Near Highway Pollution: From Research to Action
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 77
- 试验地点
- 2
- 主要终点
- Systolic Blood Pressure (SBP)
研究概览
简要总结
This randomized trial assessed the effect of modifying building envelop and level of air filtration on blood pressure over two hour exposure sessions.
详细描述
Living close to major roadways is associated with elevated blood pressure (BP) amongst other adverse health effects. There is growing evidence that ultrafine particles (UFP, <100 nm in diameter), which are elevated near major roads and highways, contribute to such risks. We assessed the efficacy of high efficiency particulate arrestance (HEPA) filtration and building envelope adjustment at reducing exposure to and health effects of air pollution next to major highways.
We used a randomized three-period crossover trial design to assign 77 participants (aged 40-75 and without diagnosis of hypertension) to three two-hour exposure sessions. Sessions were conducted in one of two rooms immediately adjacent to highways. High, medium and low exposures were attained by varying the degree of air exchange and amount of HEPA filtration in the room. During high exposure sessions, the room was ventilated with outdoor air and no filtration was used. During low exposure sessions, leakage of outdoor air into the room was minimized and HEPA filtration was maximized. During medium exposure sessions, a moderate amount of HEPA filtration was used (less than half of that used in low sessions). Indoor particle number and black carbon (BC) concentrations (i.e., markers of traffic-related air pollution) were monitored continuously.
During each session participants sat quietly and wore noise-cancelling headphones, while their BP was monitored every ten minutes using an ambulatory BP monitor. We monitored pulse and oxygen saturation continuously.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
Participants were not told the high, medium and low exposure context, however, some aspects of the sessions might have been apparent to them since filters were running during high, but not low exposure sessions.
入排标准
- 年龄范围
- 40 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The inclusion criterion was age 40-75 years.
- •There was a preference for people who were otherwise healthy, but overweight or obese.
排除标准
- •A history of a major cardiovascular outcome (including myocardial ischemia (MI), stroke, angina)
- •Other serious health problems (current asthma or COPD)
- •Taking anti-hypertensive medications
- •Smoking or living with a smoker
- •Cognitive impairment
- •Working at a job with high combustion exposure (taxi/truck driver, restaurant cook)
- •High combustion exposure in the preceding 24 hours (driving on the highway, cooking in a restaurant, driving a truck)
- •Not speaking English or Chinese.
结局指标
主要结局
Systolic Blood Pressure (SBP)
时间窗: Over 2 hour exposure period, we measured SBP after 20 minutes with the objective to assess change in SBP in a time series of measurements over that time period.
Systolic blood pressure measured with ambulatory blood pressure monitors in mmHg.
次要结局
- Diastolic Blood Pressure (DBP)(Over a 2 hour exposure period with the objective to assess change in DBP measured after 10 minutes in a time series of measurements over that time period.)
研究者
Douglas Brugge
Professor and Chair
UConn Health
