Module 4 - Air Pollution Flashcards

1
Q

Does Air Pollution = Greenhouse Gases?

A

NO

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2
Q

How is Climate Change relevant to Air Pollution?

A
  • More frequent heat waves: more ground-level ozone
  • Wildfire Frequency and Severity: more particulate matter
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3
Q

What is an Air Pollution Recipe?

A
  • Gases
  • Particles
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4
Q

What makes up the gases of air pollution?

A
  • Ozone
  • Carbon Monoxide
  • Oxides of Nitrogen (NO2, NO)
  • others
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5
Q

What makes up the particles of air pollution?

A

Solid Particles & Liquid Droplets
- Dust
- Metal
- Black Carbon
- Pollen

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6
Q

What are the types of research models of air pollution?

A
  • Real World Acute Exposures
  • Laboratory Acute Exposures
  • Real World Epidemiology Studies
  • Hybrid Laboratory / Ambient Model
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7
Q

Describe the Real World Acute Exposures research model of air pollution

A
  • Realistic pollution exposures
  • Tough to generate control exposures, with blinding
  • Good pollution recipe
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8
Q

Describe a laboratory acute exposure research model of air pollution

A
  • Controlled and consistent pollution exposure
  • Sham conditions, blinding crossover design
  • Lack of long-term results
  • Approximate Recipe
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9
Q

Describe a real-world epidemiology study research model of air pollution

A
  • Long-term results
  • large sample sizes
  • control groups and blinding lacking
  • confounders
  • Good pollution recipe
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10
Q

Describe a hybrid laboratory / ambient research model of air pollution

A
  • Real World Pollution Exposure
  • Sham condition, blinding crossover design
  • Lack of long-term results
  • Surrogate Outcomes
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11
Q

Describe UBC’s Research on Air Pollution

A
  • Diesel Exhaust During Rest and Exercise
  • Ozone During Rest and Exercise
  • Healthy Individuals, and those with exercise-induced bronchoconstriction
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12
Q

What sample outcomes do you look for when researching air pollution?

A

Effects on
- Performance
- Lung Function
- Dyspneoa
- Vascular Function
- Cardiac Function

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13
Q

How many people die each year from air pollution?

A
  • Approx. 4.2 Million
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14
Q

How does air pollution impact the cardiovascular system?

A
  • Ischaemic Heart Disease
  • Stroke
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15
Q

How does air pollution impact the respiratory system?

A
  • Chronic Obstructive Pulmonary Disease
  • Lower Respiratory Tract Infections
  • Lung Cancer
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16
Q

How many cases of COPD and Respiratory Tract Infections occur due to air pollution?

17
Q

How many cases of Type 2 Diabetes Mellitus occur due to air pollution? What level of Particulate Matter causes this?

A

10%
- PM2.5

18
Q

How does air pollution impact cognitive function?

A
  • Decrease in cognitive function
  • Dementia
19
Q

What are the effects of ozone exposure?

A
  • Worsening Lung Function
  • Increase in Symptoms
  • Increased Inflammatory Markers
20
Q

What are the inflammatory markers to look for from ozone exposure?

A
  • IL-6
  • Neutrophils
21
Q

What symptoms are increased from exposure to ozone levels higher than 120ppb?

A
  • Cough
  • Dyspnoea
22
Q

What are the measurements to test the worsening effects of air pollution on lung function?

A
  • FVC
  • FEV1
  • FEF25-75
23
Q

What do the studies say about Traffic-Related Air Pollution Effects?

A

Inconsistent Effects on:
- Lung Function
- Exercise Response
- Symptoms
- Inflammatory Response

24
Q

What are the cardiovascular responses to Traffic-Related Air Pollution?

A
  • Likely increase in blood pressure
  • Heart rate variability and endothelial function unclear
25
What are the effects of Diesel Exhaust exposure?
No Effect on: - Lung Function - Heart Rate Variability - Exercise Intensity Inconsistent Effect on: - symptoms
26
Describe UBC's Research on the performance effects of air pollution
During Rest and Exercise - Diesel Exhaust - Ozone - Healthy Individuals - Those with Exercise Induced Bronchoconstriction
27
What were the results of Respiratory Function from UBC's Research?
No Difference in: - Spirometry - Work of Breathing - FeNO - Respiratory Symptoms
28
What were the performance effects of diesel found in UBC's Research?
- Increased perceived effort - at low intensity, increased oxygen cost
29
What did UBC's Research find about the effect of ozone on performance?
Decreased - VO2Max during exercise - Running performance Increased - Symptoms
30
What is a good protocol for ozone and heat acclimatization?
- Home Training Base: weeks to months - Holding Camp: 14 days heat/ozone acclimatization - Competition Location: 5-7 days re-acclimatization
31
What is the limited research on masks and air pollution?
- studies of walking in Beijing - Wearing masks for 48hours - Some HRV and SBP changes
32
What mask is recommended? Why?
3M 8812 - 3% penetrance of Diesel - Comfortable to wear - in High particulate sites (when not training)
33
What four things does AQHI communicate?
- Air Quality on a scale of 1-10+ - Describes the level of health risk - Health messages customized for each category (genpop & at risk) - Forecast for today, tomorrow, and the next day
34
What are the Competition Recommendations for high ozone conditions?
Pre-competition: - avoid pollution (travel to and from competition) - stabilize asthma and EIB - Proper warm-up - 2 weeks of anti-oxidant use - consider adaptation During Competition - Anticipate symptoms: chest tightness, dyspnoea
35
What are the competition recommendations for particulate matter and travel-related air pollution?
Pre Competition - limit pollution: travel to and from competition - stabilize asthma and EIB - Proper Warm up During Competition - Limited performance effect Post Competition - Consider mask to filter particulate pre/post competition
36
What are training recommendations for air pollution?
- Check the pollution forecast - Avoid pollution: separate by time and distance - Astha and EIB med is safe to use
37
What are the take-home messages about air pollution?
- Air pollution is BAD: 24/7 - Exercise is GOOD - Consider the Recipe of the Air Pollution