Chronic obstructive pulmonary disease in women exposed to wood stove smoke.

Rev Assoc Med Bras (1992)

Serviço de Pneumologia, Universidade Federal de Goiás, Goiânia, GO, Brasil. Electronic address:

Published: June 2014

AI Article Synopsis

  • The study aimed to identify respiratory symptoms and COPD in non-smoking women exposed to wood smoke for at least 80 hours-years.
  • It involved 160 non-smoking women who underwent tests for demographic data, symptoms, and lung function via spirometry.
  • Results showed that women with COPD experienced significantly more respiratory symptoms and had greater exposure to wood smoke, while those without COPD still exhibited a high prevalence of chronic respiratory symptoms.

Article Abstract

Objective: To identify respiratory symptoms and COPD (forced vital capacity and forced expiratory volume in one second ratio < 0.70 and below the lower limit of normal) in non-smoking women with history of exposure to wood smoke of at least 80 hours-years.

Methods: One hundred sixty nonsmoking women were included. Demographic data and information about symptoms and other environmental exposures were collected. All women underwent spirometry and those with COPD also had their lung volumes measured.

Results: The COPD group had greater exposure in years to wood smoke (p = 0.043), greater length of rural residence (p = 0.042) and the same length of passive smoking (p = 0.297) and farm work (p = 0.985). Cough (69.8%), sputum (55.8%) and wheezing (67.4%) predominated in the COPD group (p < 0.001) compared to those without COPD (40.2%, 27.4%, 33, 3%, respectively). The COPD patients had mild to moderate obstructive disturbance and normal lung volumes, except that the residual volume and total lung capacity ratio (RV/TLC) > 0.40 in 45%, which correlated negatively with forced expiratory volume in one second (FEV1) and FEV1/vital forced capacity ratio (FEV1/FVC).

Conclusion: Women with prolonged exposure to wood smoke had predominantly mild to moderate COPD. Those without COPD had a high prevalence of chronic respiratory symptoms, justifying clinical and spirometric monitoring.

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Source
http://dx.doi.org/10.1016/j.ramb.2013.09.001DOI Listing

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