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

Research output: Contribution to journalArticle

8 Citations (Scopus)

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 languageEnglish
Pages (from-to)136-42
Number of pages7
JournalAge And Ageing
Volume45
Issue number1
DOIs
Publication statusPublished - Jan 2016

Fingerprint

Indoor Air Pollution
Long-Term Care
Particulate Matter
Air
Health
Logistic Models
Volatile Organic Compounds
Portugal
Sputum
Climate
Cough
Carbon Dioxide
Health Status
Habits
Fungi
Cross-Sectional Studies
Smoking
Interviews
Bacteria
Allergic Rhinitis

Keywords

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

Cite this

@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 = "{\circledC} The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.",
year = "2016",
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doi = "10.1093/ageing/afv157",
language = "English",
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The impact of indoor air quality and contaminants on respiratory health of older people living in long-term care residences in Porto. / Mendes, Ana; Papoila, Ana Luísa; Martins, Pedro Carreiro; Bonassi, Stefano; Caires, Iolanda ; Palmeiro, Teresa; Aguiar, Lívia; Pereira, Cristiana; Neves, Paula; Mendes, Diana; Botelho, Maria Amália Silveira; Neuparth, Nuno; Teixeira, João Paulo.

In: Age And Ageing, Vol. 45, No. 1, 01.2016, p. 136-42.

Research output: Contribution to journalArticle

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 - © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

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

VL - 45

SP - 136

EP - 142

JO - Age And Ageing

JF - Age And Ageing

SN - 0002-0729

IS - 1

ER -