Investigation of source and infiltration of toxic metals in indoor PM2.5 using Pb isotopes during a season of high pollution in an urban area.

Lead (Pb) isotope ratio has been applied in source investigation for particulate matter in size < 2.5 µm. However, arsenic (As) and cadmium (Cd) are carcinogenic to human and their isotope analysis is difficult. This study investigated whether the Pb isotope ratio was a useful indicator in identifying the sources of As and Cd indoors and investigating its influencing factors. This study also calculated the infiltration factor (Finf) for metals to assess the influences of indoor- and outdoor-generated metals to indoor air. The As and Cd concentrations in indoor air were 0.87 ± 0.69 and 0.19 ± 0.15 ng/m3, respectively; the corresponding values for outdoor air were 1.44 ± 0.80 and 0.33 ± 0.19 ng/m3. The Finf of As and Cd were 0.60 ± 0.37 and 0.58 ± 0.39, and outdoor was a predominant contributor to indoor As and Cd. The Pb isotopes ratio indicated that traffic-related emission was a major contributor to Pb. The Pb concentration was associated with those of As and Cd in indoor or outdoor air, as was the 208Pb/207Pb ratio in outdoor air. Significant correlations between indoor 208Pb/207Pb values and As and Cd concentrations in indoor air were found only in study houses with air change rate > 1.5 h-1. These findings suggested that traffic-related emission was identified as a major source of As and Cr. The 208Pb/207Pb is a useful indicator in investigating the source of As and Cd; however, the air change rate influences the applicability of this approach on source identification.

Stable C and N isotopes of PM2.5 and size-segregated particles emitted from incense stick and cigarette burning.

This work measured the δ13C and δ15N signatures in PM2.5 and size-segregated particles emitted from incense stick and cigarette burning in different brands or nicotine contents for pollution source identification indoors. Three popular brands of incense stick and cigarette were selected for experiments. A personal environmental monitoring sampler and a Sioutas cascade impactor were used to collect PM2.5 and size-segregated particles, respectively, for isotopic signatures analyses. Our data showed that both δ13C and δ15N values were heavier from incense stick burning (δ13C: 27.3 ± 0.5; δ15N: 8.63 ± 1.35) than cigarette (δ13C: 28.5 ± 0.2; δ15N: 4.15 ± 0.69). The scatter plots of δ13C and TC/PM2.5 and of δ15N and TN/PM2.5 can be applied to distinguish particle pollution sources and assess the influence of cigarette burning to PM2.5 according to different nicotine contents. The δ13C values in size-segregated particles were similar to incense stick or cigarette burning; the δ13C values in PM2.5 were significantly higher than those in size-segregated particles. However, the nitrogen amount was too low in most of the size-segregated particles to analyze δ15N from incense stick and cigarette burning. These results suggest that the δ13C signatures on PM2.5 cannot represent the isotopic characteristics of size-segregated particles and δ15N has limitation for pollution source identification of different particle sizes.

Estimations of infiltration factors of diurnal PM2.5 and heavy metals in children's bedrooms.

Children are the sensitive population to fine particulate matter (PM2.5 ) exposure and spend most of their time in bedroom. Infiltration factor (Finf ) can be used to calculate the fraction of total indoor PM2.5 with outdoor origin to increase the accuracy of exposure assessment. However, studies have ignored the diurnal variations of PM2.5 Finf values, and a few studies have estimated Finf values for heavy metals in PM2.5 in children's bedrooms. To calculate the PM2.5 Finf , real-time indoor and outdoor PM2.5 concentrations and occupants' activities were collected in 56 study bedrooms. At 22 of the 56 study bedrooms, PM2.5 samples were also collected for heavy metals analysis. We noted the PM2.5 Finf was higher during the daytime (0.70 ± 0.23) than nighttime (0.54 ± 0.27) during the hot season, and the time of air conditioner use was longer at nighttime. The largest Finf value of heavy metal was V (0.88 ± 0.25), followed by Pb (0.85 ± 0.28), Mn (0.72 ± 0.26), Cr (0.69 ± 0.35), and Zn (0.61 ± 0.32), with a larger variation. Our findings suggest that the estimations of diurnal PM2.5 and heavy metals Finf values are necessary to increase the accuracy of exposure assessment.

