AzTrials
AzTrials

Air PollutionSENSENCT05843370

Modification of Ambient Air Pollution Exposure and Cardiopulmonary Outcomes by Socioeconomic Status and Nutrition

An observational study of Air Pollution and Pollution; Exposure, run by Environmental Protection Agency (EPA) at 1 site in United States.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this observational study is to compare the effects of air pollution exposure and nutrition between neighborhoods with high and low social vulnerability scores. The main questions this study aims to answer are: Does living in a neighborhood with high or low vulnerability influence the response of the heart… Read more about this study

Who is it for?
Ages 25 to 70 yearsHealthy volunteers can take part
How many people
82 participants
Where
1 siteUnited States
Study dates
21 Aug 2023to Dec 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population represents individuals living in neighborhoods ranked either at the top or bottom of the Social Vulnerability Index, a measure of community vulnerability.

Who may be able to join

  • Aged 25-70 years old males and females.
  • Residing in Zip Code Tabulation Area in Raleigh-Durham great triangle area representing high or low social vulnerability index (SVI).
  • Continuous residence at the same address during previous one year.

Who cannot join

  • Individuals with a diagnosis of COVID-19 and have persistent symptoms due to that infection (e.g., shortness of breath) or symptoms consistent with "long COVID".
  • Individuals not "up to date" on their vaccinations for COVID-19. [which means a person who has received all recommended COVID-19 vaccines, including any booster dose(s) when eligible].
  • Individuals who have difficulty to come to the HSF medical station on a weekday for data collection without assistance.
  • Individuals have a history of heart arrhythmia, a pacemaker user, been diagnosed with arrhythmia and prescribed a medication to treat arrhythmia.
  • Individuals have uncontrolled hypertension (>180 systolic, >110 diastolic)
  • Individuals who are currently smoking (including vaping, hookah, e-cigarettes, including marijuana, CBD, and/or THC products) or have a smoking history within 1 year of study (defined as more than 1 pk/yr in the past year) or have a greater than/equal to a 5-pack year smoking history.
Show all 22Show fewer
  • Individuals living with a smoker who smokes inside the house.
  • Individuals who are regularly exposed to high levels of vapors, dust, gases, smoke, or fumes.
  • Individuals who do not understand or speak English.
  • Individuals who are taking β-blocker medications.
  • Individuals who are on specific extreme diets, such as liquid diet, weight loss diet, or single diet.
  • Individuals who are unwilling or unable to maintain their current dietary and medication pattern for the whole study.
  • Individuals with bleeding or clotting disorders.
  • Individuals who have skin allergy to tape or electrodes.
  • Individuals who are pregnant or attempting to become pregnant.
  • Individuals currently on dialysis
  • Individuals who have unspecified illnesses, which in the judgment of the investigators might increase the risk associated with clinical procedures will be a basis for exclusion.
  • Temporary Exclusion Criteria :
  • Individuals who have had recent (within 6 months) abdominal and/or eye surgery, or been diagnosed with any type of hernia, as well as any other contraindications for raised intra-abdominal pressure.
  • Individuals who have prolonged chest pain at rest (severe uncompensated angina pectoris) or inability to carry out any physical activity without chest discomfort.
  • Individuals who have difficulty breathing when at rest or performing activities at daily living.
  • Individuals who are having an acute respiratory illness within two weeks prior to any of the study visits.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site
  • EPA Human Studies Facility

    Chapel Hill, North Carolina, 27514

Other trials in United States

About this study

The goal of this observational study is to compare the effects of air pollution exposure and nutrition between neighborhoods with high and low social vulnerability scores. The main questions this study aims to answer are:

  • Does living in a neighborhood with high or low vulnerability influence the response of the heart, lungs, and immune system to air pollution.
  • Does nutritional status alter the association between air pollution exposure and changes in the heart, lungs, and immune system.
Read more

Participants (age 25-70 years) that live in neighborhoods ranked high or low on the Social Vulnerability Index (SVI) will take part in 3 visits. Each visit involves the following:

  • Measurements of heart activity, lung function, and blood to measure changes that may be caused by air pollution.
  • Questionnaires about the types of food eaten and activities that may modify exposure to air pollution.
  • Estimation of air pollution exposure using a study iPhone. Participants will carry a study iPhone with them for 24 hours at each visit. The study iPhone runs an application (app) that estimates the amount of air pollution each participant is exposed to.
  • Wearing silicone wristbands for a week before each study visit. Silicone wristbands absorb air pollutants and are later measured see the types and amounts of chemicals participants are exposed to.
Read the detailed description

Acute and chronic exposure to air pollution are well-established risk factors for all-cause mortality, mainly driven by cardiovascular and respiratory disease. The health effects of air pollution exposure have been shown to be mediated by a range of community level and personal factors, including the presence of preexisting medical conditions, age, and socioeconomic status (SES). Individuals who reside in lower SES communities are more likely to experience increased air pollution. The effects of air pollution among those residing in less advantaged communities may be further compounded by reduced access to health care and access to nutrition. Research conducted in our facility and others has established that increased levels of micronutrients can improve subclinical indices of cardiopulmonary disease after acute and chronic air pollution. Omega-3 polyunsaturated fatty acids (PUFAs) have been demonstrated to reduce the markers of cardiopulmonary dysfunction, including heart rate variability, cholesterol, and vascular injury markers after air pollution exposure. However, levels of PUFAs, as well as other potentially protective vitamins, have been demonstrated to be significantly reduced among individuals with lower income and lower educational attainment. This may be in part due to reduced access to healthy food options, as lower income and lower educational attainment have been shown to influence access to grocery stores and nutritious foods.

