title: Effects of fine and ultrafine particles on cardiorespiratory symptoms in elderly subjects with coronary heart disease: the ULTRA study.
abstract: The ULTRA Study, a study investigating the association between fine and ultrafine particulate air pollution and cardiorespiratory health, was conducted during the winter of 1998-1999 in Amsterdam, the Netherlands; Erfurt, Germany; and Helsinki, Finland. At each study center, a panel of elderly subjects with coronary heart disease recorded cardiac and respiratory symptoms in a diary. Exposure to ambient air pollution was characterized by measuring daily mass concentrations of particles smaller than 10 micro m (PM(10)) and 2.5 micro m (PM(2.5)), number concentrations of ultrafine particles (NC(0.01-0.1)), and gases. Odds ratios for the relation of symptoms to air pollution, adjusted for time trend, respiratory infections, and meteorologic variables, were mostly homogeneous across the centers. No association was found between air pollution and chest pain. A 10- micro g/m(3) increase in PM(2.5) was positively associated with the incidence of shortness of breath (odds ratio (OR) = 1.12, 95% confidence interval (CI): 1.02, 1.24) and with avoidance of activities (OR = 1.09, 95% CI: 0.97, 1.22). NC(0.01-0.1) was only associated with the prevalence of avoidance of activities (OR = 1.10, 95% CI: 1.01, 1.19). In conclusion, PM(2.5) was associated with some cardiac symptoms in three panels of elderly subjects. PM(2.5 )was more strongly related to cardiorespiratory symptoms than ultrafine particles were.
authors.affiliation: Environmental and Occupational Health Division, Institute for Risk Assessment Sciences, University of Utrecht, Utrecht, The Netherlands. j.dehartog@iras.uu.nl
authors.forename: J J
authors.initials: JJ
authors.lastname: de Hartog
authors.forename: G
authors.initials: G
authors.lastname: Hoek
authors.forename: A
authors.initials: A
authors.lastname: Peters
authors.forename: K L
authors.initials: KL
authors.lastname: Timonen
authors.forename: A
authors.initials: A
authors.lastname: Ibald-Mulli
authors.forename: B
authors.initials: B
authors.lastname: Brunekreef
authors.forename: J
authors.initials: J
authors.lastname: Heinrich
authors.forename: P
authors.initials: P
authors.lastname: Tiittanen
authors.forename: J H
authors.initials: JH
authors.lastname: van Wijnen
authors.forename: W
authors.initials: W
authors.lastname: Kreyling
authors.forename: M
authors.initials: M
authors.lastname: Kulmala
authors.forename: J
authors.initials: J
authors.lastname: Pekkanen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000393:Air Pollutants / Q000009:adverse effects*; D015986:Confounding Factors, Epidemiologic; D003327:Coronary Disease / Q000150:complications* / Q000188:drug therapy; D005060:Europe / Q000453:epidemiology; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010316:Particle Size; D015995:Prevalence; D012140:Respiratory Tract Diseases / Q000453:epidemiology / Q000209:etiology*; D018570:Risk Assessment
chemical_list: D000393:Air Pollutants