Psychometric properties of a novel instrument for evaluating indoor air pollution health literacy in adults.

This study aimed to develop and validate the psychometric properties of a novel instrument that measures Indoor Air Pollution Health Literacy (IAPHL). The qualitative phase was conducted to design questions based on the conceptual model of the European Health Literacy Survey Questionnaire. We developed a 38-item instrument covering 12 constructs, that is, four information competencies within three health domains to assess IAPHL. A cross-sectional online video survey of 647 adults aged 20 years and above in Taiwan was conducted. Various measures of validity and reliability coefficients were assessed to indicate the psychometric properties of the IAPHL instrument. The content validity indices for relevance, importance, and clarity of the 38 questions were 0.97, 0.96, and 0.89, respectively. The model fit indices obtained from the confirmatory factor analysis supported the acceptable structures of the theoretically hypothetical 12-factor model (standardized root mean square residual = 0.055; root mean square error of approximation = 0.065). Internal consistency for the instrument showed a Cronbach's alpha of 0.96. The IAPHL instrument developed in this study showed satisfactory validity and reliability and can be used in future fieldwork.

Long-term allergen exposure induces adipose tissue inflammation and circulatory system injury.

The purpose of this study was to study whether allergen exposure can induce inflammation and lower the anti-inflammation levels in serum and in adipose tissues, and further develop cardiovascular injury. Our data showed that heart rate was significantly higher in the OVA-challenged mice compared to control mice. Moreover, there were higher expressions of pro-inflammation genes in the OVA-challenged mice in adipose tissues, and the expressions of anti-inflammation genes were lower. The levels of inflammation mediators were associated in serum and adipose tissues. The level of circulatory injury lactate dehydrogenase was significantly associated with the levels of E-selectin, resistin and adiponectin in the serum. The hematoxylin and eosin and immunohistochemistry stains indicated the OVA-challenged mice had higher levels of inflammation. In summary, the current study demonstrated allergen exposure can cause cardiovascular injury, and inflammatory mediators in adipose tissues play an important role in the pathogenesis of cardiovascular injury.

Seasonal and source characteristics of organophosphorus flame retardants in air and house dust in Taiwan residential microenvironments: Implications for young children's exposure and risk assessment using a probabilistic approach.

Organophosphate flame retardants (OPFRs) are prevalent in multiple industries. They have gradually replaced brominated flame retardants in recent years. Eleven OPFRs were collected from indoor air and house dust in two primary activity spaces--bedrooms and living rooms. The aim of the present study was to explore the potential sources of, and health risks associated with, OPFR exposure in young children using integrated and probabilistic approaches. The level of 11 indoor air OPFRs (466 ng/m3) in the bedroom was greater than that measured in the living room (379 ng/m3), and these values contrasted with those detected in dust. The air OPFRs in the warmer season were higher than those measured in the cold season; the inverse was true for those detected in house dust. In both activity spaces, the composition profiles indicated that tris(1-chloro-2-propyl)phosphate in indoor air (39%) and tris(2-butoxyethyl)phosphate in house dust (67%) were the dominant congeners. The average daily exposure dose (ADD) of OPFRs via air inhalation and dust ingestion did not differ significantly between preschool and school-aged children or based on sex. The Monte-Carlo-simulated 95th percentile ADD of the OPFRs in dust ingested by preschool children was 1.4 times higher. The OPFR exposure from air inhalation and dust ingestion in Taiwanese children is currently an acceptable non-carcinogenic risk and a negligible carcinogenic risk to Taiwan residents.

Spatial and seasonal variations in the carbon and lead isotopes of PM2.5 in air of residential buildings and their applications for source identification.

