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Angyal A, Szoboszlai Z, Major I, Molnár M, Varga T, Török Z, Papp E, Enikő F, Gini M, Manousakas MI, Szikszai Z, Kertész Z. Characterisation of urban aerosol size distribution by radiocarbon and PIXE analyses in a middle-European urban environment for source identification: a pilot study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:47258-47274. [PMID: 38987520 PMCID: PMC11297123 DOI: 10.1007/s11356-024-34215-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Accepted: 06/29/2024] [Indexed: 07/12/2024]
Abstract
This study, conducted in Debrecen, Hungary, aimed to analyse atmospheric particulate matter (APM or PM) through radiocarbon and PIXE analyses during the winter smog (23-25 January) and spring (15-18 May) seasons. The information presented in this pilot study aims to provide insight into the importance of utilising detailed characteristics of the mass size distributions of fossil carbon (ff) and contemporary carbon (fC) content. Additionally, it seeks to compare these characteristics with the size distributions of various elements to enable even more accurate PM source identification. In winter, APM concentrations were 86.27 μg/m3 (total), 17.07 μg/m3 (fC) and 10.4 μg/m3 (ff). In spring, these values changed to 29.5 μg/m3, 2.64 μg/m3 and 7.01 μg/m3, respectively. Notably, differences in mass size distribution patterns were observed between the two seasons, suggesting varied sources for contemporary carbon. Biomass burning emerged as a crucial source during the smog period, supported by similar MMAD (Mass Median Aerodynamic Diameter) values and a strong correlation (r = 0.95, p < 0.01) between potassium and fC. In spring, a significant change in the concentration and distribution of fC occurred, with a broad, coarse mode and a less prominent accumulation mode. Ff was found to have similar distributions as PM, with nearly the same MMADs, during both periods. Finally, a comprehensive comparison of modal characteristics identified specific sources for the various components, including biomass burning, vehicle exhaust, coal and oil combustion, vehicle non-exhaust, road dust, tyre abrasion, mineral dust and biogenic emission. This study showcases how using radiocarbon and PIXE analysis in size distribution data can enhance our understanding of the sources of PM and their effects on different size fractions of PM.
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Affiliation(s)
- Anikó Angyal
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary.
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary.
| | - Zoltán Szoboszlai
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - István Major
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Mihály Molnár
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Tamás Varga
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Zsófia Török
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Enikő Papp
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Furu Enikő
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Maria Gini
- Institute of Nuclear & Radiological Science & Technology, NCSR "Demokritos", Energy & Safety, 15310, Athens, Greece
| | | | - Zita Szikszai
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
| | - Zsófia Kertész
- HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
- International Radiocarbon AMS Competence and Training Center (INTERACT), HUN-REN Institute for Nuclear Research (ATOMKI), P.O Box 51, Debrecen, 4001, Hungary
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Cheng P, Chen Y, Wang J, Han Z, Hao D, Li Y, Feng F, Duan X, Chen H. PM 2.5 induces a senescent state in mouse AT2 cells. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 347:123686. [PMID: 38431248 DOI: 10.1016/j.envpol.2024.123686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 02/24/2024] [Accepted: 02/28/2024] [Indexed: 03/05/2024]
Abstract
PM2.5 is known to induce lung injury, but its toxic effects on lung regenerative machinery and the underlying mechanisms remain unknown. In this study, primary mouse alveolar type 2 (AT2) cells, considered stem cells in the gas-exchange barrier, were sorted using fluorescence-activated cell sorting. By developing microfluidic technology with constricted microchannels, we observed that both passage time and impedance opacities of mouse AT2 cells were reduced after PM2.5, indicating that PM2.5 induced a more deformable mechanical property and a higher membrane permeability. In vitro organoid cultures of primary mouse AT2 cells indicated that PM2.5 is able to impair the proliferative potential and self-renewal capacity of AT2 cells but does not affect AT1 differentiation. Furthermore, cell senescence biomarkers, p53 and γ-H2A.X at protein levels, P16ink4a and P21 at mRNA levels were increased in primary mouse AT2 cells after PM2.5 stimulations as shown by immunofluorescent staining and quantitative PCR analysis. Using several advanced single-cell technologies, this study sheds light on new mechanisms of the cytotoxic effects of atmospheric fine particulate matter on lung stem cell behavior.
