Evidence map›Paper›PMID 23742058›Full record

Trial reportParticle and fibre toxicology2013

Exposure to wood smoke increases arterial stiffness and decreases heart rate variability in humans.

Jon Unosson, Anders Blomberg, Thomas Sandström, Ala Muala, Christoffer Boman, Robin Nyström, Roger Westerholm, Nicholas L Mills, David E Newby, Jeremy P Langrish and 1 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Particle and fibre toxicology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% 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.

NCT01488500 nacompletednot on this map

Cardiovascular Effects of Experimental Exposure to Woodsmoke in Man

TypeinterventionalSponsorUniversity of EdinburghRan2011 to 2012Enrolled20ConditionsRespiratory Inflammation, Systemic InflammationArmsBronchoscopy
NCT03302117 unknown statusnot on this mapstarted 2017, after this paper: background citation

Pulmonary and Systemic Effects of Exposure to Wood Smoke

TypeobservationalSponsorUmeå UniversityRan2017 to 2018Enrolled20ConditionsPulmonary Inflammation, CytotoxicityArmsWood smoke exposure
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Jon Unosson
Anders Blomberg
Thomas Sandström
Ala Muala
Christoffer Boman
Robin Nyström
Roger Westerholm
Nicholas L Mills
David E Newby
Jeremy P Langrish
Jenny A Bosson
Umeå University · SEUniversity of Edinburgh · GBStockholm University · SE

Funding

British Heart Foundation FS/10/024/28266British Heart Foundation PG/11/27/28842British Heart Foundation RG/10/9/28286
6 · The paper itself

Abstract

backgroundEmissions from biomass combustion are a major source of indoor and outdoor air pollution, and are estimated to cause millions of premature deaths worldwide annually. Whilst adverse respiratory health effects of biomass exposure are well established, less is known about its effects on the cardiovascular system. In this study we assessed the effect of exposure to wood smoke on heart rate, blood pressure, central arterial stiffness and heart rate variability in otherwise healthy persons.

methodsFourteen healthy non-smoking subjects participated in a randomized, double-blind crossover study. Subjects were exposed to dilute wood smoke (mean particle concentration of 314±38 μg/m3) or filtered air for three hours during intermittent exercise. Heart rate, blood pressure, central arterial stiffness and heart rate variability were measured at baseline and for one hour post-exposure.

resultsCentral arterial stiffness, measured as augmentation index, augmentation pressure and pulse wave velocity, was higher after wood smoke exposure as compared to filtered air (p < 0.01 for all), and heart rate was increased (p < 0.01) although there was no effect on blood pressure. Heart rate variability (SDNN, RMSSD and pNN50; p = 0.003, p < 0.001 and p < 0.001 respectively) was decreased one hour following exposure to wood smoke compared to filtered air.

conclusionsAcute exposure to wood smoke as a model of exposure to biomass combustion is associated with an immediate increase in central arterial stiffness and a simultaneous reduction in heart rate variability. As biomass is used for cooking and heating by a large fraction of the global population and is currently advocated as a sustainable alternative energy source, further studies are required to establish its likely impact on cardiovascular disease.

trial registrationClinicalTrials.gov, NCT01488500.

Indexed as

AdultBlood PressureCross-Over StudiesDouble-Blind MethodExercise TestFemaleHeart RateHumansInhalation ExposureMalePulse Wave AnalysisRisk AssessmentSmokeTime FactorsVascular StiffnessWoodSmoke

Identifiers

PMID23742058
PMCPMC3685524
OpenAlexW2144560593

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.