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Antioxidant supplementation and respiratory functions among workers exposed to high levels of ozone.
Romieu, I; Meneses, F; Ramirez, M; Ruiz, S; Perez Padilla, R; Sienra, J J; Gerber, M; Grievink, L; Dekker, R; Walda, I; Brunekreef, B.
Afiliación
  • Romieu I; Pan American Health Organization; Instituto Nacional de Salud Publica, Cuernavaca, Mor; Instituto de Investigacion en Matematica Aplicada y Sistemas, Universidad Autonoma de Mexico, Mexico DF. iar9@cdc.gov
Am J Respir Crit Care Med ; 158(1): 226-32, 1998 Jul.
Article en En | MEDLINE | ID: mdl-9655734
Ozone exposure has been related to adverse respiratory effects, in particular to lung function decrements. Antioxidant vitamins are free-radical scavengers and could have a protective effect against photo-oxidant exposure. To evaluate whether acute effects of ozone on lung functions could be attenuated by antioxidant vitamin supplementation, we conducted a randomized trial using a double-blind crossover design. Street workers (n = 47) of Mexico City were randomly assigned to take daily a supplement (75 mg vitamin E, 650 mg vitamin C, 15 mg beta carotene) or a placebo and were followed from March to August 1996. Pulmonary function tests were done twice a week at the end of the workday. During the follow-up, the mean 1-h maximum ozone level was 123 ppb (SD = 40). During the first phase, ozone levels were inversely associated with FVC (beta = -1.60 ml/ppb), FEV1 (beta = -2.11 ml/ppb), and FEF25-75 (beta = -4.92 ml/ppb) (p < 0.05) in the placebo group but not in the supplement group. The difference between the two groups was significant for FVC, FEV1, and FEF25-75 (p < 0.01). During the second phase, similar results were observed, but the lung function decrements in the placebo group were smaller, suggesting that the supplementation may have had a residual protective effect on the lung. These results need to be confirmed in larger supplementation studies.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ozono / Respiración / Exposición Profesional / Beta Caroteno / Suplementos Dietéticos / Antioxidantes Tipo de estudio: Clinical_trials Límite: Adolescent / Adult / Humans / Male / Middle aged Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 1998 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ozono / Respiración / Exposición Profesional / Beta Caroteno / Suplementos Dietéticos / Antioxidantes Tipo de estudio: Clinical_trials Límite: Adolescent / Adult / Humans / Male / Middle aged Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 1998 Tipo del documento: Article Pais de publicación: Estados Unidos