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Affiliation(s)
- Peiyong Cheng
- Department of Basic Medicine, Haihe Hospital, Tianjin University, Tianjin, 300350, China
| | - Yongqi Chen
- State Key Laboratory of Precision Measuring Technology and Instrument, College of Precision Instrument and Opto-electronics Engineering, Tianjin University, Tianjin, 300072, China
| | - Jianhai Wang
- Department of Basic Medicine, Haihe Hospital, Tianjin University, Tianjin, 300350, China; Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China
| | - Ziyu Han
- State Key Laboratory of Precision Measuring Technology and Instrument, College of Precision Instrument and Opto-electronics Engineering, Tianjin University, Tianjin, 300072, China
| | - De Hao
- Department of Basic Medicine, Haihe Hospital, Tianjin University, Tianjin, 300350, China
| | - Yu Li
- Department of Basic Medicine, Haihe Hospital, Tianjin University, Tianjin, 300350, China; Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China
| | - Feifei Feng
- Department of Toxicology, Zhengzhou University School of Public Health, Zhengzhou, Henan Province, China
| | - Xuexin Duan
- State Key Laboratory of Precision Measuring Technology and Instrument, College of Precision Instrument and Opto-electronics Engineering, Tianjin University, Tianjin, 300072, China
| | - Huaiyong Chen
- Department of Basic Medicine, Haihe Hospital, Tianjin University, Tianjin, 300350, China; Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine, Tianjin Institute of Respiratory Diseases, Tianjin, 300350, China; Tianjin Key Laboratory of Lung Regenerative Tianjin University Medicine, Tianjin, 300350, China; College of Pulmonary and Critical Care Medicine, 8th Medical Center, Chinese PLA General Hospital, Beijing, 100091, China.
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3
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Savadkoohi M, Pandolfi M, Favez O, Putaud JP, Eleftheriadis K, Fiebig M, Hopke PK, Laj P, Wiedensohler A, Alados-Arboledas L, Bastian S, Chazeau B, María ÁC, Colombi C, Costabile F, Green DC, Hueglin C, Liakakou E, Luoma K, Listrani S, Mihalopoulos N, Marchand N, Močnik G, Niemi JV, Ondráček J, Petit JE, Rattigan OV, Reche C, Timonen H, Titos G, Tremper AH, Vratolis S, Vodička P, Funes EY, Zíková N, Harrison RM, Petäjä T, Alastuey A, Querol X. Recommendations for reporting equivalent black carbon (eBC) mass concentrations based on long-term pan-European in-situ observations. ENVIRONMENT INTERNATIONAL 2024; 185:108553. [PMID: 38460240 DOI: 10.1016/j.envint.2024.108553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 03/01/2024] [Accepted: 03/01/2024] [Indexed: 03/11/2024]
Abstract
A reliable determination of equivalent black carbon (eBC) mass concentrations derived from filter absorption photometers (FAPs) measurements depends on the appropriate quantification of the mass absorption cross-section (MAC) for converting the absorption coefficient (babs) to eBC. This study investigates the spatial-temporal variability of the MAC obtained from simultaneous elemental carbon (EC) and babs measurements performed at 22 sites. We compared different methodologies for retrieving eBC integrating different options for calculating MAC including: locally derived, median value calculated from 22 sites, and site-specific rolling MAC. The eBC concentrations that underwent correction using these methods were identified as LeBC (local MAC), MeBC (median MAC), and ReBC (Rolling MAC) respectively. Pronounced differences (up to more than 50 %) were observed between eBC as directly provided by FAPs (NeBC; Nominal instrumental MAC) and ReBC due to the differences observed between the experimental and nominal MAC values. The median MAC was 7.8 ± 3.4 m2 g-1 from 12 aethalometers at 880 nm, and 10.6 ± 4.7 m2 g-1 from 10 MAAPs at 637 nm. The experimental MAC showed significant site and seasonal dependencies, with heterogeneous patterns between summer and winter in different regions. In addition, long-term trend analysis revealed statistically significant (s.s.) decreasing trends in EC. Interestingly, we showed that the corresponding corrected eBC trends are not independent of the way eBC is calculated due to the variability of MAC. NeBC and EC decreasing trends were consistent at sites with no significant trend in experimental MAC. Conversely, where MAC showed s.s. trend, the NeBC and EC trends were not consistent while ReBC concentration followed the same pattern as EC. These results underscore the importance of accounting for MAC variations when deriving eBC measurements from FAPs and emphasize the necessity of incorporating EC observations to constrain the uncertainty associated with eBC.