To understand isotope distributions of PM2.5 in residential buildings and apply them for source identification, carbon (δ13C) and lead (Pb) isotope ratios in indoor and outdoor air of residential buildings were analyzed. Moreover, factor analysis (FA) was employed to investigate sources, which were compared through isotopic analyses. The average δ13C values of indoor air are -26.94 ± 1.22‰ and -27.04 ± 0.44‰ in warm (August to October) and cold (February to March) seasons, respectively, and the corresponding values for outdoor air are -26.77 ± 0.54‰ and -26.57 ± 0.39‰. The average 206Pb/207Pb (208Pb/207Pb) ratios of indoor air are 1.1584 ± 0.0091 (2.4309 ± 0.0125) and 1.1529 ± 0.0032 (2.4227 ± 0.0081) in warm and cold seasons, respectively, and the corresponding values for outdoor air are 1.1594 ± 0.0069 (2.4374 ± 0.0103) and 1.1538 ± 0.0077 (2.4222 ± 0.0085). Seasonal variation in δ13C values or Pb isotope ratios of indoor air was not significant, and similar results were obtained for outdoor air. Significant differences were not observed between δ13C values or Pb isotope ratios of indoor and outdoor air. Traffic emission is the major contributor to indoor and outdoor PM2.5 based on isotopic analyses; this result was consistent with the results of FA. The δ13C values of indoor air in buildings with poor ventilation conditions were significantly lighter than those of outdoor air. In summary, the spatial and seasonal variations of isotopes were similar in residential buildings, which can be used to identify sources of indoor PM2.5, and ventilation condition is an influencing factor.

A study to characterize the lead isotopic fingerprint in PM2.5 emitted from incense stick and cigarette burning.

The incense sticks and cigarettes burning are key sources of particulate matter with a diameter of ≤ 2.5 µm (PM2.5) in indoor and outdoor air. While lead (Pb) isotope ratios provide valuable insights into the origin of particle pollution, their applicability for investigating these source remains unclear. The Pb isotope ratios in the PM2.5 emitted from these two sources were analyzed, and effects of brands or nicotine contents on the ratios were assessed. In addition, As, Cr, and Pb were analyzed to investigate whether Pb isotope ratios can serve as an indicator for the source investigation of these metals. We found that average ratios of 206Pb/204Pb, 206Pb/207Pb, and 208Pb/207Pb in cigarettes were heavier than those in incense sticks. Scatter plots of Pb isotope ratios indicated an overlap of values for incense sticks or cigarettes linked to different brands, in that ratios for cigarettes with high nicotine content were heavier than for those with low nicotine content. Scatter plots of As, Cr, or Pb concentration against Pb isotope ratios clearly distinguished the effects of cigarette burning versus incense sticks with respect to PM2.5 of these metals. Results indicate that brand differences did not affect the determination of PM2.5 in these two sources. We suggest that Pb isotope ratios can be a useful tool in investigating the influence of incense sticks and of cigarettes (with high or low nicotine content) burning to PM2.5 and associated metals.

Gas-phase and PM2.5-bound phthalates in nail salons: characteristics, exposure via inhalation, and influencing factors.

This study aimed to investigate the characteristics of, exposure to, and factors influencing gas-phase and PM2.5-bound phthalates (PAEs) in nail salons. Data on both indoor and outdoor gas-phase and PM2.5-bound PAEs, carbon dioxide (CO2), temperature, and relative humidity were collected in nail salons. We also used questionnaires to survey building characteristics and occupants' behaviors. The average total gas-phase and PM2.5-bound PAE concentrations indoors were higher than those outdoors by 6 and 3 times, respectively. Diethyl phthalate, diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), and di-(2-ethylhexyl) phthalate (DEHP) were the predominant compounds among both the gas-phase and PM2.5-bound PAEs in indoor air. The volume of the salon's space or the difference of indoor and outdoor CO2 concentrations (dCO2) was significantly associated with indoor PAE concentrations. The ratios of PM2.5-bound to gas-phase PAEs, especially high-molecular-weight PAEs, were positively associated with the dCO2 concentrations. Higher ratios of indoor to outdoor PM2.5-bound DiBP, DnBP, and DEHP concentrations were discovered when more clients visited each day. Building characteristics, ventilation conditions, and occupants' activities have influences on the gas-phase and particle-phase PAEs. The study identifies the characteristics of gas-phase and PM2.5-bound PAEs in nail salons and their influencing factors.

Investigating the associations between organophosphate flame retardants (OPFRs) and fine particles in paired indoor and outdoor air: A probabilistic prediction model for deriving OPFRs in indoor environments.

