Effect of pulmonary intervention and vitamin C supplementation on respiratory health status of people exposed to air pollution at Tirupati, Chittoor district, Andhra Pradesh

Authors

  • P. M. Prathiba College of Nursing, ESIC Medical College and Hospital, Kalaburagi, Karnataka, India
  • M. Aruna Department of Home Science, Sri Padmavati Mahila Visvavidyalyam, Tirupati, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240335

Keywords:

Pulmonary intervention, Vitamin C supplementation, Respiratory health related quality of life

Abstract

Background: Air pollution is a significant issue of global concern with implications for public health. The primary objective of this study was to evaluate the impact of air pollution on the respiratory health of individuals who are exposed to air pollution in Tirupati, Chittoor District, Andhra Pradesh.

Methods: The present study utilised a quantitative methodology and employed a randomised control design. A total of 300 individuals using cluster sampling method were selected for this study and divided into four groups. Three of these groups received different interventions, namely pulmonary intervention, vitamin C supplementation, and a combination of pulmonary intervention and vitamin C supplementation, the fourth group served as the control group. These groups were investigated simultaneously and their outcomes were compared.

Results: A notable disparity is observed in the mean scores between the pre-test and post-test measurements in the pulmonary intervention group (t=2.06, p=0.001), vitamin C supplementation group (t=3.22, p<0.001), and the combined pulmonary intervention and vitamin C supplementation group (t=3.99, p<0.000). Conversely, the control group (t=1.21, p=0.23) did not exhibit a significant difference in the pre-test and post-test mean scores. A statistically significant difference was seen in the mean post-test scores between the experimental and control groups indicated by the derived f=3.578 and a corresponding p=0.014, which met threshold for statistical significance at the p<0.05 level.

Conclusions: From the study findings it is concluded that Pulmonary intervention and vitamin C supplementation has a positive impact on respiratory health status of people exposed to air pollution.

References

Dockery DW: Epidemiologic evidence of cardiovascular effects of particulate air pollution. Environ Health Perspect. 2001;109(4):483-6.

Boogaard H, Walker K, Cohen AJ. Air pollution: the emergence of a major global health risk factor; Int Health. 2019;13;11(6):417-21.

Anonymous: Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. Am J Respir Crit Care Med. 1996;153(1):3-50.

Anspaugh MH, Hamrisk R. Wellness: Concepts and Applications; 6th edition, McGraw Hill Publication. 2011;4.

Di Novi C. The influence of traffic-related pollution on individuals' life- style: results from the BRFSS; Health Econ., 2010;19(11):1318-44.

Gombart AF, Pierre A, Maggini S. A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients. 2020;12(1):236.

Kaluvagunta V, Musali K. Air quality monitoring at residential areas in and around Tirupati-a well-known pilgrimage site in India. Indian J Sci Technol. 2011;4:11.

Santino TA, Chaves GS, Freitas DA, Fregonezi GA, Mendonça KM. Breathing exercises for adults with asthma, Cochrane Database Syst Rev. 2020;3(3):CD001277.

Aga khan University Hospital. Karachi, Deep breathing and coughing exercise-A guide to patients and families. 2020. Available at: https://hospitals.aku.edu/pakistan/patients-families/English.pdf. Accessed on 10 January 2024.

Singh B, Kumar A. Value and environmental education, friends’ publication, New Delhi, India. 2021;115.

Padayatty SJ, Katz A, Wang Y, Eck P, Kwon O, Lee JH, et al. Vitamin C as an antioxidant: evaluation of its role in disease prevention, J Am Coll Nutr. 2003;22(1):18-35.

Kelly FJ, Mudway I, Blomberg A, Frew A, Sandstrom T. Altered lung antioxidant status in patients with mild asthma, Lancet. 1999;354(9177):482-3.

Padayatty SJ, Katz A, Wang Y, Eck P, Kwon O, Lee JH, et al. Vitamin C as an antioxidant: evaluation of its role in disease prevention, J Am Coll Nutr. 2003;22(1):18-35.

Romieu I. Antioxidant supplementation and nasal inflammatory responses among young asthmatics exposed to high levels of ozone, Clin Exp Immunol. 2004;138(2):317-22.

Sram RJ, Binkova B, Rossner P Jr. Vitamin C for DNA damage prevention. Mutat Res. 2012;733(1-2):39-49.

Corhay JL, Dang DN, Van Cauwenberge H, Louis R. Pulmonary rehabilitation and COPD: providing patients a good environment for optimizing therapy. Int J Chron Obstruct Pulmon Dis. 2014;9:27-39.

Pirabbasi E, Shahar S, Manaf ZA, Rajab NF, Manap RA. Efficacy of ascorbic acid (vitamin C) and/N-acetylcysteine (NAC) supplementation on nutritional and antioxidant status of male chronic obstructive pulmonary disease (COPD) patients. J Nutr Sci Vitaminol. 2016;62(1):54-61.

Incorvaia C, Russo A, Foresi A, Berra D, Elia R, Passalacqua G, et al. Effects of pulmonary rehabilitation on lung function in chronic obstructive pulmonary disease: the FIRST study. Eur J Phys Rehabil Med. 2014;50(4):419-26.

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Published

2024-02-19

How to Cite

Prathiba, P. M., & Aruna, M. (2024). Effect of pulmonary intervention and vitamin C supplementation on respiratory health status of people exposed to air pollution at Tirupati, Chittoor district, Andhra Pradesh. International Journal Of Community Medicine And Public Health, 11(3), 1141–1147. https://doi.org/10.18203/2394-6040.ijcmph20240335

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Original Research Articles