The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study
Background: Physical limitation, which has been linked to outdoor air pollution exposure in previous studies, is a risk factor for disability and even for premature death. Although people often spend more time indoors, the relationship between indoor air pollution and physical function has not been...
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doaj-48ce2a63b6c5489da195c3932165fecf2021-04-23T06:16:35ZengElsevierEcotoxicology and Environmental Safety0147-65132021-04-01213112053The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional studyLimin Cao0Jie Gao1Yang Xia2The Third Central Hospital of Tianjin, 83 Jintang Road, Hedong District, Tianjin 300170, China; Key Laboratory of Extracorporeal Life Support for Critical Disease, Hedong District, Tianjin 300170, ChinaThe Third Central Hospital of Tianjin, 83 Jintang Road, Hedong District, Tianjin 300170, China; Key Laboratory of Extracorporeal Life Support for Critical Disease, Hedong District, Tianjin 300170, China; Corresponding author at: The Third Central Hospital of Tianjin, 83 Jintang Road, Hedong District, Tianjin 300170, China.Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China; Correspondence to: Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, No. 36, San Hao Street, Shenyang, Liaoning 110004, China.Background: Physical limitation, which has been linked to outdoor air pollution exposure in previous studies, is a risk factor for disability and even for premature death. Although people often spend more time indoors, the relationship between indoor air pollution and physical function has not been fully explored. Methods: The associations of household fuel types with self-reported and performance-based physical functioning were tested on a total of 12,458 participants in the China Health and Retirement Longitudinal Study (CHARL), using generalized linear models and logistic regression models. Additionally, subgroup analyses according to smoking status and number of chronic diseases, were performed regarding these associations. Results: Our results revealed that after adjusting for potential confounds, solid fuel use in cooking showed −0.08 (−0.13, −0.04) and −0.15 (−0.23, −0.06) declines in self-reported and performance-based physical functioning scores (higher scores means fewer physical limitations), when compared with cleaner groups, respectively. Considering these outcomes as binary variables, the ORs (95% CIs) for abnormal self-reported and performance-based physical functioning in the solid fuel cooking group were 1.226 (1.053–1.427) and 1.194 (1.072–1.330), respectively. No significant association between heating fuel use and physical functioning was observed. Additionally, no modification effect of smoking status and the number of chronic diseases on the association between cooking fuel use and performance-based physical functioning was observed (P > 0.05). Conclusion: Our findings suggested that solid cooking fuel use may be associated with self-reported and performance-based physical functioning decline of middle-aged and elder Chinese populations.http://www.sciencedirect.com/science/article/pii/S0147651321001640Solid fuel useShort physical performance batteryActivity daily living scalePhysical limitationPopulation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Limin Cao Jie Gao Yang Xia |
spellingShingle |
Limin Cao Jie Gao Yang Xia The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study Ecotoxicology and Environmental Safety Solid fuel use Short physical performance battery Activity daily living scale Physical limitation Population |
author_facet |
Limin Cao Jie Gao Yang Xia |
author_sort |
Limin Cao |
title |
The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study |
title_short |
The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study |
title_full |
The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study |
title_fullStr |
The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study |
title_full_unstemmed |
The effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older Chinese populations: A cross-sectional study |
title_sort |
effects of household solid fuel use on self-reported and performance-based physical functioning in middle-aged and older chinese populations: a cross-sectional study |
publisher |
Elsevier |
series |
Ecotoxicology and Environmental Safety |
issn |
0147-6513 |
publishDate |
2021-04-01 |
description |
Background: Physical limitation, which has been linked to outdoor air pollution exposure in previous studies, is a risk factor for disability and even for premature death. Although people often spend more time indoors, the relationship between indoor air pollution and physical function has not been fully explored. Methods: The associations of household fuel types with self-reported and performance-based physical functioning were tested on a total of 12,458 participants in the China Health and Retirement Longitudinal Study (CHARL), using generalized linear models and logistic regression models. Additionally, subgroup analyses according to smoking status and number of chronic diseases, were performed regarding these associations. Results: Our results revealed that after adjusting for potential confounds, solid fuel use in cooking showed −0.08 (−0.13, −0.04) and −0.15 (−0.23, −0.06) declines in self-reported and performance-based physical functioning scores (higher scores means fewer physical limitations), when compared with cleaner groups, respectively. Considering these outcomes as binary variables, the ORs (95% CIs) for abnormal self-reported and performance-based physical functioning in the solid fuel cooking group were 1.226 (1.053–1.427) and 1.194 (1.072–1.330), respectively. No significant association between heating fuel use and physical functioning was observed. Additionally, no modification effect of smoking status and the number of chronic diseases on the association between cooking fuel use and performance-based physical functioning was observed (P > 0.05). Conclusion: Our findings suggested that solid cooking fuel use may be associated with self-reported and performance-based physical functioning decline of middle-aged and elder Chinese populations. |
topic |
Solid fuel use Short physical performance battery Activity daily living scale Physical limitation Population |
url |
http://www.sciencedirect.com/science/article/pii/S0147651321001640 |
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