Contaminants of emerging concern such as organophosphate flame retardants (OPFRs) are associated with atmospheric fine particles (PM2.5), which pose the greatest health risk in the world. However, few surveys have explored the interaction between PM2.5 and OPFRs in residential paired indoor/outdoor environments. 11 priority OPFRs and PM2.5 were investigated across 178 paired indoor and outdoor air samples taken from 89 children's households in southern Taiwan, across cold and warm seasons. This involved exploring their associations with building characteristics, interior materials, and human activities. We developed a probabilistic predictive model for indoor OPFRs based on the indoor/outdoor (I/O) ratio of contaminants and an air quality index. The significant associations of paired indoor/outdoor OPFRs and PM2.5 were explored. The indoor level of OPFRs was greater than that of outdoor households, contrasting with PM2.5. The I/O OPFRs ratio was higher than 1 (except for TEHP, EHDPP, and TCP), which suggests that the sources of OPFRs were primarily emitted from indoors. Indoor TCEP was significantly positively associated with indoor and outdoor PM2.5. The OPFR level detected in apartments was higher than in houses due to the greater decoration, furniture and electronic devices. However, this was not the case for PM2.5. TCIPP was the dominant compound in paired indoor and outdoor air. The indoor OPFR predictive model obtained a high accuracy with an R2 value of 0.87. The material used in mattresses, the use of purifiers and heaters, and the total material area were the main influencing factors for indoor OPFRs in households. These findings could provide important evidence of the interaction between paired indoor/outdoor OPFRs and PM2.5 and interior equipment in different building types. In addition, it could prevent the potential risks posed by indoor/outdoor air pollutants and eliminate OPFR emissions through the selection of better construction and building materials.

Characteristics and influencing factors of airborne microplastics in nail salons.

Airborne microplastic particles (MPs) are emerging contaminants. Although some studies have investigated the characteristics of indoor MPs in homes or offices, information regarding MPs in nail salons with potentially higher MP pollution is unavailable. In this study, we collected indoor and outdoor air samples from nail salons to analyze the concentrations, physical characteristics, and polymers of MPs and further assessed the exposure through inhalation and influencing factors. Our data displayed that the average indoor MP concentration was 46 ± 55 MPs/m3. The estimated average annual exposure to indoor MPs was 67,567 ± 81,782 MPs/year. The predominant shape and size of indoor MPs were fragment and <50 µm, respectively. The predominant polymer in indoor air was acrylic (27%), followed by rubber (21%), and polyurethane (13%). Air conditioner, nail treatment, ceiling and flooring with plastic materials, and number of occupants were factors affecting indoor MP concentrations. We concluded that MP pollution was more severe in nail salons and the physical characteristics and polymer compositions differed between nail salons and other indoor spaces reported in other studies. Air conditioner usage induced higher MP emission, and higher MP concentrations were observed in nail salons with plastic ceiling and flooring or more occupants.

Impact of mold growth on di(2-ethylhexyl) phthalate emission from moist wallpaper.

Flood damage can increase indoor concentrations of di(2-ethylhexyl) phthalate (DEHP) and molds in households with wallpaper. Wallpaper water content can affect its DEHP emission into indoor environments; however, the influence of mold growth on this DEHP emission remains unclear. Here, we evaluated whether mold growth affects DEHP emission from moist wallpaper (moist WP). Experiments were conducted in glass chambers with wallpaper containing 12.7% (w/w) DEHP and a dust tray sample system at approximately 28 °C and 100% relative humidity (RH). The experimental groups were (1) moist WP, (2) moist WP + Aspergillus versicolor (AV), (3) moist WP + Cladosporium cladosporioides, (4) moist WP + Penicillium chrysogenum, and (5) moist WP + mold mixture. Mold growth on the wallpaper and DEHP emission into air and onto dust were analyzed at nine time-points over 30 days. Initially, the moist WP group emitted relatively high concentrations of DEHP into air, but after at least 8 days, the concentration of DEHP emitted by the mold-added groups exceeded that of the moist WP group. DEHP emission onto dust, especially from the moist WP group, increased considerably at day 15. During the experimental period, the moist WP (13.63 ± 4.67 µg) and moist WP + AV (13.93 ± 0.49 µg) groups emitted higher cumulative amounts of DEHP onto dust. During the 30-day experimental period, obvious mold growth occurred over days 15-30. Moreover, the moist WP group exhibited relatively higher and lower cumulative DEHP emission into air than the mold-added groups during days 2-10 (2.71 vs. 1.94-2.94 µg) and 15-30 (1.16 vs. 1.61-2.12), respectively; a contrasting trend was observed for cumulative DEHP emission onto dust. In conclusion, mold growth affects DEHP emission from water-damaged wallpaper, and the removal or cleaning of wet wallpaper, particularly those with visible mold growth, is critical from a public health perspective.

