The role of O3 exposure and physical activity status on redox state, inflammation, and pulmonary toxicity of young men: A cross-sectional study.

The exposure to traffic-related air pollutants, such as NO2 and O3, are associated with detrimental health effects, becoming one of the greatest public health issues worldwide. Exercising in polluted environments could result in harmful outcomes for health and may blunt the physiological adaptations of exercise training. This study aimed to investigate the influence of physical activity and O3 exposure on redox status, an inflammatory marker, response to stress, and pulmonary toxicity of healthy young individuals. We performed a cross-sectional study with 100 individuals that, based on their exposure to O3 and physical fitness (PF) level, were distributed in four groups: Low PF + Low O3; Low PF + High O3; High PF + Low O3; High PF + High O3. We evaluated personal exposure to NO2 and O3, physical activity level, variables of oxidative stress (SOD, ROS, CAT, GSH, TBARS), pulmonary toxicity (CC16), and inflammatory mediators (IL-1ß, IL-4, IL-6, IL-10, TNF-α, HSP70). Spearman correlation test to check the association among the variables was used and to compare groups we used one-way ANOVA followed by Bonferroni's post hoc and Kruskal Wallis test followed by Dunn's post hoc. O3 levels correlated with physical activity (r = 0.25; p = 0.01) but not with age or markers of body composition (p > 0.05). The individuals with high physical fitness that were less exposed to O3 presented higher CAT activity (p < 0.001), lower TBARS (p < 0.01) and IL-1ß concentrations (p < 0.01), higher IL-6 (p < 0.05) and IL-10 concentrations (p < 0.05), lower IL-6:1L-10 ratio (p < 0.05), lower CC16 levels (p < 0.05), and higher HSP70 concentration (p < 0.05). Physical activity could result in higher exposure to O3 that could partially blunt some exercise adaptations, while high physical fitness improved the antioxidant defense system, systemic inflammatory mediators, and pulmonary toxicity.

Emissions monitoring and carcinogenic risk assessment of PM10-bounded PAHs in the air from Candiota's coal activity area, Brazil.

The city of Candiota contains a great amount of coal resources. Coal activities, including coal combustion, are major releasers of polycyclic aromatic hydrocarbons (PAHs). The PAHs are considered priority air pollutants regarding their large carcinogenic potential. So, the carcinogenic risk assessment of populations living near areas with PAH sources is mandatory. This study aimed to evaluate the carcinogenic health risk of the PAH inhalation exposure of individuals living in Candiota City. A total of 158 individuals were enrolled in the study. Monitoring of PAH and meteorological parameters were carried out, and the health risk assessment was determined through the benzo(a)pyrene equivalent toxic equivalent quotient (BaP-TEQ) and the incremental lifetime cancer risk (ILCR) estimation. The coal activity area of Candiota demonstrated an annual PAH concentration of 27.7 ng/m3, PM10 concentration of 26.3 µg/m3, SO2 concentration of 9.5 µg/m3, a BaP-TEQ value of 0.3 ng/m3, and a daily inhalation of 62.4 ng/day. The comparison among seasons showed no difference in PAH concentration and BaP-TEQ. It was observed ILCR values of 2.8 × 10-6 and 2.6 × 10-6 for estimation based on reference and real values, respectively, and these levels were above the reference limit of 10-6, indicating cancer risk. Therefore, an epidemiological survey of cancer cases in the region and its relationship with environmental exposure and air pollutants levels must be required.

Systemic redox imbalance in severe COVID-19 patients.

The aim of this study was to evaluate the systemic redox state and inflammatory markers in intensive care unit (ICU) or non-ICU severe COVID-19 patients during the hospitalization period. Blood samples were collected at hospital admission (T1) (Controls and COVID-19 patients), 5-7 days after admission (T2: 5-7 days after hospital admission), and at the discharge time from the hospital (T3: 0-72 h before leaving hospital or death) to analyze systemic oxidative stress markers and inflammatory variables. The reactive oxygen species (ROS) production and mitochondrial membrane potential (MMP) were analyzed in peripheral granulocytes and monocytes. THP-1 human monocytic cell line was incubated with plasma from non-ICU and ICU COVID-19 patients and cell viability and apoptosis rate were analyzed. Higher total antioxidant capacity, protein oxidation, lipid peroxidation, and IL-6 at hospital admission were identified in both non-ICU and ICU COVID-19 patients. ICU COVID-19 patients presented increased C-reactive protein, ROS levels, and protein oxidation over hospitalization period compared to non-ICU patients, despite increased antioxidant status. Granulocytes and monocytes of non-ICU and ICU COVID-19 patients presented lower MMP and higher ROS production compared to the healthy controls, with the highest values found in ICU COVID-19 group. Finally, the incubation of THP-1 cells with plasma acquired from ICU COVID-19 patients at T3 hospitalization period decreased cell viability and apoptosis rate. In conclusion, disturbance in redox state is a hallmark of severe COVID-19 and is associated with cell damage and death.

Health impacts of PM2.5-bound metals and PAHs in a medium-sized Brazilian city.

