COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.

BACKGROUND: Over half the world is exposed daily to the smoke from combustion of solid fuels. Chronic obstructive pulmonary disease (COPD) is one of the main contributors to the global burden of disease and can be caused by biomass smoke exposure. However, studies of biomass exposure and COPD show...

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मुख्य लेखकों: Kurmi, O, Semple, S, Simkhada, P, Smith, W, Ayres, J
स्वरूप: Journal article
भाषा:English
प्रकाशित: 2010
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author Kurmi, O
Semple, S
Simkhada, P
Smith, W
Ayres, J
author_facet Kurmi, O
Semple, S
Simkhada, P
Smith, W
Ayres, J
author_sort Kurmi, O
collection OXFORD
description BACKGROUND: Over half the world is exposed daily to the smoke from combustion of solid fuels. Chronic obstructive pulmonary disease (COPD) is one of the main contributors to the global burden of disease and can be caused by biomass smoke exposure. However, studies of biomass exposure and COPD show a wide range of effect sizes. The aim of this systematic review was to quantify the impact of biomass smoke on the development of COPD and define reasons for differences in the reported effect sizes. METHODS: A systematic review was conducted of studies with sufficient statistical power to calculate the health risk of COPD from the use of solid fuel, which followed standardised criteria for the diagnosis of COPD and which dealt with confounding factors. The results were pooled by fuel type and country to produce summary estimates using a random effects model. Publication bias was also estimated. RESULTS: There were positive associations between the use of solid fuels and COPD (OR=2.80, 95% CI 1.85 to 4.0) and chronic bronchitis (OR=2.32, 95% CI 1.92 to 2.80). Pooled estimates for different types of fuel show that exposure to wood smoke while performing domestic work presents a greater risk of development of COPD and chronic bronchitis than other fuels. CONCLUSION: Despite heterogeneity across the selected studies, exposure to solid fuel smoke is consistently associated with COPD and chronic bronchitis. Efforts should be made to reduce exposure to solid fuel by using either cleaner fuel or relatively cleaner technology while performing domestic work.
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spelling oxford-uuid:a819da7d-720a-42cb-86e3-3c40a085d82a2022-03-27T02:59:08ZCOPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a819da7d-720a-42cb-86e3-3c40a085d82aEnglishSymplectic Elements at Oxford2010Kurmi, OSemple, SSimkhada, PSmith, WAyres, J BACKGROUND: Over half the world is exposed daily to the smoke from combustion of solid fuels. Chronic obstructive pulmonary disease (COPD) is one of the main contributors to the global burden of disease and can be caused by biomass smoke exposure. However, studies of biomass exposure and COPD show a wide range of effect sizes. The aim of this systematic review was to quantify the impact of biomass smoke on the development of COPD and define reasons for differences in the reported effect sizes. METHODS: A systematic review was conducted of studies with sufficient statistical power to calculate the health risk of COPD from the use of solid fuel, which followed standardised criteria for the diagnosis of COPD and which dealt with confounding factors. The results were pooled by fuel type and country to produce summary estimates using a random effects model. Publication bias was also estimated. RESULTS: There were positive associations between the use of solid fuels and COPD (OR=2.80, 95% CI 1.85 to 4.0) and chronic bronchitis (OR=2.32, 95% CI 1.92 to 2.80). Pooled estimates for different types of fuel show that exposure to wood smoke while performing domestic work presents a greater risk of development of COPD and chronic bronchitis than other fuels. CONCLUSION: Despite heterogeneity across the selected studies, exposure to solid fuel smoke is consistently associated with COPD and chronic bronchitis. Efforts should be made to reduce exposure to solid fuel by using either cleaner fuel or relatively cleaner technology while performing domestic work.
spellingShingle Kurmi, O
Semple, S
Simkhada, P
Smith, W
Ayres, J
COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title_full COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title_fullStr COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title_full_unstemmed COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title_short COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis.
title_sort copd and chronic bronchitis risk of indoor air pollution from solid fuel a systematic review and meta analysis
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AT simkhadap copdandchronicbronchitisriskofindoorairpollutionfromsolidfuelasystematicreviewandmetaanalysis
AT smithw copdandchronicbronchitisriskofindoorairpollutionfromsolidfuelasystematicreviewandmetaanalysis
AT ayresj copdandchronicbronchitisriskofindoorairpollutionfromsolidfuelasystematicreviewandmetaanalysis