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Affiliation(s)
- Marjan Savadkoohi
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain; Department of Natural Resources & Environment, Industrial & TIC Engineering (EMIT-UPC), Manresa, Spain.
| | - Marco Pandolfi
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain.
| | - Olivier Favez
- Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France
| | | | - Konstantinos Eleftheriadis
- Environmental Radioactivity & Aerosol Technology for Atmospheric & Climate Impact Lab, INRaSTES, NCSR "Demokritos", Athens, Greece
| | - Markus Fiebig
- Dept. Atmospheric and Climate Research, NILU-Norwegian Institute for Air Research, Kjeller, Norway
| | - Philip K Hopke
- Department of Public Health Sciences, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA; Institute for a Sustainable Environment, Clarkson University, Potsdam, NY, USA
| | - Paolo Laj
- Univ. Grenoble, CNRS, IRD, IGE, 38000 Grenoble, France
| | | | - Lucas Alados-Arboledas
- Andalusian Institute for Earth System Research (IISTA-CEAMA), University of Granada, Granada, Spain
| | - Susanne Bastian
- Saxon State Office for Environment, Agriculture and Geology/Saxon State Department for Agricultural and Environmental Operations, Dresden, Germany
| | - Benjamin Chazeau
- Aix Marseille Univ., CNRS, LCE, Marseille, France; Laboratory of Atmospheric Chemistry, Paul Scherrer Institute, 5232 Villigen, Switzerland
| | - Álvaro Clemente María
- Atmospheric Pollution Laboratory (LCA), Department of Applied Physics, Miguel Hernández University, Avenida de la Universidad S/N, 03202, Elche, Spain
| | - Cristina Colombi
- Arpa Lombardia, Settore Monitoraggi Ambientali, Unità Operativa Qualità dell'Aria, Milano, Italy
| | - Francesca Costabile
- Institute of Atmospheric Sciences and Climate-National Research Council, Rome, Italy
| | - David C Green
- MRC Centre for Environment and Health, Environmental Research Group, Imperial College London, UK; HPRU in Environmental Exposures and Health, Imperial College London, UK
| | - Christoph Hueglin
- Laboratory for Air Pollution and Environmental Technology, Swiss Federal Laboratories for Materials Science and Technology (Empa), Duebendorf, Switzerland
| | - Eleni Liakakou
- Institute for Environmental Research & Sustainable Development, National Observatory of Athens, Athens, Greece
| | - Krista Luoma
- Atmospheric Composition Research, Finnish Meteorological Institute, Helsinki, Finland
| | - Stefano Listrani
- ARPA Lazio, Regional Environmental Protection Agency, Rome, Italy
| | - Nikos Mihalopoulos
- Institute for Environmental Research & Sustainable Development, National Observatory of Athens, Athens, Greece
| | | | - Griša Močnik
- Center for Atmospheric Research, University of Nova Gorica, Nova Gorica, 5270, Slovenia; Jozef Stefan Institute, Ljubljana, 1000, Slovenia
| | - Jarkko V Niemi
- Helsinki Region Environmental Services Authority (HSY), Helsinki, Finland
| | - Jakub Ondráček
- Laboratory of Aerosols Chemistry and Physics, Institute of Chemical Process Fundamentals, Academy of Sciences of the Czech Republic, Rozvojova, Prague, Czech Republic
| | - Jean-Eudes Petit
- Laboratoire des Sciences du Climat et de l'Environnement, CEA/Orme des Merisiers, Gif-sur-Yvette, France
| | - Oliver V Rattigan
- Division of Air Resources, New York State Dept of Environmental Conservation, NY, USA
| | - Cristina Reche
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain
| | - Hilkka Timonen
- Atmospheric Composition Research, Finnish Meteorological Institute, Helsinki, Finland
| | - Gloria Titos
- Andalusian Institute for Earth System Research (IISTA-CEAMA), University of Granada, Granada, Spain
| | - Anja H Tremper
- MRC Centre for Environment and Health, Environmental Research Group, Imperial College London, UK
| | - Stergios Vratolis
- Environmental Radioactivity & Aerosol Technology for Atmospheric & Climate Impact Lab, INRaSTES, NCSR "Demokritos", Athens, Greece
| | - Petr Vodička
- Laboratory of Aerosols Chemistry and Physics, Institute of Chemical Process Fundamentals, Academy of Sciences of the Czech Republic, Rozvojova, Prague, Czech Republic
| | - Eduardo Yubero Funes
- Atmospheric Pollution Laboratory (LCA), Department of Applied Physics, Miguel Hernández University, Avenida de la Universidad S/N, 03202, Elche, Spain
| | - Naděžda Zíková
- Laboratory of Aerosols Chemistry and Physics, Institute of Chemical Process Fundamentals, Academy of Sciences of the Czech Republic, Rozvojova, Prague, Czech Republic
| | - Roy M Harrison
- Division of Environmental Health & Risk Management, School of Geography, Earth & Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom; Department of Environmental Sciences, Faculty of Meteorology, Environment and Arid Land Agriculture, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Tuukka Petäjä
- Institute for Atmospheric and Earth System Research/Physics (INAR), Faculty of Science, University of Helsinki, Helsinki, Finland
| | - Andrés Alastuey
