Abstract
This case-control study aimed to investigate the relationship of indoor radon gas concentration and residential building characteristics with mental health with multiple sclerosis (MS) in Yazd City, Iran. The participants included 45 patients with MS and 100 healthy individuals. The participants’ socio-economic status and residential building characteristics were investigated using a questionnaire. The radon gas concentration was also measured by CR-39 detectors over a 6-month period. Furthermore, the participants’ mental health data were collected using General Health Questionnaire (GHQ-28). The mean concentrations of radon gas were 66.77 and 65.33 Bq/m3 in the homes of patients with MS and healthy individuals, respectively, but the difference was not significant (p = 0.882). However, the radon gas concentration had a significant relationship with the building’s age (p = 0.038), ventilation (p = 0.053), and cooling system (p = 0.021). A significant difference was observed between the two study groups in terms of the mental health (p = 0.018), depression (p = 0.037), somatic symptoms (p ≤ 0.001), and physical activity (p = 0.030). Since the indoor radon gas concentration did not have any significant relationship with MS prevalence, more studies are required in this regard, especially in long-term exposure.
Similar content being viewed by others
References
Abd-Elzaher M (2013) Measurement of indoor radon concentration and assessment of doses in different districts of Alexandria city, Egypt. Environ Geochem Health 35:299–309
Askey-Jones S, Silber E, Shaw P, Gray R, David AS (2012) A nurse-led mental health service for people with multiple sclerosis. J Psychosom Res 72:463–465
Axelson O, Landtblom AM, Flodin U (2001) Multiple sclerosis and ionizing radiation. Neuroepidemiology 20:175–178
Baradaran-Ghahfarokhi M, Faghihi R, Karami M, Siavashpour Z, Owji H (2011) The effects of internal wall covering materials on hazards of indoor radon concentrations in houses of Iran. Iran Red Crescent Med J 13:637–640
Barros-Dios J, Ruano-Ravina A, Gastelu-Iturri J, Figueiras A (2007) Factors underlying residential radon concentration: results from Galicia, Spain. Environ Res 103:185–190
Beckett JM, Bird M-L, Pittaway J, Ahuja KD (2017) Online dietary advice for the symptomatic management of multiple sclerosis: a scoping review protocol. JBI Database System Rev Implement Rep 15:230–235
Belbasis L, Bellou V, Evangelou E, Ioannidis JP, Tzoulaki I (2015) Environmental risk factors and multiple sclerosis: an umbrella review of systematic reviews and meta-analyses. Lancet Neurol 14:263–273
Benedict RH, Wahlig E, Bakshi R, Fishman I, Munschauer F, Zivadinov R, Weinstock-Guttman B (2005) Predicting quality of life in multiple sclerosis: accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. J Neurol Sci 231:29–34
Bochicchio F et al (2005) Annual average and seasonal variations of residential radon concentration for all the Italian regions. Radiat Meas 40:686–694
Bolviken B, Celius EG, Nilsen R, Strand T (2003) Radon: a possible risk factor in multiple sclerosis. Neuroepidemiology 22:87–94
Bouzarjomehri F, Ehrampoosh MH (2008) Radon level in dwellings basement of Yazd-Iran. Int J Radiat Res 6:141–144
Briggs DJ, Denman AR, Gulliver J, Marley R, Kennedy C, Philips P, Field K, Crockett R (2003) Time activity modelling of domestic exposures to radon. J Environ Manag 67:107–120
Chauhan R, Kumar A, Chauhan N, Joshi M, Aggarwal P, Sahoo B (2016) Ventilation effect on indoor radon–thoron levels in dwellings and correlation with soil exhalation rates. Indoor Built Environ 25:203–212
Chen J, Rahman NM, Atiya IA (2010) Radon exhalation from building materials for decorative use. J Environ Radioact 101:317–322
Collignan B, Le Ponner E, Mandin C (2016) Relationships between indoor radon concentrations, thermal retrofit and dwelling characteristics. J Environ Radioact 165:124–130
