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American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Mar;81(3):350–359. doi: 10.2105/ajph.81.3.350

The UCLA population studies of CORD: X. A cohort study of changes in respiratory function associated with chronic exposure to SOx, NOx, and hydrocarbons.

R Detels 1, D P Tashkin 1, J W Sayre 1, S N Rokaw 1, F J Massey Jr 1, A H Coulson 1, D H Wegman 1
PMCID: PMC1405012  PMID: 1994744

Abstract

Two never-smoking cohorts in Southern California, one in Lancaster (N = 2340) exposed only to moderate levels of oxidants and the other in Long Beach (N = 1326) exposed to high levels of SOx, NO2, hydrocarbons and particulates completed spirometry and the single-breath nitrogen test five to six years apart. Forty-seven percent and 45 percent of the participants were retested. Mean results at baseline for those tested and not retested were similar. Loss to follow-up was primarily due to moving (39 percent and 47 percent). Every difference of consequence indicated greater deterioration in lung function in Long Beach. The level of significance of the difference was greatest, even in the youngest age groups, for delta N2(750-1250), suggesting that the earliest site of impairment may occur in the small airways. Greater deterioration in spirometric parameters was observed in every age group in Long Beach females above seven years of age at baseline and in Long Beach males above 15 years of age, suggesting that chronic exposure to the pollutant mix occurring in Long Beach ultimately adversely affects the large airways as well as small airways.

