title: Improvement in severe lower respiratory symptoms and small airway function in World Trade Center dust exposed community members.
abstract: Longitudinal assessment of lower respiratory symptoms (LRS) in community members with World Trade Center (WTC) exposures.
  
  
  
  Adult members of a treatment program with complete standardized visits were evaluated (n = 798). Association of demographic characteristics, mental health symptoms and lung function with trajectory of LRS between initial and monitoring visit was evaluated.
  
  
  
  Severe LRS were present in 70% at initial and 63% at monitoring visit. Initial severe LRS were associated with WTC dust cloud exposure and mental health symptoms. Spirometry measures were not associated with LRS severity or trajectory; improvement in LRS was associated with improved lung function measured with forced oscillometry techniques.
  
  
  
  Many community patients in a WTC treatment program had severe LRS associated with exposures and mental health symptoms. Improvement in LRS was associated with improvement in measures of small airway function. Am. J. Ind. Med. 59:777-787, 2016. © 2016 Wiley Periodicals, Inc.
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Caralee
authors: C
authors: Caplan-Shaw
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Angeliki
authors: A
authors: Kazeros
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Deepak
authors: D
authors: Pradhan
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Kenneth
authors: K
authors: Berger
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Roberta
authors: R
authors: Goldring
authors: Department of Population Health, New York University Langone Medical Center, New York City, New York.|Department of Environmental Medicine, New York University Langone Medical Center, New York City, New York.
authors: Sibo
authors: S
authors: Zhao
authors: Department of Population Health, New York University Langone Medical Center, New York City, New York.|Department of Environmental Medicine, New York University Langone Medical Center, New York City, New York.
authors: Mengling
authors: M
authors: Liu
authors: Department of Population Health, New York University Langone Medical Center, New York City, New York.|Department of Environmental Medicine, New York University Langone Medical Center, New York City, New York.
authors: Yongzhao
authors: Y
authors: Shao
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Maria Elena
authors: ME
authors: Fernandez-Beros
authors: Department of Population Health, New York University Langone Medical Center, New York City, New York.|Department of Environmental Medicine, New York University Langone Medical Center, New York City, New York.
authors: Michael
authors: M
authors: Marmor
authors: Department of Psychiatry, New York University Langone Medical Center, New York City, New York.
authors: Nomi
authors: N
authors: Levy-Carrick
authors: Department of Psychiatry, New York University Langone Medical Center, New York City, New York.
authors: Rebecca
authors: R
authors: Rosen
authors: Department of Psychiatry, New York University Langone Medical Center, New York City, New York.
authors: Lucia
authors: L
authors: Ferri
authors: Department of Medicine, New York University Langone Medical Center, New York City, New York.
authors: Joan
authors: J
authors: Reibman
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D004391:Dust; D005260:Female; D006801:Humans; D019570:Inhalation Exposure; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011379:Prognosis; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000503:physiopathology*; D047851:September 11 Terrorist Attacks; D012720:Severity of Illness Index; D013147:Spirometry; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D063189:Symptom Assessment
chemical_list: D004391:Dust
keywords: World Trade Center; lower respiratory symptoms; lung function; mental health; oscillometry