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain
| | - Xavier Querol
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), Barcelona, Spain
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4
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Cary C, Stapleton P. Determinants and mechanisms of inorganic nanoparticle translocation across mammalian biological barriers. Arch Toxicol 2023; 97:2111-2131. [PMID: 37303009 PMCID: PMC10540313 DOI: 10.1007/s00204-023-03528-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 05/22/2023] [Indexed: 06/13/2023]
Abstract
Biological barriers protect delicate internal tissues from exposures to and interactions with hazardous materials. Primary anatomical barriers prevent external agents from reaching systemic circulation and include the pulmonary, gastrointestinal, and dermal barriers. Secondary barriers include the blood-brain, blood-testis, and placental barriers. The tissues protected by secondary barriers are particularly sensitive to agents in systemic circulation. Neurons of the brain cannot regenerate and therefore must have limited interaction with cytotoxic agents. In the testis, the delicate process of spermatogenesis requires a specific milieu distinct from the blood. The placenta protects the developing fetus from compounds in the maternal circulation that would impair limb or organ development. Many biological barriers are semi-permeable, allowing only materials or chemicals, with a specific set of properties, that easily pass through or between cells. Nanoparticles (particles less than 100 nm) have recently drawn specific concern due to the possibility of biological barrier translocation and contact with distal tissues. Current evidence suggests that nanoparticles translocate across both primary and secondary barriers. It is known that the physicochemical properties of nanoparticles can affect biological interactions, and it has been shown that nanoparticles can breach primary and some secondary barriers. However, the mechanism by which nanoparticles cross biological barriers has yet to be determined. Therefore, the purpose of this review is to summarize how different nanoparticle physicochemical properties interact with biological barriers and barrier products to govern translocation.
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Affiliation(s)
- Chelsea Cary
- Department of Pharmacology and Toxicology, Rutgers University, Piscataway, NJ, 08854, USA
| | - Phoebe Stapleton
- Department of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Environmental and Occupational Health Sciences Institute, Rutgers University, 170 Frelinghuysen Road, Piscataway, NJ, 08854, USA.
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Mancinelli E, Avolio E, Morichetti M, Virgili S, Passerini G, Chiappini A, Grasso F, Rizza U. Exposure Assessment of Ambient PM2.5 Levels during a Sequence of Dust Episodes: A Case Study Coupling the WRF-Chem Model with GIS-Based Postprocessing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5598. [PMID: 37107880 PMCID: PMC10139170 DOI: 10.3390/ijerph20085598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 04/12/2023] [Accepted: 04/13/2023] [Indexed: 05/10/2023]
Abstract
A sequence of dust intrusions occurred from the Sahara Desert to the central Mediterranean in the second half of June 2021. This event was simulated by means of the Weather Research and Forecasting coupled with chemistry (WRF-Chem) regional chemical transport model (CTM). The population exposure to the dust surface PM2.5 was evaluated with the open-source quantum geographical information system (QGIS) by combining the output of the CTM with the resident population map of Italy. WRF-Chem analyses were compared with spaceborne aerosol observations derived from the Moderate Resolution Imaging Spectroradiometer (MODIS) and, for the PM2.5 surface dust concentration, with the Modern-Era Retrospective analysis for Research and Applications, Version 2 (MERRA-2) reanalysis. Considering the full-period (17-24 June) and area-averaged statistics, the WRF-Chem simulations showed a general underestimation for both the aerosol optical depth (AOD) and the PM2.5 surface dust concentration. The comparison of exposure classes calculated for Italy and its macro-regions showed that the dust sequence exposure varies with the location and entity of the resident population amount. The lowest exposure class (up to 5 µg m-3) had the highest percentage (38%) of the population of Italy and most of the population of north Italy, whereas more than a half of the population of central, south and insular Italy had been exposed to dust PM2.5 in the range of 15-25 µg m-3. The coupling of the WRF-Chem model with QGIS is a promising tool for the management of risks posed by extreme pollution and/or severe meteorological events. Specifically, the present methodology can also be applied for operational dust forecasting purposes, to deliver safety alarm messages to areas with the most exposed population.