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Selected References

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  1. AMDUR M. O., MELVIN W. W., Jr, DRINKER P. Effects of inhalation of sulphur dioxide by man. Lancet. 1953 Oct 10;265(6789):758–759. doi: 10.1016/s0140-6736(53)91455-x. [DOI] [PubMed] [Google Scholar]
  2. AMDUR M. O., SILVERMAN L., DRINKER P. Inhalation of sulfuric acid mist by human subjects. AMA Arch Ind Hyg Occup Med. 1952 Oct;6(4):305–313. [PubMed] [Google Scholar]
  3. Alarie Y. C., Krumm A. A., Busey W. M., Urich C. E., Kantz R. J. Long-term exposure to sulfur dioxide, sulfuric acid mist, fly ash, and their mixtures. Results of Studies in Monkeys and guinea pigs. Arch Environ Health. 1975 May;30(5):254–262. doi: 10.1080/00039896.1975.10666692. [DOI] [PubMed] [Google Scholar]
  4. Alarie Y., Busey W. M., Krumm A. A., Ulrich C. E. Long-term continuous exposure to sulfuric acid mist in cynomolgus monkeys and guinea pigs. Arch Environ Health. 1973 Jul;27(1):16–24. doi: 10.1080/00039896.1973.10666301. [DOI] [PubMed] [Google Scholar]
  5. Alarie Y., Kantz R. J., 2nd, Ulrich C. E., Krumm A. A., Busey W. M. Long-term continuous exposure to sulfur dioxide and fly ash mixtures in cynomolgus monkeys and guinea pigs. Arch Environ Health. 1973 Oct;27(4):251–253. doi: 10.1080/00039896.1973.10666363. [DOI] [PubMed] [Google Scholar]
  6. Amdur M. O., Dubriel M., Creasia D. A. Respiratory response of guinea pigs to low levels of sulfuric acid. Environ Res. 1978 Jun;15(3):418–423. doi: 10.1016/0013-9351(78)90122-6. [DOI] [PubMed] [Google Scholar]
  7. Beck G. J., Doyle C. A., Schachter E. N. A longitudinal study of respiratory health in a rural community. Am Rev Respir Dis. 1982 Apr;125(4):375–381. doi: 10.1164/arrd.1982.125.4.375. [DOI] [PubMed] [Google Scholar]
  8. Bethel R. A., Epstein J., Sheppard D., Nadel J. A., Boushey H. A. Sulfur dioxide-induced bronchoconstriction in freely breathing, exercising, asthmatic subjects. Am Rev Respir Dis. 1983 Dec;128(6):987–990. doi: 10.1164/arrd.1983.128.6.987. [DOI] [PubMed] [Google Scholar]
  9. Bossé R., Sparrow D., Garvey A. J., Costa P. T., Jr, Weiss S. T., Rowe J. W. Cigarette smoking, aging, and decline in pulmonary function: A longitudinal study. Arch Environ Health. 1980 Jul-Aug;35(4):247–252. doi: 10.1080/00039896.1980.10667500. [DOI] [PubMed] [Google Scholar]
  10. Bouhuys A., Beck G. J., Schoenberg J. B. Do present levels of air pollution outdoors affect respiratory health? Nature. 1978 Nov 30;276(5687):466–471. doi: 10.1038/276466a0. [DOI] [PubMed] [Google Scholar]
  11. Buist A. S., Van Fleet D. L., Ross B. B. A comparison of conventional spirometric tests and the test of closing volume in an emphysema screening center. Am Rev Respir Dis. 1973 May;107(5):735–743. doi: 10.1164/arrd.1973.107.5.735. [DOI] [PubMed] [Google Scholar]
  12. Clément J., Van de Woestijne K. P. Rapidly decreasing forced expiratory volume in one second or vital capacity and development of chronic airflow obstruction. Am Rev Respir Dis. 1982 May;125(5):553–558. doi: 10.1164/arrd.1982.125.5.553. [DOI] [PubMed] [Google Scholar]
  13. Detels R., Coulson A., Tashkin D., Rokaw S. Reliability of plethysmography, the single breath oxygen test, and spirometry in population studies. Bull Physiopathol Respir (Nancy) 1975 Jan-Feb;11(1):9–30. [PubMed] [Google Scholar]
  14. Detels R., Rokaw S. N., Coulson A. H., Tashkin D. P., Sayre J. W., Massey F. J., Jr The UCLA population studies of chronic obstructive respiratory disease. I. Methodology and comparison of lung function in areas of high and low pollution. Am J Epidemiol. 1979 Jan;109(1):33–58. doi: 10.1093/oxfordjournals.aje.a112658. [DOI] [PubMed] [Google Scholar]
  15. Detels R., Sayre J. W., Coulson A. H., Rokaw S. N., Massey F. J., Jr, Tashkin D. P., Wu M. M. The UCLA population studies of chronic obstructive respiratory disease. IV. Respiratory effect of long-term exposure to photochemical oxidants, nitrogen dioxide, and sulfates on current and never smokers. Am Rev Respir Dis. 1981 Dec;124(6):673–680. doi: 10.1164/arrd.1981.124.6.673. [DOI] [PubMed] [Google Scholar]
