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Assessment of Metal Concentrations and Associations with Pulmonary Function among Children with Asthma in Chicago Illinois

机译:伊利诺伊州芝加哥哮喘患儿患儿肺功能和肺功能的评估

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摘要

Individuals living in areas with the potential for elevated metal exposure from industrial sources may have reduced pulmonary function. We evaluated cross-sectional associations of toenail concentrations of 17 metals within a community area of residence and asthma control in 75 children, and pulmonary function measures [forced expiratory volume in one second (FEV1; liters), forced vital capacity (FVC; liters), FEV1 to FVC ratio (FEV1:FVC), and mid-exhalation forced expiratory flow rate (FEF 25–75%; liters/second)], in a subsample of 39 children with diagnosed asthma in Chicago, Illinois. Linear regression models were used to estimate adjusted regression coefficients and standard errors (SE) for the associations between ≥ median versus
机译:生活在工业源升高的金属暴露潜力的地区的个人可能具有降低的肺功能。我们在75名儿童群落和哮喘控制中评估了17个金属的趾甲浓度的横截面关联,肺功能措施[迫使呼气量(FEV1;升),强制生命能力(FVC; LITERS) ,FEV1到FVC比率(FEV1:FVC),中间呼出强制呼气流量(FEF 25-75%;升/秒)],在伊利诺伊州芝加哥芝加哥诊断哮喘的39名儿童中。线性回归模型用于估计调整后的回归系数和标准误差(≥中值与<中值金属曝光和自然对数)肺功能测试参数之间的关联。在居住在工业走廊附近的儿童比比较界附近的儿童,幼儿园,钴,熨斗,锰和钒的趾甲水平较高。铜浓度与LNFEV1(β= -0.10,SE = 0.04,P = 0.01),LNFEV1:FVC(β= -0.07,SE = 0.03,P = 0.02)和LNFEF 25-75%(β= -0.25 ,se = 0.09,p = 0.01);锰浓度与LNFEV1(β= -0.11,SE = 0.04,P = 0.01),LNFEV1:FVC(β= -0.07,SE = 0.03,P = 0.02)和LNFEF 25-75%(β= - 0.28,SE = 0.10,p = 0.004)和钒浓度与LNFEV1(β= -0.08,SE = 0.04,P = 0.05)和LNFVC(β= -0.07,SE = 0.03,P = 0.03)与钒浓度与LNFEV1(β= -0.08,SE = 0.04,P = 0.03)相对应。镍和铜与不受控制的哮喘(或= 6.8; 95%CI 2.0,22.8和或= 4.6; 95%CI 1.0,21.0)。这些数据表明,所选择的金属曝光可能与肺功能参数受损,并降低具有预先存在的哮喘的儿童的哮喘控制。

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