Isotopic signatures and source apportionment of Pb in ambient PM2.5.

Particulate lead (Pb) is a primary air pollutant that affects society because of its health impacts. This study investigates the source sectors of Pb associated with ambient fine particulate matter (PM2.5) over central-western Taiwan (CWT) with new constraints on the Pb-isotopic composition. We demonstrate that the contribution of coal-fired facilities is overwhelming, which is estimated to reach 35 ± 16% in the summertime and is enhanced to 57 ± 24% during the winter monsoon seasons. Moreover, fossil-fuel vehicles remain a major source of atmospheric Pb, which accounts for 12 ± 5%, despite the current absence of a leaded gasoline supply. Significant seasonal and geographical variations in the Pb-isotopic composition are revealed, which suggest that the impact of East Asian (EA) pollution outflows is important in north CWT and drastically declines toward the south. We estimate the average contribution of EA outflows as accounting for 35 ± 15% (3.6 ± 1.5 ng/m3) of the atmospheric Pb loading in CWT during the winter monsoon seasons.

Influence of Indoor Temperature Exposure on Emergency Department Visits Due to Infectious and Non-Infectious Respiratory Diseases for Older People.

Previous studies have demonstrated that outdoor temperature exposure was an important risk factor for respiratory diseases. However, no study investigates the effect of indoor temperature exposure on respiratory diseases and further assesses cumulative effect. The objective of this study is to study the cumulative effect of indoor temperature exposure on emergency department visits due to infectious (IRD) and non-infectious (NIRD) respiratory diseases among older adults. Subjects were collected from the Longitudinal Health Insurance Database in Taiwan. The cumulative degree hours (CDHs) was used to assess the cumulative effect of indoor temperature exposure. A distributed lag nonlinear model with quasi-Poisson function was used to analyze the association between CDHs and emergency department visits due to IRD and NIRD. For IRD, there was a significant risk at 27, 28, 29, 30, and 31 °C when the CDHs exceeded 69, 40, 14, 5, and 1 during the cooling season (May to October), respectively, and at 19, 20, 21, 22, and 23 °C when the CDHs exceeded 8, 1, 1, 35, and 62 during the heating season (November to April), respectively. For NIRD, there was a significant risk at 19, 20, 21, 22, and 23 °C when the CDHs exceeded 1, 1, 16, 36, and 52 during the heating season, respectively; the CDHs at 1 was only associated with the NIRD at 31 °C during the cooling season. Our data also indicated that the CDHs was lower among men than women. We conclude that the cumulative effects of indoor temperature exposure should be considered to reduce IRD risk in both cooling and heating seasons and NIRD risk in heating season and the cumulative effect on different gender.

Chemical and stable isotopic characteristics of PM2.5 emitted from Chinese cooking.

This study investigated the characteristics of air pollutants generated from preparing Chinese cuisine and analyzed the isotopic compositions of carbon and nitrogen in particulate matter with a diameter <2.5 µm (PM2.5) to source apportionment study. The CO and CO2 concentrations and temperatures were measured using suitable instruments in real time during cooking, including stir-fry, fry, deep-fry, hot-pot, and mixed cooking, and periods with non-cooking. Personal environmental monitoring instruments were used to collect PM2.5 for carbon and nitrogen elements and isotopes analysis. Our data indicated that the concentrations of CO and CO2 and the temperature were higher during periods of cooking, especially for the fry and stir-fry methods, than during periods with non-cooking. The concentrations of PM2.5, total carbon, and total nitrogen were also higher during cooking; the maximum concentrations were measured during fry. The values of δ13C were considerably lower during the periods of cooking (mean: -28.15‰) than during non-cooking (-27.18‰). The average values of δ15N were 8.63‰ and 11.74‰ during deep-fry and hot-pot cooking, respectively. The δ13C values can be used to distinguish between cooking and other non-cooking sources and further assess the effect of different cooking activities on PM2.5. The δ15N only can be used to investigate the effect of deep-fry on PM2.5. Moreover, the δ13C signature suggested that fry emits higher products of incomplete combustion than do other cooking activities. These findings can assist in pollution source identification of PM2.5, emission control, and the study of combustion characteristics.