Rio Grande is a medium-sized industrial city located in the extreme south of Brazil, and previous studies in this city have shown contamination by metal(loids) and polycyclic aromatic hydrocarbons (PAHs) in water, soil, and sediment and in the atmosphere. In Brazil, the incorporation of PM2.5 monitoring in environmental legislation is recent (2018) and, like other developing countries, the number of studies is still small. This study aimed to investigate the levels of PM2.5 in the industrial and urban area of Rio Grande, to determine the concentration of metal(loid)s As, Cd, Cu, and Pb and of 16 PAHs in the samples of PM2.5, to perform the health risk assessment for these contaminants and the health impact assessment for two possible scenarios of reduction of PM2.5 levels. Our main findings regarding the PM2.5 samples include the following: (1) The levels of this pollutant in the city of Rio Grande were higher than those allowed in current Brazilian legislation, in both the industrial and urban areas; (2) the existence of non-carcinogenic and carcinogenic risks for metals present in all samples; (3) the absence of carcinogenic risk for the assessed PAHs; and (4) the reduction scenarios proposed pointed to a reduction of up to 22 deaths annually in conjunction with reductions in health-related expenditures. Thus, these results may serve as a basis for the development of public health policies aimed at improving air quality, jointly assisting health surveillance and directing future studies towards a better intrinsic approach to the problem.

Exposure to O3 and NO2 in physically active adults: an evaluation of physiological parameters and health risk assessment.

The gaseous air pollutants ozone (O3) and nitrogen dioxide (NO2) have a large public health relevance and trigger environmental health risk. On the other hand, despite the health benefits, exercise practices might increase the susceptibility to air pollutants exposure. However, there are innumerous lifestyle factors besides physical activity habits that must be considered in the daily air pollution exposure and are still not fully comprehended. This study aimed to evaluate the effects of O3 and NO2 exposure on cardiorespiratory fitness, lipid accumulation product (LAP), and environmental health risk during the entire daily routine of physically active adults that exercise in outdoor and indoor environments. One hundred and twenty healthy young men were assigned to untrained (n = 52), indoor exercise (n = 36), and outdoor exercise (n = 32) groups, following their lifestyle exercise habits, and O3 and NO2 were assessed by personal monitoring. Exercised groups demonstrated higher healthy eating index (HEI) (p < 0.001), physical activity (PA) (p < 0.001), metabolic equivalent of task (MET) (p < 0.001), and peak oxygen uptake VO2peak (p < 0.001), while outdoor group had lower LAP index (p < 0.001) and higher O3 concentration (p = 0.0442). Environmental health risk demonstrated no difference (p > 0.05). The higher O3 concentration was positively correlated with the risk quotient (p = 0.003) and MET (p = 0.020), and a negative correlation between LAP and VO2peak was observed (p < 0.001). In conclusion, physically active individuals might have a lower risk of developing cardiovascular and metabolic diseases despite the higher O3 concentration exposure, and the exposure during exercise did not represent an additional health risk.

O3 concentration and duration of exposure are factors influencing the environmental health risk of exercising in Rio Grande, Brazil.

Ozone (O3) represents a great threat to human health, contributing to respiratory diseases and premature mortality. This pollutant is often considered a critical pollutant in regions of southern Brazil. Exposure to this pollutant during vigorous physical activity should be the subject of thorough investigations due to the increased ventilation rate and altered breathing pattern present during vigorous physical activity that result in greater inhalation of O3. Thus, this study aimed to evaluate the health risk of exposure to low, mean, and high concentrations of O3 during different durations of exercise in the city of Rio Grande (southern Brazil). Healthy young men (n = 45) performed cardiopulmonary exercise testing, and ventilation rate data were collected to predict total ventilation and pollutant inhalation during a 5 km running session. The O3 concentration in the city of Rio Grande was obtained from data reported by the Copernicus Atmosphere Monitoring Service (CAMS). The environmental health risk was calculated based on the potential intake dose. The lowest, mean, and highest concentrations of O3 detected during the monitoring period were 32.5, 64.9, and 115.2 µg/m3, respectively. In all evaluated scenarios, there was a toxicological risk (RQ > 1), except when exercising when the O3 concentration was lowest for the shortest length of time (p < 0.001). As the concentration of O3 and the duration of the exposure increase, the health risk is increased. Therefore, O3 concentration and duration of exposure are factors influencing the health risk of exercising. These findings are extremely relevant in cities that have high levels of O3, such as the city of Rio Grande.

Air pollution concentration and period of the day modulates inhalation of PM2.5 during moderate- and high-intensity interval exercise.

