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This panel study aims to evaluate the effects of air pollutants on cardiopulmonary health of patients with chronic obstructive pulmonary disease (COPD) and explore the potential biological mechanisms.
This panel study was conducted in a group of stable patients with COPD in Beijing, China. The health measurements including lung function, blood pressure and airway inflammation were conducted, and morning urine, exhaled breath condensate, saliva and venous blood were collected at the time of enrollment and at 3, 6 and 9 months after enrollment. Individual exposures to fine particulate matter (PM2.5), black carbon (BC), ozone (O3) and nitrogen dioxide (NO2) were performed for 24 hours at each follow-up. And the daily concentrations of air pollutants were collected from the Beijing Air Quality Real-time Publishing Platform and meteorological data were collected from the National Meteorological Information Center. The linear mixed effects model was used to analyze the association between air pollution and cardiopulmonary health in patients with COPD.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Air pollutants | Other | Particulate matter and gaseous pollutants |
| Measure | Description | Time Frame |
|---|---|---|
| Lung function | Lung function test was conducted. | Nine months |
| Measure | Description | Time Frame |
|---|---|---|
| COPD Assessment Test scores | COPD Assessment Test (CAT) scores were used to assess quality of life in COPD patients on a scale of 0 to 40, with higher scores associated with poorer outcomes. | Nine months |
| Modified British Medical Research Council (mMRC) Questionnaire score |
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Inclusion Criteria:
Exclusion Criteria:
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Stable COPD patients aged 40-80 in Beijing, China
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| Name | Affiliation | Role |
|---|---|---|
| Furong Deng, Doctor | Peking University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University | Beijing | China | 100191 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41825861 | Derived | Chen B, Zhang W, Chen Y, Zhao C, Zhang Z, Li S, Zhao L, Guo L, Shima M, Yoda Y, Wu S, Guo X, Deng F. Short-term effects of size-fractioned particulate matter on blood pressure in patients with COPD: the key role of inflammatory phenotypes. Thorax. 2026 Mar 13:thorax-2025-224085. doi: 10.1136/thorax-2025-224085. Online ahead of print. | |
| 40541407 |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| ID | Term |
|---|---|
| D000393 | Air Pollutants |
| ID | Term |
|---|---|
| D004785 | Environmental Pollutants |
| D004786 | Toxic Actions |
| D020164 | Chemical Actions and Uses |
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Morning urine, exhaled Breath Condensate, saliva and venous blood
Modified British Medical Research Council (mMRC) Questionnaire score was used to assess the severity of dyspnea on a scale of 0 to 4, with a higher score indicating a worse outcome. |
| Nine months |
| ST. George's Respiratory Questionnaire scores | ST. George's Respiratory Questionnaire (SGRQ) scores were used to assess quality of life in patients with COPD on a scale of 0 to 100, with higher scores indicating poorer outcomes. | Nine months |
| Blood pressure | Systolic and diastolic blood pressure of participants were measured at least three times by a trained technician. | Nine months |
| Respiratory inflammation | Fractional exhaled nitric oxide (FeNO) test was conducted. | Nine months |
| Airway and systemic oxidative stress levels | Exhaled Breath Condensate (EBC) and urine samples were collected for oxidative stress analysis. | Nine months |
| Systemic inflammation | Venous blood was collected for determination of systemic inflammatory biomarkers. | Nine months |
| Zhang W, Chen B, Shima M, Zhao C, Guo L, Yoda Y, Li S, Wu S, Chen Y, Guo X, Deng F. PM2.5 as a risk factor for sleep oxygen desaturation in COPD: identifying susceptible individuals by smoking and inflammatory phenotypes. Thorax. 2025 Sep 15;80(10):683-692. doi: 10.1136/thorax-2025-223140. |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |