IAQ and Heart Disease

New research published in the "American Journal ofSecondly, this study only looked at the effect of
Respiratory and Critical Care Medicine" found thatparticles on the cardiovascular system so it was a
indoor air quality inside your home or office (indoor airvery narrow study. The study did not include other
that is recycled) has a significant effect on yourcommon factors that also affect Indoor Air Quality
cardiovascular system - especially if you're over 50.such as allergens, dust, pet dander, dust mites, mold,
Although scientists have known for some time that airtemperature and humidity, to name a few.
pollution leads to an increased risk of heart diseaseWhat This Means to You
(the number one killer in America), this was the firstAlthough it's true that this particular research focused
project to study the connection with indoor air. Theon the elderly (aged 60 to 75), I personally believe that
results will not only surprise you, they'll point outthe results apply to all of us to some extent or another.
something you can do right now to help protectThe extent that you are affected by particulates is
yourself and your family.going to depend on your age, your genetic makeup,
The Background of the Studyyour over all health and fitness level, your work and
In the research, a team of scientists from Sweden andliving conditions, and so on. Most of these you can't do
Denmark looked at the affect of tiny particles onanything about. However, there is one factor you have
endothelial cells. Endothelial cells line the interiorsome degree of control over: the amount of particles
surfaces of all blood vessels as well as the heart, andin your home. Fortunately, there are a number of easy
support blood flow by performing a number ofways to reduce the amount of particles floating
important functions including reducing friction (andaround in your indoor air.
thereby reducing the work load on your heart). AReducing Particulates in Your Home
reduction in the Microvascular Function (MVF) ofA couple of easy ways to reduce the amount of
endothelial cells through inflammation or other types ofparticles in your home include:
stresses can lead to a number of cardiovascular1. Change and/or Upgrade the filters on your HVAC.
diseases including atherosclerosis.Your HVAC filters are your front-line defense in
Why study "tiny particles?" Because a significantremoving particles from the air inside your home. The
portion of air pollution is made up of "particulates," tinyUS EPA recommends using a filter with at least a
particles that are found in auto and diesel exhaust,MERV 8 rating. "MERV' stands for "Minimum Efficiency
cigarette or other types of smoke, and industrial stackReporting Value" as determined by the American
emissions. These tiny particles are microscopic in sizeSociety of Heating, Refrigeration and Air Conditioning
and are easily inhaled into the lungs where they enterEngineers. I personally recommend filters with a MERV
the blood stream and contact the endothelial lining.11 but only if you have a relatively new HVAC unit
The study was a randomized, double blind study(less than 10 years old). You'll pay more but they'll
performed on 21 nonsmoking couples aged 60 to 75.remove smaller particles from the air. If you have an
All participants were in good health and all lived nearolder or less powerful HVAC unit, then a MERV 8
busy roads, meaning that they were exposed to roadshould suffice. In either case, change the filters
dust as well as auto and diesel exhaust on a regularaccording to the manufacturers recommendations (or
basis. The couples were studied in their homes andmore frequently if you live in a dusty area).
were randomly selected to be exposed to filtered air2. Consider reducing the amount of installed carpeting
followed by non-filtered air, or the other way around,in your home and replacing it with wood or tile flooring.
while the scientists measured the amount and chemicalIn the Indoor Air Quality business, installed carpeting is
properties of the particles in the air. After every test,known as a "pollutant sink." The carpet fibers trap all
the Microvascular Function (MVF) of each individualkinds of dirt and gunk which it then releases back into
was measured.the air every time it's disturbed. If you've ever pulled up
The Results and Conclusionsold carpet, you were probably surprised (and
Once the research was concluded, some of the moredisgusted) at how much dirt was underneath - even
significant results showed that:though you vacuum on a regular basis. Wood or tile
* The diameter of the air particulates and their mass,floors are much easier to keep clean and you can still
had a greater effect than their total numberuse the occasional throw rug.
concentration. In other words, the smallest particles3. Purchase an air purifier for the bedroom(s). Where
(smaller than 2.5 micrometers) were the biggestdo you spend 7 to 9 hours of your time per night? In
hazard, mainly because these particles are too small tothe bedroom. Consider purchasing a high quality air
be caught by the body's natural defense systems andpurifier for your bedroom(s). I recommend (and own)
can easily enter the lungs and blood stream.the purifiers distributed by Nikken, Inc. A word of
* MVF was also significantly linked to being exposedwarning though, they're pretty expensive but they're
to particulates containing iron, potassium, copper, zinc,the best I've found. They're only sold by "Wellness
arsenic, and lead. This is important to those of us thatConsultants" (email me for the one I use). Regardless
happen to live near industrial or manufacturing plants.of where or what kind of air purifier you buy, make
* Filtering the indoor air improved MVF by more thanabsolutely sure that it does not produce ozone. Ozone
8%. This is pretty significant and is something any of usis a toxic gas that can cause a number of health
can achieve by following some of theproblems (see EPA warning at the EPA website listed
recommendations listed below.below). You're trying to reduce indoor pollutants, not
Based on their results, the scientists concludedadd to them.
that,"Reduction of particle exposure by filtration of4. Reduce airborne particulates by cleaning often.
recirculated indoor air for only 48 hours improved MVFPurchase or make sure you have a vacuum with a
in healthy elderly citizens, suggesting that this may be aHEPA filter on the exhaust. "HEPA" is a type of filter
feasible way of reducing the risk of cardiovascular(not a brand name) and it stands for "High Efficiency
disease."Particulate Air." A HEPA filter will filter out a minimum
The Limits of the Studyof 99.97% of all particles 0.3 micros or larger. If you
It's significant to note some of the limitations of theuse a vacuum without a HEPA filter, all you're doing is
study in order to get a more balanced view of therecirculating small particles in the air instead of actually
results. First, note that all of the participants were in anremoving them.
age group (60 to 75) that is particularly susceptible toFinally, remember that there is no "magic bullet" when it
respiratory and cardiovascular disease to begin with.comes to improving Indoor Air Quality. However, the
However, this does not mean that everyone else issteps mentioned here will go a long ways towards
immune.reducing the number of particles in your home or office
According to the US EPA, the people that are most atand reducing your risk of cardiovascular disease.
risk from particles, mold, or other respirable hazardsSources
include:For the full article, see "Indoor Particles Affect
1. Young children and babies (their respiratory andVascular Function in the Aged: An Air Filtration-based
immune system is still developing)Intervention Study" by Elvira Vaclavik Bräuner,
2. The elderly (their respiratory and immune system isLykke Forchhammer, Peter Møller, Lars
not as efficient as it used to be)Barregard, Lars Gunnarsen, Alireza Afshari, Peter
3. The sick or immune compromised (their respiratoryWåhlin, Marianne Glasius, Lars Ove Dragsted,
and immune system is already under attack)Samar Basu, Ole Raaschou-Nielsen, and Steffen Loft.
4. People with underlying respiratory disease such asPublished in the "American Journal of Respiratory and
asthma or severe allergies.Critical Care Medicine," Vol 177. pp. 419-425, (2008).