Impact of residential solid fuel usage and fuel conversion on children’s lung function

Yanwen Wang, Can Zhang, Wenjing Zhang, Dandan Xu, Zhen Ding, Hong Jin, Xiaofeng Wang, Jie Zhang, Liangliang Cui, Yangyang Wu, Lei Huang () and Tiantian Li ()
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Yanwen Wang: National Institute of Environmental Health, Chinese Center for Disease Control and Prevention
Can Zhang: National Institute of Environmental Health, Chinese Center for Disease Control and Prevention
Wenjing Zhang: National Institute of Environmental Health, Chinese Center for Disease Control and Prevention
Dandan Xu: Zhejiang Provincial Center for Disease Control and Prevention
Zhen Ding: Jiangsu Provincial Center for Disease Control and Prevention
Hong Jin: Hebei Provincial Center for Disease Control and Prevention
Xiaofeng Wang: Zhejiang Provincial Center for Disease Control and Prevention
Jie Zhang: Henan Provincial Center for Disease Control and Prevention
Liangliang Cui: Jinan Municipal Center for Disease Control and Prevention
Yangyang Wu: Nanjing University
Lei Huang: Nanjing University
Tiantian Li: National Institute of Environmental Health, Chinese Center for Disease Control and Prevention

Nature Communications, 2024, vol. 15, issue 1, 1-7

Abstract: Abstract Solid fuel combustion exposure is a leading global health risk factor, yet evidence on its effects, especially on vulnerable children, is sparse. This large-scale, multi-center prospective study aimed to address this gap by involving 9997 schoolchildren across China between 2013 and 2015. Here we show that lung function levels exhibited a marginally significant decline among children exposed to solid fuel usage. Specifically, FVC and FEV1 decreased by 21.2 mL (95% CI: −15.7, 58.1) and 24.1 mL (−8.4, 56.6), respectively. Additionally, PEF, FEF25 and FEF75 decreased by 25.7 mL/s (−46.5, 98.0), 32.7 mL/s (−42.7, 108.2), and 35.4 mL/s (−5.9, 76.7), respectively. Persistent exposure to solid fuel usage in children led to greater lung damage. Children with allergy history were more susceptible to solid fuel exposure. Our study highlights the adverse impact of solid fuel usage on children and the need to promote clean fuel usage for this vulnerable population.

Date: 2024
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DOI: 10.1038/s41467-024-53386-z

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