Development of Hourly Indoor PM2.5 Concentration Prediction Model: The Role of Outdoor Air, Ventilation, Building Characteristic, and Human Activity.

Exposure to indoor particulate matter less than 2.5 µm in diameter (PM2.5) is a critical health risk factor. Therefore, measuring indoor PM2.5 concentrations is important for assessing their health risks and further investigating the sources and influential factors. However, installing monitoring instruments to collect indoor PM2.5 data is difficult and expensive. Therefore, several indoor PM2.5 concentration prediction models have been developed. However, these prediction models only assess the daily average PM2.5 concentrations in cold or temperate regions. The factors that influence PM2.5 concentration differ according to climatic conditions. In this study, we developed a prediction model for hourly indoor PM2.5 concentrations in Taiwan (tropical and subtropical region) by using a multiple linear regression model and investigated the impact factor. The sample comprised 93 study cases (1979 measurements) and 25 potential predictor variables. Cross-validation was performed to assess performance. The prediction model explained 74% of the variation, and outdoor PM2.5 concentrations, the difference between indoor and outdoor CO2 levels, building type, building floor level, bed sheet cleaning, bed sheet replacement, and mosquito coil burning were included in the prediction model. Cross-validation explained 75% of variation on average. The results also confirm that the prediction model can be used to estimate indoor PM2.5 concentrations across seasons and areas. In summary, we developed a prediction model of hourly indoor PM2.5 concentrations and suggested that outdoor PM2.5 concentrations, ventilation, building characteristics, and human activities should be considered. Moreover, it is important to consider outdoor air quality while occupants open or close windows or doors for regulating ventilation rate and human activities changing also can reduce indoor PM2.5 concentrations.

Cumulative effect of indoor temperature on cardiovascular disease-related emergency department visits among older adults in Taiwan.

Studies have demonstrated that exposure to extreme outdoor temperatures increases cardiovascular disease mortality and morbidity. However, people spend 80%-90% of their time indoors, and the cumulative effects of exposure to high or low temperature on the risk of cardiovascular diseases had not been considered. This study investigated the cumulative effects of high or low indoor temperature exposure on the risk of cardiovascular diseases. We estimated indoor temperatures by using a prediction model of indoor temperature from a previous study and further calculated the cumulative degree hours at different indoor temperature ranges. Samples of emergency department visits due to cardiovascular diseases were collected from the Longitudinal Health Insurance Database (LHID) from 2000 to 2014 in Taiwan. We used a distributed lag nonlinear model to analyze the data. Our data demonstrated a significant risk of emergency department visits due to cardiovascular diseases at 27, 28, 29, 30, and 31 °C when cooling cumulative degree hours exceeded 62, 43, 16, 1, and 1 during the hot season (May to October), respectively, and at 19, 20, 21, 22, and 23 °C when heating cumulative degree hours exceeded 1, 1, 1, 11, and 33 during the cold season (November to April), respectively. Cumulative degree hours were different according to gender and age groups. Policymakers should further consider the cumulative effects to prevent hot- or cold-related cardiovascular diseases for populations.

Application of a stable carbon isotope for identifying Broussonetia papyrifera pollen.

