND: persons who are 65 years or older often spend an important part of their lives indoors thus adverse indoor climate might influence their health status.OBJECTIVE: to evaluate the influence of indoor air quality and contaminants on older people's respiratory health.DESIGN: cross-sectional study.SETTING: 21 long-term care residences (LTC) in the city of Porto, Portugal.SUBJECTS: older people living in LTC with ≥65 years old.METHODS: the Portuguese version of BOLD questionnaire was administered by an interviewer to older residents able to participate (n = 143). Indoor air contaminants (IAC) were measured twice, during winter and summer in 135 areas. Mixed effects logistic regression models were used to study the association between the health questionnaire results and the monitored IAC, adjusted for age, smoking habits, gender and number of years living in the LTC.RESULTS: cough (23%) and sputum (12%) were the major respiratory symptoms, and allergic rhinitis (22%) the main self-reported illness. Overall particulate matter up to 2.5 micrometres in size median concentration was above the reference levels both in winter and summer seasons. Peak values of particulate matter up to 10 micrometres in size (PM10), total volatile organic compounds, carbon dioxide, bacteria and fungi exceeded the reference levels. Older people exposed to PM10 above the reference levels demonstrated higher odds of allergic rhinitis (OR = 2.9, 95% CI: 1.1-7.2).CONCLUSION: high levels of PM10 were associated with 3-fold odds of allergic rhinitis. No association was found between indoor air chemical and biological contaminants and respiratory symptoms.

KW - allergic rhinitis

KW - indoor air quality

KW - long-term care residences

KW - older people

KW - respiratory health

U2 - 10.1093/ageing/afv157

DO - 10.1093/ageing/afv157

M3 - Article

C2 - 26563886

SN - 0002-0729

VL - 45

SP - 136

EP - 142

JO - Age And Ageing

JF - Age And Ageing

IS - 1

ER -

The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto

Abstract

Keywords

UN SDGs

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