Evidence map›Paper›PMID 26352250›Full record

ArticleEpidemiology (Cambridge, Mass.)2015

Ambient Ammonia Exposures in an Agricultural Community and Pediatric Asthma Morbidity.

Christine Loftus, Michael Yost, Paul Sampson, Elizabeth Torres, Griselda Arias, Victoria Breckwich Vasquez, Kris Hartin, Jenna Armstrong, Maria Tchong-French, Sverre Vedal and 2 more

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Influence ofAnimals : an open access journal from MDPI · 2025
    Article
  10. Review
  11. Airborne chemical pollution and children's asthma incidence rate in Minsk.Journal of preventive medicine and hygiene · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Effects of Low-level Occupational Exposure to Ammonia on Hematological Parameters and Kidney Function.The international journal of occupational and environmental medicine · 2019
    Article
  17. Article
  18. Review
  19. Proximity to Industrial Food Animal Production and Asthma Exacerbations in Pennsylvania, 2005-2012.International journal of environmental research and public health · 2017
    Article
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

12 authors at 1 institution in 1 country.

Christine LoftusFrom the aDepartment of Epidemiology, University of Washington, Seattle, WA; bDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA; cDepartment of Statistics, College of Arts and Sciences, University of Washington, Seattle, WA; dNorthwest Communities Education Center, Radio KDNA, Granger, WA; eYakima Valley Farm Workers Clinic, Yakima, WA; fPacific Northwest Agricultural Safety and Health Center, School of Public Health, University of Washington, Seattle, WA; and gDepartment of Pediatrics, School of Medicine, University of Washington, Seattle, WA.
Michael Yost
Paul Sampson
Elizabeth Torres
Griselda Arias
Victoria Breckwich Vasquez
Kris Hartin
Jenna Armstrong
Maria Tchong-French
Sverre Vedal
Parveen Bhatti
Catherine Karr
Florida State University · US

Funding

University of Washington Reproductive, Perinatal and Pediatric Epidemiology T32HD052462 · NICHD · UNIVERSITY OF WASHINGTON · PI HOLT, VICTORIA L · 2006 to 2017
$2.7M
Aggravating Factors of Asthma in a Rural EnvironmentR21ES017906 · NIEHS · UNIVERSITY OF WASHINGTON · PI KARR, CATHERINE J · 2009 to 2012
$1.2M
NICHD NIH HHS HD052462-01NICHD NIH HHS T32 HD052462NIEHS NIH HHS 5R21ES17906-2NIEHS NIH HHS R21 ES017906
6 · The paper itself

Abstract

backgroundLarge-scale animal feeding operations compromise regional air quality in the rural US through emission of pollutants, such as ammonia gas. Exposure to airborne pollution from animal feeding operations may cause pediatric asthma exacerbations in surrounding communities.

objectivesTo describe spatial and temporal patterns in ambient ammonia concentrations in an agricultural region, and to investigate associations between short-term fluctuations in ammonia and subsequent changes in respiratory health in children with asthma.

methodsFor 13 months in the Yakima Valley of Washington State, 14 monitors sampled ammonia in outdoor air for 24-hour periods every 6 days. School-age children with asthma (n = 51) were followed for two health outcomes: biweekly reports of asthma symptoms and quick relief medication usage, and daily measurements of forced expiratory volume in 1 second. We assessed associations between each outcome and ammonia using generalized estimating equations.

resultsTwenty-four-hour ammonia concentrations varied from 0.2 to 238.1 μg/m during the study period and displayed a strong correlation with proximity to animal feeding operations. The percentage of forced expiratory volume in 1 second was 3.8% lower (95% confidence interval = 0.2, 7.3) per interquartile increase in 1-day lagged ammonia concentration and 3.0% lower (95% confidence interval = 0.5, 5.8) for 2-day lagged concentration. We observed no associations between self-reported asthma symptoms or medication usage and estimated ammonia exposure.

conclusionsAmmonia concentrations were elevated in this community and strongly predicted by proximity to animal feeding operations. Ammonia's association with acute lung function decrements in children with asthma in the surrounding community may be causal or, alternatively, ammonia may be a marker for other pollutants from animal feeding operations associated with respiratory effects.

Indexed as

AmmoniaAgricultureAir PollutionAir Pollution, IndoorAnimal HusbandryAnti-Asthmatic AgentsAsthmaChildCommunity-Based Participatory ResearchEnvironmental ExposureFemaleForced Expiratory VolumeHumansLongitudinal StudiesMaleWashingtonAmmoniaAnti-Asthmatic Agents

Identifiers

PMID26352250
PMCPMC4587379
OpenAlexW1678583113

What OpenQuestion holds

Textmetadata
LicenceTDM
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.