Water, Air, & Soil Pollution

, Volume 212, Issue 1–4, pp 89–100

Air Pollution and its Impact on Lung Function of Children in Delhi, the Capital City of India

  • Shabana Siddique
  • Madhuchanda Banerjee
  • Manas Ranjan Ray
  • Twisha Lahiri
Article

Abstract

Air pollution is a major contributor to several respiratory problems, it affects the whole population in general but children are more susceptible. Exposure to automobile exhaust is associated with increased respiratory symptoms and may impair lung function in children. In view of this, the study was conducted among the children of Delhi, the capital city of India, where ambient air quality was much above the National Ambient Air Quality Standards. The study was conducted in children aged 9–17 years. Pulmonary function test was carried out following the guideline of American Thoracic Society using a portable, electronic spirometer. Air quality data was collected from Central and State Pollution Control Boards. In addition, the level of particulate matter in indoor air was measured by portable laser photometer. Lung function was reduced in 43.5% schoolchildren of the urban area compared with 25.7% of control group. The urban children had increased prevalence of restrictive, obstructive, as well as combined type of lung functions deficits. Besides higher prevalence, the magnitude of lung function deficits was also much more in them. After controlling potential confounders like season, socioeconomic conditions and ETS, PM10 level in ambient air was found to be associated with restrictive (OR = 1.35, 95% CI 1.07–1.58), obstructive (OR = 1.45, 95% CI 1.16–1.82), and combined type of lung function deficits (OR = 1.74, 95% CI 1.37–2.71) in children. Spearman's rank correlation test reaffirmed the association. The study confirms that the level of air pollution is affecting the children.