  16. Detels R., Sayre J. W., Tashkin D. P., Massey F. J., Jr, Coulson A. H., Rokaw S. N. The UCLA population studies of chronic obstructive respiratory disease. VI. Relationship of physiologic factors to rate of change in forced expiratory volume in one second and forced vital capacity. Am Rev Respir Dis. 1984 Apr;129(4):533–537. [PubMed] [Google Scholar]
  17. Detels R., Tashkin D. P., Sayre J. W., Rokaw S. N., Coulson A. H., Massey F. J., Jr, Wegman D. H. The UCLA population studies of chronic obstructive respiratory disease. 9. Lung function changes associated with chronic exposure to photochemical oxidants; a cohort study among never-smokers. Chest. 1987 Oct;92(4):594–603. doi: 10.1378/chest.92.4.594. [DOI] [PubMed] [Google Scholar]
  18. Ekwo E. E., Weinberger M. M., Lachenbruch P. A., Huntley W. H. Relationship of parental smoking and gas cooking to respiratory disease in children. Chest. 1983 Dec;84(6):662–668. doi: 10.1378/chest.84.6.662. [DOI] [PubMed] [Google Scholar]
  19. FRANK N. R., AMDUR M. O., WHITTENBERGER J. L. A COMPARISON OF THE ACUTE EFFECTS OF SO2 ADMINISTERED ALONE OR IN COMBINATION WITH NACL PARTICLES ON THE RESPIRATORY MECHANICS OF HEALTHY ADULTS. Air Water Pollut. 1964 Feb;8:125–133. [PubMed] [Google Scholar]
  20. FRANK N. R., AMDUR M. O., WORCESTER J., WHITTENBERGER J. L. Effects of acute controlled exposure to SO2 on respiratory mechanics in healthy male adults. J Appl Physiol. 1962 Mar;17:252–258. doi: 10.1152/jappl.1962.17.2.252. [DOI] [PubMed] [Google Scholar]
  21. Ferris B. G., Chen H., Puleo S., Murphy R. L. Chronic nonspecific respiratory disease in Berlin, New Hampshire, 1967 to 1973. A further follow-up study. Am Rev Respir Dis. 1976 Apr;113(4):475–485. doi: 10.1164/arrd.1976.113.4.475. [DOI] [PubMed] [Google Scholar]
  22. Ferris B. G., Jr, Higgins I. T., Higgins M. W., Peters J. M. Chronic nonspecific respiratory disease in Berlin, New Hampshire, 1961 to 1967. A follow-up study. Am Rev Respir Dis. 1973 Jan;107(1):110–122. doi: 10.1164/arrd.1973.107.1.110. [DOI] [PubMed] [Google Scholar]
  23. Ferris B. G., Jr, Higgins I. T., Higgins M. W., Peters J. M., Van Ganse W. F., Goldman M. D. Chronic nonspecific respiratory disease, Berlin, New Hampshire, 1961-1967: a cross-sectional study. Am Rev Respir Dis. 1971 Aug;104(2):232–244. doi: 10.1164/arrd.1971.104.2.232. [DOI] [PubMed] [Google Scholar]
  24. Florey C. V., Melia R. J., Chinn S., Goldstein B. D., Brooks A. G., John H. H., Craighead I. B., Webster X. The relation between respiratory illness in primary schoolchildren and the use of gas for cooking--III. Nitrogen dioxide, respiratory illness and lung infection. Int J Epidemiol. 1979 Dec;8(4):347–353. doi: 10.1093/ije/8.4.347. [DOI] [PubMed] [Google Scholar]
  25. Kauffmann F., Drouet D., Lellouch J., Brille D. Twelve years spirometric changes among Paris area workers. Int J Epidemiol. 1979 Sep;8(3):201–212. doi: 10.1093/ije/8.3.201. [DOI] [PubMed] [Google Scholar]
  26. Linn W. S., Shamoo D. A., Vinet T. G., Spier C. E., Valencia L. M., Anzar U. T., Hackney J. D. Combined effect of sulfur dioxide and cold in exercising asthmatics. Arch Environ Health. 1984 Sep-Oct;39(5):339–346. doi: 10.1080/00039896.1984.10545860. [DOI] [PubMed] [Google Scholar]
  27. McCarthy D. S., Spencer R., Greene R., Milic-Emili J. Measurement of "closing volume" as a simple and sensitive test for early detection of small airway disease. Am J Med. 1972 Jun;52(6):747–753. doi: 10.1016/0002-9343(72)90080-0. [DOI] [PubMed] [Google Scholar]
  28. Melia R. J., Florey C. V., Chinn S. The relation between respiratory illness in primary schoolchildren and the use of gas for cooking--I. Results from a national survey. Int J Epidemiol. 1979 Dec;8(4):333–338. doi: 10.1093/ije/8.4.333. [DOI] [PubMed] [Google Scholar]
  29. Menzel D. B. Ozone: an overview of its toxicity in man and animals. J Toxicol Environ Health. 1984;13(2-3):183–204. [PubMed] [Google Scholar]
  30. Mostardi R. A., Ely D. L., Woebkenberg N. R., Richardson B., Jarrett M. T. The University of Akron study on air pollution and human health effects I. Methodology, baseline data, and aerometrics. Arch Environ Health. 1981 Sep-Oct;36(5):243–249. doi: 10.1080/00039896.1981.10667631. [DOI] [PubMed] [Google Scholar]
