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Physical activity attenuates the association between household air pollution and health-related quality of life in Chinese rural population: the Henan Rural Cohort Study

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Abstract

Background and purpose

Limited research focused on the association between household air pollution (HAP) and health-related quality of life (HRQoL). This study aimed to investigate the association of HAP with HRQoL and the effect modification of physical activity.

Method

A total of 16,761 eligible participants were derived from the Henan Rural Cohort Study. Based on structured questionnaires, HAP was assessed by fuel type, cooking duration and kitchen ventilation; HRQoL was measured with utility index and VAS score from the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L); physical activity was assessed by the International Physical Activity Questionnaire. Generalized linear models and tobit regression models were utilized to explore the relationship of HAP with HRQoL. Further sensitivity analyses were conducted using structural equation models.

Results

Compared with those who cooked with clean fuels, short-duration, or good kitchen ventilation, participants who cooked with solid fuels, long-duration, and poor ventilation had lower utility index and VAS score (All P < 0.001). The decrease in utility index for solid fuel users vs. clean fuel users were 0.06 [95%confidence interval (CI) 003, 0.08], 0.03 (95%CI 0.01, 0.04) and 0.02 (95%CI 0.01, 0.04) in low, moderate and high physical activity group, respectively, which decreased with physical activity levels (Pfor interaction < 0.05). Similar results were observed in associations of kitchen ventilation with utility index and VAS score.

Conclusion

HAP negatively associated with HRQoL in rural population, and potential intervention aimed at maintaining adequate physical activity.

Trail registration

The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375.

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Data availability

The data analyzed during current study are available from the corresponding author on reasonable request.

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Funding

This study was supported by the Philosophy and Social Science Planning Project of Henan Province (Grant No. 2020BSH018), Science and Technology Innovation Team Support Plan of Colleges and Universities in Henan Province (Grant No. 21IRTSTHN029), Foundation of National Key Program of Research and Development of China (Grant No. 2016YFC0900803), the open project of Key Laboratory of Environment and health, ministry of Education (Grant No. 2020GWFJJ01), China Postdoctoral Science Foundation (Grant No. 2019M662548), Foundation of Medical Science and Technology of Henan province (Grant Nos. 201702367, 2017T02098), Discipline Key Research and Development Program of Zhengzhou University (Grant Nos. XKZDQY202008, XKZDQY202002). The funders had no role in the study design, data collection, and analysis, decision to publish, or preparation of the manuscript.

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  1. Caiyun Zhang and Xiaotian Liu have contributed equally to this work.

Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, 100 Kexue Avenue, Zhengzhou, 450001, Henan, People’s Republic of China

    Caiyun Zhang, Xiaotian Liu, Ning Kang, Xiaoyu Hou, Wei Liao, Yinghao Yuchi, Zhongao Ding, Bota Baheti, Gaohua Chang, Zhenxing Mao, Jian Hou & Chongjian Wang

  2. Department of Occupational and Environmental Health Sciences, College of Public Health, Zhengzhou University, 100 Kexue Avenue, Zhengzhou, 450001, Henan, People’s Republic of China

    Wenqian Huo

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  1. Caiyun Zhang
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CZ: Conceptualization, Investigation, Data curation, Methodology, Formal analysis, Visualization, Writing—original draft. XL: Investigation, Data curation, Formal analysis, Writing—review & editing. NK: Visualization, Writing—review & editing. XH: Investigation, Writing—review & editing. WL: Validation, Writing—review & editing. YY: Writing—review & editing. ZD: Investigation, Data curation, Writing—review & editing. BB: Investigation, Writing—review & editing. GC: Investigation, Writing—review & editing. ZM: Investigation, Writing—review & editing. WH: Investigation, Writing—review & editing. JH: Conceptualization, Methodology, Validation, Supervision, Writing—review & editing. CW: Conceptualization, Methodology, Investigation, Validation, Supervision, Funding acquisition, Project administration, Writing—review & editing.

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Correspondence to Chongjian Wang.

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Ethical approval was obtained from the “Zhengzhou University Life Science Ethics Committee”, and written informed consent was obtained for all participants. Ethic approval code: [2015] MEC (S128).

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Zhang, C., Liu, X., Kang, N. et al. Physical activity attenuates the association between household air pollution and health-related quality of life in Chinese rural population: the Henan Rural Cohort Study. Qual Life Res 31, 3165–3175 (2022). https://doi.org/10.1007/s11136-022-03195-y

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