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Affiliation(s)
- Enrico Mancinelli
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
| | - Elenio Avolio
- National Research Council—Institute of Atmospheric Sciences and Climate (CNR-ISAC), 88046 Lamezia Terme, Italy
| | - Mauro Morichetti
- National Research Council—Institute of Atmospheric Sciences and Climate (CNR-ISAC), 73100 Lecce, Italy
| | - Simone Virgili
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
| | - Giorgio Passerini
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
| | - Alessandra Chiappini
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy
| | - Fabio Grasso
- National Research Council—Institute of Atmospheric Sciences and Climate (CNR-ISAC), 73100 Lecce, Italy
| | - Umberto Rizza
- National Research Council—Institute of Atmospheric Sciences and Climate (CNR-ISAC), 73100 Lecce, Italy
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6
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Kouis P, Michanikou A, Galanakis E, Michaelidou E, Dimitriou H, Perez J, Kinni P, Achilleos S, Revvas E, Stamatelatos G, Zacharatos H, Savvides C, Vasiliadou E, Kalivitis N, Chrysanthou A, Tymvios F, Papatheodorou SI, Koutrakis P, Yiallouros PK. Responses of schoolchildren with asthma to recommendations to reduce desert dust exposure: Results from the LIFE-MEDEA intervention project using wearable technology. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 860:160518. [PMID: 36573449 DOI: 10.1016/j.scitotenv.2022.160518] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/14/2022] [Accepted: 11/22/2022] [Indexed: 06/17/2023]
Abstract
Current public health recommendations for desert dust storms (DDS) events focus on vulnerable population groups, such as children with asthma, and include advice to stay indoors and limit outdoor physical activity. To date, no scientific evidence exists on the efficacy of these recommendations in reducing DDS exposure. We aimed to objectively assess the behavioral responses of children with asthma to recommendations for reduction of DDS exposure. In two heavily affected by DDS Mediterranean regions (Cyprus & Crete, Greece), schoolchildren with asthma (6-11 years) were recruited from primary schools and were randomized to control (business as usual scenario) and intervention groups. All children were equipped with pedometer and GPS sensors embedded in smartwatches for objective real-time data collection from inside and outside their classroom and household settings. Interventions included the timely communication of personal DDS alerts accompanied by exposure reduction recommendations to both the parents and school-teachers of children in the intervention group. A mixed effect model was used to assess changes in daily levels of time spent, and steps performed outside classrooms and households, between non-DDS and DDS days across the study groups. The change in the time spent outside classrooms and homes, between non-DDS and DDS days, was 37.2 min (pvalue = 0.098) in the control group and -62.4 min (pvalue < 0.001) in the intervention group. The difference in the effects between the two groups was statistically significant (interaction pvalue < 0.001). The change in daily steps performed outside classrooms and homes, was -495.1 steps (pvalue = 0.350) in the control group and -1039.5 (pvalue = 0.003) in the intervention group (interaction pvalue = 0.575). The effects on both the time and steps performed outside were more profound during after-school hours. To summarize, among children with asthma, we demonstrated that timely personal DDS alerts and detailed recommendations lead to significant behavioral changes in contrast to the usual public health recommendations.
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Affiliation(s)
- Panayiotis Kouis
- Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus
| | - Antonis Michanikou
- Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus
| | | | | | - Helen Dimitriou
- Medical School, University of Crete, Heraklion, Crete, Greece
| | - Julietta Perez
- Medical School, University of Crete, Heraklion, Crete, Greece
| | - Paraskevi Kinni
- Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus
| | - Souzana Achilleos
- Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus; Cyprus International Institute for Environmental & Public Health, Cyprus University of Technology, Limassol, Cyprus
| | | | | | | | - Chrysanthos Savvides
- Air Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance, Nicosia, Cyprus
| | - Emily Vasiliadou
- Air Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance, Nicosia, Cyprus
| | - Nikos Kalivitis
- Department of Chemistry, University of Crete, Heraklion, Crete, Greece
| | | | | | - Stefania I Papatheodorou
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
| | - Petros Koutrakis
- Department of Environmental Health, Harvard TH Chan School of Public Health, Harvard University, Boston, USA
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