  31. Mostardi R. A., Woebkenberg N. R., Ely D. L., Conlon M., Atwood G. The University of Akron study on air pollution and human health effects II. Effects on acute respiratory illness. Arch Environ Health. 1981 Sep-Oct;36(5):250–255. doi: 10.1080/00039896.1981.10667632. [DOI] [PubMed] [Google Scholar]
  32. NADEL J. A., SALEM H., TAMPLIN B., TOKIWA Y. MECHANISM OF BRONCHOCONSTRICTION DURING INHALATION OF SULFUR DIOXIDE. J Appl Physiol. 1965 Jan;20:164–167. doi: 10.1152/jappl.1965.20.1.164. [DOI] [PubMed] [Google Scholar]
  33. Neri L. C., Mandel J. S., Hewitt D., Jurkowski D. Chronic obstructive pulmonary disease in two cities of contrasting air quality. Can Med Assoc J. 1975 Dec 13;113(11-12):1043–1046. [PMC free article] [PubMed] [Google Scholar]
  34. ROKAW S. N., MASSEY F. Air pollution and chronic respiratory disease. Am Rev Respir Dis. 1962 Nov;86:703–704. doi: 10.1164/arrd.1962.86.5.703. [DOI] [PubMed] [Google Scholar]
  35. Rokaw S. N., Detels R., Coulson A. H., Sayre J. W., Tashkin D. P., Allwright S. S., Massey F. J., Jr The UCLA population studies of chronic obstructive respiratory disease. 3. Comparison of pulmonary function in three communities exposed to photochemical oxidants, multiple primary pollutants, or minimal pollutants. Chest. 1980 Aug;78(2):252–262. doi: 10.1378/chest.78.2.252. [DOI] [PubMed] [Google Scholar]
  36. STOKINGER H. E., WAGNER W. D., DOBROGORSKI O. J. Ozone toxicity studies. III. Chronic injury to lungs of animals following exposure at a low level. AMA Arch Ind Health. 1957 Dec;16(6):514–522. [PubMed] [Google Scholar]
  37. Sarić M., Fugas M., Hrustić O. Effects of urban air pollution on school-age children. Arch Environ Health. 1981 May-Jun;36(3):101–108. [PubMed] [Google Scholar]
  38. Scanlon P. D., Seltzer J., Ingram R. H., Jr, Reid L., Drazen J. M. Chronic exposure to sulfur dioxide. Physiologic and histologic evaluation of dogs exposed to 50 or 15 ppm. Am Rev Respir Dis. 1987 Apr;135(4):831–839. doi: 10.1164/arrd.1987.135.4.831. [DOI] [PubMed] [Google Scholar]
  39. Shy C. M., Hasselblad V., Burton R. M., Nelson C. J., Cohen A. A. Air pollution effects on ventilatory function of US schoolchildren. Results of studies in Cincinnati, Chattanooga, and New York. Arch Environ Health. 1973 Sep;27(3):124–128. doi: 10.1080/00039896.1973.10666339. [DOI] [PubMed] [Google Scholar]
  40. Sparrow D., Bossé R., Rosner B., Weiss S. T. The effect of occupational exposure on pulmonary function: a longitudinal evaluation of fire fighters and nonfire fighters. Am Rev Respir Dis. 1982 Mar;125(3):319–322. doi: 10.1164/arrd.1982.125.3.319. [DOI] [PubMed] [Google Scholar]
  41. Speizer F. E., Ferris B., Jr, Bishop Y. M., Spengler J. Respiratory disease rates and pulmonary function in children associated with NO2 exposure. Am Rev Respir Dis. 1980 Jan;121(1):3–10. doi: 10.1164/arrd.1980.121.1.3. [DOI] [PubMed] [Google Scholar]
  42. Tashkin D. P., Detels R., Coulson A. H., Rokaw S. N., Sayre J. W. The UCLA population studies of chronic obstructive respiratory disease. II. Determination of reliability and estimation of sensitivity and specificity. Environ Res. 1979 Dec;20(2):403–424. doi: 10.1016/0013-9351(79)90016-1. [DOI] [PubMed] [Google Scholar]
  43. Ware J. H., Dockery D. W., Spiro A., 3rd, Speizer F. E., Ferris B. G., Jr Passive smoking, gas cooking, and respiratory health of children living in six cities. Am Rev Respir Dis. 1984 Mar;129(3):366–374. doi: 10.1164/arrd.1984.129.3.366. [DOI] [PubMed] [Google Scholar]
  44. Ware J. H., Ferris B. G., Jr, Dockery D. W., Spengler J. D., Stram D. O., Speizer F. E. Effects of ambient sulfur oxides and suspended particles on respiratory health of preadolescent children. Am Rev Respir Dis. 1986 May;133(5):834–842. [PubMed] [Google Scholar]
  45. Woolf C. R., Zamel N. The respiratory effects of regular cigarette smoking in women. A five-year prospective study. Chest. 1980 Nov;78(5):707–713. doi: 10.1378/chest.78.5.707. [DOI] [PubMed] [Google Scholar]
  46. van der Lende R., Kok T. J., Reig R. P., Quanjer P. H., Schouten J. P., Orie N. G. Decreases in VC and FEV1 with time: indicators for effects of smoking and air pollution. Bull Eur Physiopathol Respir. 1981;17(5):775–792. [PubMed] [Google Scholar]

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