Am. J. Respir. Crit. Care Med., Vol 151, No. 1, 01 1995, 33-40.
Response to acute ozone exposure in healthy men. Results of a screening procedure
GG Weinmann, SM Bowes, MW Gerbase, AW Kimball and R Frank
Department of Environmental Health Sciences, Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland 21205.
We screened 64 healthy, nonsmoking men, 18 to 35 yr old, for their
sensitivity to 0.35 ppm ozone (O3) administered for 130 to 150 min with
intermittent exercise. The changes in FVC, FEV1, AND FEF25-75 (p <
0.0001) immediately after O3 exposure varied widely among subjects.
Histograms of the percentage changes in FVC and FEV1 did not differ from a
unimodal, skewed (gamma) distribution (p = 0.99 and p = 0.17,
respectively); the changes in FEF25-75 tended to deviate from a gamma
distribution (p = 0.055). To adjust FEF25-75 for the confounding effects of
O3 on FVC, we used multiple linear regression analysis with contemporaneous
FVC as a covariable, analysis of a subgroup of nine subjects whose
O3-induced FVC changes were < or = 5%, and volume correction of FEF25-75
for any changes in FVC after exposure. These analyses showed reductions in
FEF25-75 unexplained by and following a different time course than the
O3-induced changes in FVC. In 26 subjects also exposed to filtered air,
significant effects of O3 on respiratory frequency (p < 0.004) and tidal
volume (p < 0.0007) correlated weakly with FVC changes. The results
confirm the wide variability in spirometric responsiveness among
individuals to O3 and suggest that intrinsic narrowing of the small airways
may be a significant component of the functional response.
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Copyright © 1995 American Thoracic Society
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