The objective of this study was to investigate whether δ13C values can be used to identify pollen specie in the atmosphere. A Burkard 7-day recording volumetric spore trap was used to collected pollens in the atmosphere in Tainan City, Taiwan, from January 2 to December 28, 2006, and a light microscope was used to identify the pollen species and concentrations. A Burkard cyclone sampler was used to collect particulate matter and an elemental analyzer with an isotope ratio mass spectrometer was used to analyze the δ13C values. Our data showed that the predominate pollen specie in the atmosphere was Broussonetia papyrifera pollen and that the annual average concentration was 27 grains/m3 (pollen season, 36; nonpollen season, 9 grains/m3). The average δ13C value was - 26.19‰ for particulate matter in the atmosphere (pollen season, - 26.00‰; nonpollen season, - 26.28‰). No significant association was observed between δ13C values and Broussonetia papyrifera pollen concentrations. However, the δ13C value in the atmosphere was associated with the levels of Broussonetia papyrifera pollen among the samples with a diameter of particulate matter smaller than 10 µm at a level lower than 40 µg/m3. In addition, the relative contribution of Broussonetia papyrifera pollen to the carbon in the atmosphere using a two end-member mixing models was found to be associated with the Broussonetia papyrifera pollen concentration. In summary, our study suggested that δ13C values can be applied in the assessment of Broussonetia papyrifera pollen specie under specific conditions in the atmosphere.

Association of Dietary Patterns With Global and Domain-Specific Cognitive Decline in Chinese Elderly.

BACKGROUND: Significant differences exist between eastern and western diets, and the way in which Chinese dietary intake relates to specific cognitive domains remains unclear. We aimed to assess the association between dietary patterns (DPs) and cognitive decline in Chinese elderly. SETTING: Participants were recruited from the elderly health checkup program of a teaching hospital in Taipei, Taiwan. PARTICIPANTS: A total of 475 elders (age ≥65) were included in this prospective cohort study. MEASUREMENTS: The outcome comprised the decline of global and domain-specific cognition between baseline (2011-2013) and follow-up (2013-2015). Dietary data from the previous year were collected via a food frequency questionnaire at baseline, and a factor analysis was performed to identify DPs. Multivariable linear regression and logistic regression models were used to assess associations between Chinese DPs and cognitive decline over 2 years adjusting for selected covariates. RESULTS: Three DPs (vegetable, meat, and traditional) were identified. Moderate- or high-score "vegetable" DP significantly protected against decline of logical memory (recall I: ß = 0.16-0.18, odds ratio (OR) = 0.42-0.48; recall II: ß = 0.17-0.21); while high-score DP increased executive function decline (ß = -0.22). A high-score "meat" DP was related to decline of verbal fluency-total score (ß = -0.19); while moderate- or high-score "meat" DP protected against attention decline (ß = 0.20-0.22). High-score "traditional" DP protected against decline of logical memory-recall I (ß = 0.18). No significant association was observed for global cognition. CONCLUSION: These findings suggest that three DPs identified in Chinese elderly were associated with different cognitive domains. Further research is needed to explore the efficacy of dietary interventions in reducing cognitive decline in older adults.

Association between indoor air pollutant exposure and blood pressure and heart rate in subjects according to body mass index.

This study investigates the effects of high body mass index (BMI) of subjects on individual who exhibited high cardiovascular disease indexes with blood pressure (BP) and heart rate (HR) when exposed to high levels of indoor air pollutants. We collected 115 office workers, and measured their systolic blood pressure (SBP), diastolic blood pressure (DBP) and HR at the end of the workday. The subjects were divided into three groups according to BMI: 18-24 (normal weight), 24-27 (overweight) and >27 (obese). This study also measured the levels of carbon dioxide (CO2), total volatile organic compounds (TVOC), particulate matter with an aerodynamic diameter less than 2.5µm (PM2.5), as well as the bacteria and fungi in the subjects' work-places. The pollutant effects were divided by median. Two-way analysis of variance (ANOVA) was used to analyze the health effects of indoor air pollution exposure according to BMI. Our study showed that higher levels of SBP, DBP and HR occurred in subjects who were overweight or obese as compared to those with normal weight. Moreover, there was higher level of SBP in subjects who were overweight or obese when they were exposed to higher levels of TVOC and fungi (p<0.05). We also found higher value for DBP and HR with increasing BMI to be associated with exposure to higher TVOC levels. This study suggests that individuals with higher BMI have higher cardiovascular disease risk when they are exposed to poor indoor air quality (IAQ), and specifically in terms of TVOC.