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Biomass smoke causes COPD

PostPosted: Sun Dec 03, 2017 8:33 pm
by Wilberforce
https://www.ncbi.nlm.nih.gov/pubmed/29194400
Toxics. 2017 Dec 1;5(4). pii: E36. doi: 10.3390/toxics5040036.
Evidence of Biomass Smoke Exposure as a Causative Factor for the Development of COPD.
Capistrano SJ1,2, van Reyk D3,4, Chen H5, Oliver BG6,7,8.

Abstract
Chronic obstructive pulmonary disease (COPD) is a progressive disease of the lungs characterised by chronic inflammation, obstruction of airways, and destruction of the parenchyma (emphysema). These changes gradually impair lung function and prevent normal breathing. In 2002, COPD was the fifth leading cause of death, and is estimated by the World Health Organisation (WHO) to become the third by 2020. Cigarette smokers are thought to be the most at risk of developing COPD. However, recent studies have shown that people with life-long exposure to biomass smoke are also at high risk of developing COPD. Most common in developing countries, biomass fuels such as wood and coal are used for cooking and heating indoors on a daily basis. Women and children have the highest amounts of exposures and are therefore more likely to develop the disease. Despite epidemiological studies providing evidence of the causative relationship between biomass smoke and COPD, there are still limited mechanistic studies on how biomass smoke causes, and contributes to the progression of COPD. This review will focus upon why biomass fuels are used, and their relationship to COPD. It will also suggest methodological approaches to model biomass exposure in vitro and in vivo.

KEYWORDS:
COPD; biomass; emphysema

PMID:29194400
DOI:10.3390/toxics5040036

Re: Biomass smoke causes COPD

PostPosted: Sat Jan 13, 2018 2:17 pm
by Wilberforce
http://bmjopenrespres.bmj.com/content/5/1/e000246

Chronic obstructive pulmonary disease associated with biomass fuel use in women:
a systematic review and meta-analysis


Adama Sana1,2,3, Serge M A Somda4,5, Nicolas Meda1,2 and Catherine Bouland3

Author affiliations
Abstract

Introduction
Chronic obstructive pulmonary disease (COPD) is a major and growing cause of morbidity and mortality worldwide. The global prevalence of COPD is growing faster in women than in men. Women are often exposed to indoor pollutants produced by biomass fuels burning during household activities.

Methods
We conducted a meta-analysis to establish the association between COPD and exposure to biomass smoke in women.

Following
Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched MEDLINE and Scopus databases in 31December 2016, with the terms: “wood”, “charcoal”, “biomass”, “solid fuels”, “organic fuel”, “biofuel”, “female”, “women”, “COPD”, “chronic bronchitis”, “emphysema”, “chronic obstructive pulmonary disease”. Studies were eligible if they were case–control or cross-sectional studies involving exposure to indoor biomass smoke, conducted at any time and in any geographic location. Fixed-effects or random-effects meta-analysis was used to generate pooled OR.

Results
24 studies were included: 5 case–control studies and 19 cross-sectional studies. Biomass-exposed individuals were 1.38 times more likely to be diagnosed with COPD than non-exposed (OR 1.38, 95% CI 1.28 to 1.57).

Spirometry-diagnosed COPD studies failed to show a significant association (OR 1.20, 95% CI 0.99 to 1.40). Nevertheless, the summary estimate of OR for chronic bronchitis (CB) was significant (OR 2.11, 95% CI 1.70 to 2.52). The pooled OR for cross-sectional studies and case–control studies were respectively 1.82 (95% CI 1.54 to 2.10) and 1.05 (95% CI 0.81 to 1.30). Significant association was found between COPD and biomass smoke exposure for women living as well in rural as in urban areas.

Conclusions
This study showed that biomass smoke exposure is associated with COPD in rural and urban women.