Cucoş A, Cosma C, Dicu T, Begy R, Moldovan M, Papp B, Niţă D, Burghele B, Sainz C (2012) Thorough investigations on indoor radon in Băiţa radon-prone area (Romania). Sci Total Environ 431:78–83
Evans GW (2003) The built environment and mental health. J Urban Health 80:536–555
Gilmore M, Grennan E (2003) A pilot study of the relationship between multiple sclerosis and the physical environment in northwest Ireland. Environ Geochem Health 25:157–163
Goldberg DP, Hillier VF (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:139–145
Groves-Kirkby CJ, Denman AR, Campbell J, Crockett RG, Phillips PS, Rogers S (2016) Is environmental radon gas associated with the incidence of neurodegenerative conditions? A retrospective study of multiple sclerosis in radon affected areas in England and Wales. J Environ Radioact 154:1–14
Hadad K, Hakimdavoud MR, Hashemi-Tilehnoee M (2011) Indoor radon survey in Shiraz-Iran using developed passive measurement method. Iran J Radiat Res 9:175–182
Haddadi G (2011) Assessment of radon level in dwellings of Tabriz. J Fasa Uni of Med Sci 1:13–19
Hafez AF, Hussein AS, Rasheed NM (2001) A study of radon and thoron release from Egyptian building materials using polymeric nuclear track detectors. Appl Radiat Isot 54:291–298
Hosseinzadeh A, Baneshi MR, Sedighi B, Kermanchi J, Haghdoost AA (2019) Geographic variations of multiple sclerosis in Iran: a population based study. Mult Scler Relat Disord 28:244–249
Iqbal M, Tufail M, Mirza SM (2000) Measurement of natural radioactivity in marble found in Pakistan using a NaI(Tl) gamma-ray spectrometer. J Environ Radioact 51:255–265
Janssen M (2003) Modeling ventilation and radon in new Dutch dwellings. Indoor Air 13:118–127
Jelle BP (2012) Development of a model for radon concentration in indoor air. Sci Total Environ 416:343–350
Joffe RT (2005) Depression and multiple sclerosis: a potential way to understand the biology of major depressive illness. J Psychiatry Neurosci 30:9
Jones KH, Ford DV, Jones PA, John A, Middleton RM, Lockhart-Jones H, Osborne LA, Noble JG (2012) A large-scale study of anxiety and depression in people with multiple sclerosis: a survey via the web portal of the UK MS Register. PLoS One 7:e41910
Khan MS, Srivastava D, Azam A (2012) Study of radium content and radon exhalation rates in soil samples of northern India. Environ Earth Sci 67:1363–1371
Koriem KMM (2016) Multiple sclerosis: new insights and trends. Asian Pac J Trop Biomed 6:429–440
Kroushavi M, Behrooz M, Rashidkhani B, Bahadori N, Hekmatdoost A (2015) Association between index of nutritional quality and multiple sclerosis. J School Public Health Inst Public Health Res 12:53–67
Kumar A, Chauhan R (2014) Measurement of indoor radon–thoron concentration and radon soil gas in some North Indian dwellings. J Geochem Explor 143:155–162
Maestre CR, Iribarren VE (2018) The radon gas in underground buildings in clay soils. The plaza balmis shelter as a paradigm. Int J Environ Res Public Health 15
Mahmoudi-Alami G, Nasiri E, Niyaz Azari K (2009) Mental health surveillance in patients with MS in Mazandaran province in 2008. J Mazandaran Uni Med Sci 18:70–73
Mehta AJ, Kubzansky LD, Coull BA, Kloog I, Koutrakis P, Sparrow D, Spiro A, Vokonas P, Schwartz J (2015) Associations between air pollution and perceived stress: the Veterans Administration Normative Aging Study. Environ Health 14:10. https://doi.org/10.1186/1476-069X-14-10
Nasri Nasrabadi M, Shamohamadi R (2015) Measurement of selenium level in blood of residents of Isfahan affected by multiple sclerosis. Razi J Med Sci 22:75–83
Neuberger JS (2011) Residential radon exposure and multiple sclerosis: a pilot study, Proc. 21st International Radon Symposium, American Association of Radon Scientists and Technologists, Orlando FL
Pekmezovic TD, Tepavcevic DBK, Mesaros ST, Basuroski IBD, Stojsavljevic NS, Drulovic JS (2012) Food and dietary patterns and multiple sclerosis: a case-control study in Belgrade (Serbia). Ital J Public Health 6:81–87