Keywords

Air pollution Children Lung function PM10 

References

  1. Abbey, D. E., Burchette, R. J., Knutsen, S. F., MacDonnel, W. F., et al. (1998). Long-term particulate and other air pollutants and lung function in non-smokers. American Journal of Respiratory and Critical Care Medicine, 158, 289–298.Google Scholar
  2. Ackermann-Liebrich, U., Leuenberger, P., Schwartz, J., et al. (1997). Lung function and long term exposure to air pollutants in Switzerland. Study on air pollution and lung diseases in adults (SATILDIA) Team. American Journal of Respiratory and Critical Care Medicine, 155, 122–129.Google Scholar
  3. Aneja, V. P., Agarwal, A., Roelle, P. A., et al. (2001). Measurements and analysis of criteria pollutants in New Delhi, India. Environment International, 27, 35–42.CrossRefGoogle Scholar
  4. ATS. American Thoracic Society (1995). Standardization of Spirometry. American Journal of Respiratory and Critical Care Medicine, 152, 1107–1136.Google Scholar
  5. Avol, E. L., Gauderman, W. J., Tan, S. M., et al. (2001). Respiratory effects of relocating to areas of different air pollution levels. American Journal of Respiratory and Critical Care Medicine, 164, 2067–2072.Google Scholar
  6. Bernstein, A. S., & Abelson, H. T. (2005). PM2.5- A killer in our midst. Archives of Pediatrics and Adolescent Medicine, 159, 786–786.CrossRefGoogle Scholar
  7. Ciccone, G., Forastiere, F., Agabiti, N., et al. (1998). Road traffic and adverse respiratory effects in children. SIDRIA Collaborative Group. Occupational and Environmental Medicine, 55, 771–778.CrossRefGoogle Scholar
  8. CSE. Center for Science and Environment. A report on the independent inspection of fuel quality at fuel dispensing stations, oil tanks and tank lorries. 2002. Available at http://www.cseindia.org/html/cmp/air/Fnladul.pdf.
  9. Dockery, D. W., & Pope, C. A., III. (1994). Acute respiratory effects of particulate air pollution. Annual Review of Public Health, 15, 107–132.Google Scholar
  10. Dockery, D. W., Skerrett, P. J., Walters, D., Gilliland, F (2005). Development of lung function. In: Effects of air pollution on children’s health and development: A review of the evidence. World Health Organization Special Programme on Health and Environment. European Centre for Environment and Health, Bonn, pp. 108–133.Google Scholar
  11. Gauderman, W. J., McConnell, R., Gilliland, F., et al. (2000). Association between air pollution and lung function growth in southern California children. American Journal of Respiratory and Critical Care Medicine, 162, 1383–1390.Google Scholar
  12. Gauderman, W. J., McConnell, R., & Gilliland, F. (2002). Association between air pollution and lung function growth in southern California children. American Journal of Respiratory and Critical Care Medicine, 162, 1383–1390.Google Scholar
  13. Gauderman, W. J., Avol, E., Gilliland, F., et al. (2004). The effect of air pollution on lung development from 10 to 18 years of age. New England Journal of Medicine, 351, 1057–1067.CrossRefGoogle Scholar
  14. Gilliland, F. D., McConnell, R., Peters, J., & Gong, H., Jr. (1999). A theoretical basis for investigating ambient air pollution and children’s respiratory health. Environmental Health Perspectives, 107, 403–407.Google Scholar
  15. Gotschi, T., Heinrich, J., Sunyer, J., & Künzli, N. (2008). Long-term effects of ambient air pollution on lung function: A review. Epidemiology, 19, 690–701.CrossRefGoogle Scholar
  16. Hogervorst, J. G. F., de Kok, T. M., Briede, J. J., et al. (2006). Relationship between radical generation by urban ambient particulate matter and pulmonary function of school children. Journal of Toxicology and Environmental Health. Part A, 69, 245–262.CrossRefGoogle Scholar
  17. Jedrychowski, W., Flak, E., & Mroz, E. (1999). The adverse effects of low levels of ambient air pollutants on lung function growth in preadolescent children. Environmental Health Perspectives, 107, 669–674.CrossRefGoogle Scholar
  18. Kabra, S. K., Lodha, R., & Singhal, T. (2001). Chronic obstructive pulmonary disease in children. Indian Journal of Pediatrics, 68, S50–S54.Google Scholar
  19. Kajekar, R. (2007). Environmental factors and developmental outcomes in the lung. Pharmacology and Therapeutics, 114, 129–145.CrossRefGoogle Scholar
  20. Khan, A. (2004). Air pollution hampers teenagers’ lung development. Thorax, 59, 1045–1045.CrossRefGoogle Scholar
  21. Moshammer, H., Hutter, H. P., Hauck, H., & Neuberger, M. (2006). Low levels of air pollution induce changes of lung function in a panel of school children. European Respiratory Journal, 27, 1138–1143.CrossRefGoogle Scholar
  22. Pope, C. A., III. (1989). Respiratory disease associated with community air pollution and a steel mill, Utah valley. American Journal of Public Health, 79, 623–628.CrossRefGoogle Scholar
  23. Pope, C. A., III. (2004). Air pollution and health- good news and bad news (Editorial). New England Journal of Medicine, 351, 1132–1134.CrossRefGoogle Scholar
  24. Schwartz, J. (1989). Lung function and chronic exposure to air pollution: A cross-sectional analysis of NHANES II. Environmental Research, 50, 309–321.CrossRefGoogle Scholar
  25. Schwartz, J., Katz, S., Fegley, R., & Tockman, M. (1988). Sex and race differences in the development of lung function. American Review of Respiratory Disease, 138, 1415–1421.Google Scholar
  26. Seaton, A., & Crompton, G. (2000). Asthma: Clinical features. In D. Seaton & A. G. Leitch (Eds.), Crofton and Douglas’s Respiratory Diseases (pp. 77–151). Oxford: Blackwell.CrossRefGoogle Scholar
  27. Srivastava, G. P. (1978). Socio-economic status scale (Urban). Agra: National Psychological Corporation.Google Scholar
  28. Sydbom, A., Blomberg, A., Parnia, S., et al. (2001). Health effects of diesel exhaust emissions. European Respiratory Journal, 17, 733–746.CrossRefGoogle Scholar
  29. Tiwari, S. C., Kumar, A., & Kumar, A. (2005). Development and standardization of a scale to measure socio-economic status in urban and rural communities in India. Ind J Med Res, 122, 309–314.Google Scholar
  30. Wjst, M., Reitmer, P., Dold, S., et al. (1993). Road traffic and adverse effects on respiratory health in children. British Medical Journal, 307, 596–600.CrossRefGoogle Scholar
  31. Zmirou, D., Balducci, F., Dihenaux, J., et al. (1997). Meta-analysis and dose-response functions of air pollution respiratory effects. Revue d'Epidemiologie et de Sante Publique, 45, 293–304.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Shabana Siddique
    • 1
  • Madhuchanda Banerjee
    • 2
  • Manas Ranjan Ray
    • 3
  • Twisha Lahiri
    • 4
  1. 1.Air Contaminants Lab, Exposure and Biomonitoring Division, Environmental Health, Science & Research BureauHealth CanadaOttawaCanada
  2. 2.IITGuwahatiIndia
  3. 3.Dept. of Experimental HematologyChittaranjan National Cancer InstituteKolkataIndia
  4. 4.Nature, Environment & Wildlife Society (NEWS)KolkataIndia

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