Exposure to Household Air Pollutants and Endothelial Dysfunction in Rural Bangladesh: A Cross-sectional Study

Methods: We measured exposure to HAP (particulate matter [PM2.5], carbon monoxide [CO], and black carbon [BC]) for 48 hours of 200 healthy nonsmoker adult females who used biomass fuel for cooking. Exposure to PM2.5 and BC were measured using personal monitor, RTI MicroPEM (RTI International, NC) with an internal filter that had been both pre- and post-weighed to capture the deposited pollutants concentration. Lascar CO logger was used to measure CO. Endothelial function was measured by forearm blood flow dilatation response to brachial artery occlusion using RHI based on peripheral artery tonometry. A low RHI score (<1.67) indicates impaired endothelial function.

Results: Average 48 hours personal exposure to PM2.5 and BC were 144.15 μg/m (SD 61.26) and 6.35 μg/m (SD 2.18), respectively. Interquartile range for CO was 0.73 ppm (0.62-1.35 ppm). Mean logarithm of RHI (LnRHI) was 0.57 in current data. No statistically significant association was observed for LnRHI with PM2.5 (odds ratio [OR] = 0.97; 95% confidence interval [CI] = 0.92, 1.01; = 0.16), BC (OR = 0.85; 95% CI = 0.72, 1.01; = 0.07), and CO (OR = 0.89; 95% CI = 0.64, 1.25; = 0.53) after adjusting for potential covariates.

Conclusions: In conclusion, HAP was not associated with endothelial dysfunction among nonsmoking females in rural Bangladesh who used biomass fuel for cooking for years.