Popović D, Todorović D (2016) Radon indoor concentrations and activity of radionuclides in building materials in Serbia. FU Phys Chem Tech 4:11–20
Power MC, Kioumourtzoglou M-A, Hart JE, Okereke OI, Laden F, Weisskopf MG (2015) The relation between past exposure to fine particulate air pollution and prevalent anxiety: observational cohort study. BMJ 350:h1111. https://doi.org/10.1136/bmj.h1111
Saad A, Abdalla Y, Hussein N, Elyaseery I (2010) Radon exhalation rate from building materials used on the Garyounis University campus, Benghazi, Libya. Turk J Eng Environ Sci 34:67–74
Salehi-Abargouei A, Shiranian A, Ehsani S, Surkan PJ, Esmaillzadeh A (2014) Caesarean delivery is associated with childhood general obesity but not abdominal obesity in I ranian elementary school children. Acta Paediatr 103:e383–e387
Sandroff B, Dlugonski D, Weikert M, Suh Y, Balantrapu S, Motl R (2012) Physical activity and multiple sclerosis: new insights regarding inactivity. Acta Neurol Scand 126:256–262
Shaikh AN, Ramachandran TV, Vinod Kumar A (2003) Monitoring and modelling of indoor radon concentrations in a multi-storey building at Mumbai. India J Environ Radioact 67:15–26
Singh K, Singh M, Singh S, Sahota H, Papp Z (2005a) Variation of radon (222Rn) progeny concentrations in outdoor air as a function of time, temperature and relative humidity. Radiat Meas 39:213–217
Singh S, Kumar M, Mahajan RK (2005b) The study of indoor radon in dwellings of Bathinda district, Punjab, India and its correlation with uranium and radon exhalation rate in soil. Radiat Meas 39:535–542
Stoulos S, Manolopoulou M, Papastefanou C (2003) Assessment of natural radiation exposure and radon exhalation from building materials in Greece. J Environ Radioact 69:225–240
Stroud NM, Minahan CL (2009) The impact of regular physical activity on fatigue, depression and quality of life in persons with multiple sclerosis. Health Qual Life Outcomes 7:68
USEPA (1993) Protocols for radon and radon decay product measurements in homes. United State Environmental Protection Agency (USEPA), Washington, D.C.
Valizadeh R, Sohrabnejad S, Mehraban S, Ahmadbookani S (2015) The effectiveness of cognitive-behavioral stress management training on depression in women with multiple sclerosis. J Ilam Uni Med Sci 23:91–98
WHO (2009) WHO handbook on indoor radon: a public health perspective. World Health Organization
WHO (2010) WHO guidelines for indoor air quality: selected pollutants. World Health Organization
Yasari S, Wang D, Prud’homme D, Jankowski M, Gutkowska J, Lavoie J-M (2009) Exercise training decreases plasma leptin levels and the expression of hepatic leptin receptor-a,-b, and,-e in rats. Mol Cell Biochem 324:13
Yousefi Z, Naddafi K, Tahamtan RAM, Zazouli MA, Koushki Z (2014) Indoor radon concentration in Gorgan dwellings using CR-39 detector. J Mazandaran Uni Med Sci 24:2–10
Acknowledgments
We express our deepest appreciation to all the professors of Public Health School in Yazd Shahid Sadoughi University of Medical Sciences. Furthermore, we thank all the respectable participants who cooperated in this study.
Funding
This study was funded by Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval and consent to participate
Signed informed consent forms were obtained from all participants. Furthermore, this study was approved by the Ethics Committee of the Public Health School in Yazd Shahid Sadoughi University of Medical Sciences in Iran (IR.SSU.SPH.REC.1396.34).
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Responsible editor: Philippe Garrigues
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Abaszadeh Fathabadi, Z., Ehrampoush, M.H., Mirzaei, M. et al. The relationship of indoor radon gas concentration with multiple sclerosis: a case-control study. Environ Sci Pollut Res 27, 16350–16361 (2020). https://doi.org/10.1007/s11356-020-08147-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-020-08147-y