The increase in minute ventilation during exercise led to higher inhalation of air pollution and, consequently, to exacerbation of health issues. Therefore, the intensity of exercise and the air pollution concentration of the environment could be determinant variables to poor outcomes. This study aimed to investigate the inhaled dose of particulate matter 2.5 (PM2.5) during a moderate- and high-intensity interval exercise session performed in the morning and evening at different locations of Porto Alegre City. Eighteen individuals performed a cardiopulmonary exercise test, a moderate-intensity interval exercise (MIIE), and a high-intensity interval exercise (HIIE). Heart rate was monitored to estimate minute ventilation and total ventilation of the session. The concentration of PM2.5 was measured during the morning (6-8a.m.) and evening (6-8p.m.) by fixed-site monitors placed at five points of Porto Alegre City. The PM2.5 inhalation during MIIE and HIIE performed in the morning and evening in the monitoring points was estimated. HIIE showed higher minute ventilation (VE) (p = 0.0048) and total ventilation did not differ between groups (p = 0.4648). PM2.5 concentrations were higher during the mornings (p < 0.001). Monitored point 1 had higher levels of PM2.5 in the morning and evening (p < 0.001). The inhalation of PM2.5 in the morning showed no difference in MIIE (p = 0.8172) and HIIE (p = 0.7306) groups among the points. In the evening, the inhalation of PM2.5 was higher in point 1 in MIIE and HIIE group (p < 0.001). MIIE and HIIE had higher inhalation of PM2.5 in the morning than in the evening (p < 0.001). Total ventilation of exercise is a crucial factor that contributes to the inhalation dose of air pollution.

Air pollution inhalation during acute exercise is dependent of the body mass index and ventilation of young men.

Obesity and physical inactivity threaten human health, and both could be solved with exercise. However, a higher amount of pollutants is inhaled during exercise. Exposure to air pollution increases the incidence and progression of diseases. Therefore, the aim of the study was to investigate the rate of pollution inhalation of lean, overweight, and obese individuals in a low and high-intensity hypothetical exercise session. Healthy sedentary men (n = 135) classified as lean, overweight, or obese were enrolled in our study. All participants performed a cardiopulmonary exercise testing (CPX) to collect ventilation rate (VE) data, which was used to predict total ventilation and pollutant inhalation of a 5-km running session. Air pollutant concentration of São Paulo City, Brazil was evaluated and the toxicological risk was estimated based on the potential intake dose. The concentrations of PM2.5 were 29.57 µg/m3 and 51.71 µg/m3, PM10 were 45.85 µg/m3 and 74 µg/m3, NO2 were 63.71 µg/m3 and 66.65 µg/m3, and O3 were 69 µg/m3 and 37 µg/m3, respectively in the summer and winter. In the hypothetical exercise session, total VE and time in both the first and second threshold were increased in the obese group (p < 0.001) (p < 0.001). The inhalation of PM2.5, PM10, NO2, and O3, during the hypothetical session, was increased in obese individuals (p < 0.001). Obese individuals should be considered a susceptible population, once they are more exposed to air pollution during exercise.

Should I stay or should I go: Can air pollution reduce the health benefits of physical exercise?

The urbanization process resulted in incredible achievements for society, unfortunately together with economic, social, and technological development it deteriorates air quality and encourages sedentary behavior. Air pollution inhalation is responsible for a massive negative health effect. The practice of regular physical exercise is strongly encouraged to achieve a healthy lifestyle. However, particularly during a physical exercise session, the respiratory system undergoes some physiological adaptations that lead to an increase in the volume of inhaled air, so exercising in a polluted environment would consequently augment the number of pollutants inhaled. In this scenario, would it be safer to stay physically inactive? Or to choose an indoor facility to exercise? Or to keep performing outdoor activities once the benefits achieved with exercise will overcome the possible damage caused by additional exposure to air pollution? Currently, these questions still do not have a decisive answer, so we designed a hypothesis to be tested in which exercise would be beneficial regardless of the chosen place. Outdoor and indoor pollution are both equally harmful to health, however, we do not know if it would have a difference to exercise in one of them.

The impact of occupational exposure to traffic-related air pollution among professional motorcyclists from Porto Alegre, Brazil, and its association with genetic and oxidative damage.

Vehicles play an important role in modern life; however, they also generate hazards. Occupational exposed subjects are in long-term contact with harmful products, which sets these professionals in a susceptible group to air pollutant damage. The aims of this study were to quantify individual exposure to pollutant gases and chemical elements and to evaluate oxidative and genetic damage in professional motorcyclists and office workers. We recruited professional motorcyclists and office workers from Porto Alegre, Brazil, between January and December 2016. Individual exposure to air pollutants was assessed by passive monitoring. Fingernail trace elements were determined by using inductively coupled plasma mass spectrometry. Oxidative stress biomarkers were quantified spectrophotometrically, and genotoxicity was evaluated by micronuclei assay. Individual exposure to NO2 and O3, trace element content (Sb, Pt, As, Cd, V, Mn, and Co), oxidative stress factors, and genetic damage were statistically higher in professional motorcyclists (p < 0.05). Moreover, NO2 and O3 levels showed very strong positive correlation with plasmatic lipid peroxidation (p < 0.001 and r = 0.8849 and 0.8995) and strong positive correlation with micronuclei frequency (p < 0.001 and r = 0.7683 and 0.7280). Results suggest that professional motorcyclists are at high risk due to long-term air pollution exposure, which implies in the onset of several harmful effects and worsening of pre-existent diseases.