title: Health effects of a mixture of indoor air volatile organics, their ozone oxidation products, and stress.
abstract: In our present study we tested the health effects among women of controlled exposures to volatile organic compounds (VOCs), with and without ozone (O3), and psychological stress. Each subject was exposed to the following three conditions at 1-week intervals (within-subject factor): VOCs (26 mg/m3), VOCs + O3 (26 mg/m3 + 40 ppb), and ambient air with a 1-min spike of VOCs (2.5 mg/m3). As a between-subjects factor, half the subjects were randomly assigned to perform a stressor. Subjects were 130 healthy women (mean age, 27.2 years; mean education, 15.2 years). Health effects measured before, during, and after each 140-min exposure included symptoms, neurobehavioral performance, salivary cortisol, and lung function. Mixing VOCs with O3 was shown to produce irritating compounds including aldehydes, hydrogen peroxide, organic acids, secondary organic aerosols, and ultrafine particles (particulate matter with aerodynamic diameter < 0.1 microm). Exposure to VOCs with and without O3 did not result in significant subjective or objective health effects. Psychological stress significantly increased salivary cortisol and symptoms of anxiety regardless of exposure condition. Neither lung function nor neurobehavioral performance was compromised by exposure to VOCs or VOCs + O3. Although numerous epidemiologic studies suggest that symptoms are significantly increased among workers in buildings with poor ventilation and mixtures of VOCs, our acute exposure study was not consistent with these epidemiologic findings. Stress appears to be a more significant factor than chemical exposures in affecting some of the health end points measured in our present study.
authors.affiliation: Department of Environmental and Occupational Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway, New Jersey 08854, USA. nfiedler@eohsi.rutgers.edu
authors.forename: Nancy
authors.initials: N
authors.lastname: Fiedler
authors.forename: Robert
authors.initials: R
authors.lastname: Laumbach
authors.forename: Kathie
authors.initials: K
authors.lastname: Kelly-McNeil
authors.forename: Paul
authors.initials: P
authors.lastname: Lioy
authors.forename: Zhi-Hua
authors.initials: ZH
authors.lastname: Fan
authors.forename: Junfeng
authors.initials: J
authors.lastname: Zhang
authors.forename: John
authors.initials: J
authors.lastname: Ottenweller
authors.forename: Pamela
authors.initials: P
authors.lastname: Ohman-Strickland
authors.forename: Howard
authors.initials: H
authors.lastname: Kipen
mesh_terms: D000328:Adult; D000393:Air Pollutants / Q000633:toxicity*; D016902:Air Pollution, Indoor / Q000009:adverse effects*; D001007:Anxiety; D003071:Cognition; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D009930:Organic Chemicals / Q000633:toxicity*; D010084:Oxidation-Reduction; D010126:Ozone / Q000737:chemistry*; D012129:Respiratory Function Tests; D013060:Speech; D013312:Stress, Physiological; D014835:Volatilization
chemical_list: D000393:Air Pollutants; D009930:Organic Chemicals; D010126:Ozone; D006854:Hydrocortisone