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07-08-2022

Physical activity attenuates the association between household air pollution and health-related quality of life in Chinese rural population: the Henan Rural Cohort Study

Authors: Caiyun Zhang, Xiaotian Liu, Ning Kang, Xiaoyu Hou, Wei Liao, Yinghao Yuchi, Zhongao Ding, Bota Baheti, Gaohua Chang, Zhenxing Mao, Wenqian Huo, Jian Hou, Chongjian Wang

Published in: Quality of Life Research | Issue 11/2022

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Abstract

Background and purpose

Limited research focused on the association between household air pollution (HAP) and health-related quality of life (HRQoL). This study aimed to investigate the association of HAP with HRQoL and the effect modification of physical activity.

Method

A total of 16,761 eligible participants were derived from the Henan Rural Cohort Study. Based on structured questionnaires, HAP was assessed by fuel type, cooking duration and kitchen ventilation; HRQoL was measured with utility index and VAS score from the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L); physical activity was assessed by the International Physical Activity Questionnaire. Generalized linear models and tobit regression models were utilized to explore the relationship of HAP with HRQoL. Further sensitivity analyses were conducted using structural equation models.

Results

Compared with those who cooked with clean fuels, short-duration, or good kitchen ventilation, participants who cooked with solid fuels, long-duration, and poor ventilation had lower utility index and VAS score (All P < 0.001). The decrease in utility index for solid fuel users vs. clean fuel users were 0.06 [95%confidence interval (CI) 003, 0.08], 0.03 (95%CI 0.01, 0.04) and 0.02 (95%CI 0.01, 0.04) in low, moderate and high physical activity group, respectively, which decreased with physical activity levels (P_{for interaction} < 0.05). Similar results were observed in associations of kitchen ventilation with utility index and VAS score.

Conclusion

HAP negatively associated with HRQoL in rural population, and potential intervention aimed at maintaining adequate physical activity.

Trail registration

The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375.

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Title: Physical activity attenuates the association between household air pollution and health-related quality of life in Chinese rural population: the Henan Rural Cohort Study
Authors: Caiyun Zhang
Xiaotian Liu
Ning Kang
Xiaoyu Hou
Wei Liao
Yinghao Yuchi
Zhongao Ding
Bota Baheti
Gaohua Chang
Zhenxing Mao
Wenqian Huo
Jian Hou
Chongjian Wang
Publication date: 07-08-2022
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 11/2022
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03195-y

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Abstract

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