Evidence map›Paper›PMID 19672410›Full record

Trial reportEnvironmental health perspectives2009

Autonomic effects of controlled fine particulate exposure in young healthy adults: effect modification by ozone.

Asghar A Fakhri, Ljubomir M Ilic, Gregory A Wellenius, Bruce Urch, Frances Silverman, Diane R Gold, Murray A Mittleman

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health perspectives, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  9. Article
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  14. Article
  15. Air Pollution-Induced Autonomic Modulation.Physiology (Bethesda, Md.) · 2020
    Review
  16. Review
  17. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Asghar A FakhriCardiovascular Epidemiology Research Unit, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.
Ljubomir M Ilic
Gregory A Wellenius
Bruce Urch
Frances Silverman
Diane R Gold
Murray A Mittleman
Beth Israel Deaconess Medical Center · USSt. Michael's Hospital · CABrigham and Women's Hospital · USMount Auburn Hospital · US

Funding

Effect of Ambient Particles on Acute Stroke OnsetP01ES009825 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI DOCKERY, DOUGLAS W · 1999 to 2009
$17.4M
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureR00ES015774 · NIEHS · BROWN UNIVERSITY · PI WELLENIUS, GREGORY A · 2009 to 2011
$747k
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureK99ES015774 · NIEHS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WELLENIUS, GREGORY A · 2007 to 2008
$175k
Particulate Air Pollution and Acute Ischemic StrokeF32ES013804 · NIEHS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WELLENIUS, GREGORY A · 2005 to 2006
$100k
NIEHS NIH HHS ES009825NIEHS NIH HHS ES013804NIEHS NIH HHS F32 ES013804NIEHS NIH HHS K99 ES015774NIEHS NIH HHS P01 ES009825NIEHS NIH HHS R00 ES015774
6 · The paper itself

Abstract

backgroundHuman controlled-exposure studies have assessed the impact of ambient fine particulate matter on cardiac autonomic function measured by heart rate variability (HRV), but whether these effects are modified by concomitant ozone exposure remains unknown.

objectiveIn this study we assessed the impact of O(3) and particulate matter exposure on HRV in humans.

methodsIn a crossover design, 50 subjects (19-48 years of age) were randomized to 2-hr controlled exposures to filtered air (FA), concentrated ambient particles (CAPs), O(3), or combined CAPs and ozone (CAPs + O(3)). The primary end point was change in HRV between the start and end of exposure. Secondary analyses included blood pressure (BP) responses, and effect modification by asthmatic status.

resultsAchieved mean CAPs and O(3) exposure concentrations were 121.6 +/- 48.0 microg/m(3) and 113.9 +/- 6.6 ppb, respectively. In a categorical analysis, exposure had no consistent effect on HRV indices. However, the dose-response relationship between CAPs mass concentration and HRV indices seemed to vary depending on the presence of O(3). This heterogeneity was statistically significant for the low-frequency component of HRV (p = 0.02) and approached significance for the high-frequency component and time-domain measures of HRV. Exposure to CAPs + O(3) increased diastolic BP by 2.0 mmHg (SE, 1.2; p = 0.02). No other statistically significant changes in BP were observed. Asthmatic status did not modify these effects.

conclusionThe potentiation by O(3) of CAPs effects on diastolic BP and possibly HRV is of small magnitude in young adults. Further studies are needed to assess potential effects in more vulnerable populations.

Indexed as

Inhalation ExposureAdultAir PollutantsBlood PressureFemaleHeart RateHumansMaleMiddle AgedOzoneParticulate MatterYoung AdultAir PollutantsOzoneParticulate Matterasthmablood pressureheart rate variabilityozoneparticulate matter

Identifiers

PMID19672410
PMCPMC2721874
OpenAlexW2133483271

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.