Given the interplay between nutrition, air pollution exposure, SES, and cardiopulmonary disease, the investigators propose the following study to investigate how socioeconomic status can modify ambient air pollution exposure and subclinical indices of cardiovascular and pulmonary disease and inflammation, and if nutritional status can further modify this relationship. Healthy 25-70-year- old male and female subjects will be recruited from communities that are representative of high and low social vulnerability index, a composite measure of urbanicity, educational attainment, owner-occupied housing, poverty, unemployment, non-managerial occupations, single parent households, houses built since 2000, vehicle ownership, and percentage of people who pay <30% of their income on housing status. Participants will be recruited in the Raleigh-Durham-Cary combined statistical area (CSA) area of North Carolina. Qualified subjects will complete a dietary questionnaire and come to the EPA Human Studies Facility for 3 sessions. The following endpoints will be taken from subjects: blood pressure, heart rate variability (HRV), venous blood, retinal imaging, and spirometry. Blood collected will be assessed for markers of inflammation, oxidative stress, vasoconstriction, coagulation, as well as nutritional status. Air pollution exposure will be assessed for the 24-hour and weeklong period of each visit using area-specific air quality data, provided by stationary air monitors. In addition, participants will be provided with silicone wrist bands to wear for three weeklong intervals during the duration of their study. Silicone wrist bands have been shown to sorb a wide range of volatile and semi-volatile compounds and will serve as a passive personal exposure monitor to air. The investigators hypothesize that residence in a neighborhood with high social vulnerability will increase both personal exposure to air pollution and the associated health effects of air pollution exposure. The investigators further hypothesize that nutrition, specifically components in nutrition demonstrated to be anti-inflammatory, will modulate this relationship and reduce cardiopulmonary outcomes associated with exposure.

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05843370
Study groupRoleWhat they receive
High SVIParticipants reside in neighborhood zip code clusters that rank at the top of the social vulnerability index (most vulnerable)
Low SVIParticipants reside in neighborhood zip code clusters that rank at the bottom of the social vulnerability index (least vulnerable)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Heart Rate Variability - SDNN

    Time-domain measurement: standard deviation of the normal-to-normal (SDNN) in milliseconds

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  2. Heart Rate Variability - rMSSD

    Time-domain measurement: root-mean squared of successive differences (rMSSD) in milliseconds

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  3. Heart Rate Variability - LF absolute power

    Frequency-domain measurement: Low frequency power (LF, 0.04-0.15 Hz) in ms squared divided by cycles per second (ms2/Hz).

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  4. Heart Rate Variability - VLF absolute power

    Frequency-domain measurement: Very Low frequency power (VLF, 0.0033-0.04 Hz) in ms squared divided by cycles per second (ms2/Hz).

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  5. Heart Rate Variability - HF absolute power

    Frequency-domain measurement: High frequency power (HF, 0.15-0.40 Hz) in ms squared divided by cycles per second (ms2/Hz).

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  6. Heart Rate Variability - LF/HF power

    Frequency-domain measurement: ratio of LF power divided by HF power, expressed as ratio

    This outcome is measured repeatedly to assess change in HRV associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

Secondary outcomes (16)
  1. Pulmonary Function - FVC

    Forced vital capacity (FVC) measured in Liters (L) measured via Sensor Medic Vmax pulmonary function system (dry rolling seal spirometer).

    This outcome is measured repeatedly to assess change in lung function associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  2. Pulmonary Function - FEV1

    Forced Expiratory Volume in 1 second (FEV1) measured in Liters (L) measured via Sensor Medic Vmax pulmonary function system (dry rolling seal spirometer).

    This outcome is measured repeatedly to assess change in lung function associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  3. Pulmonary Function - FEV1/FVC

    the ratio of Forced Expiratory Volume in 1 second (FEV1) measured in Liters (L) divided by Forced Vital Capacity (FVC) measured in Liters (L) measured via Sensor Medic Vmax pulmonary function system (dry rolling seal spirometer). Expressed as a percentage

    This outcome is measured repeatedly to assess change in lung function associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  4. Peripheral Venous Blood - Total Cholesterol

    Total cholesterol measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in blood lipids associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  5. Peripheral Venous Blood - HDL

    High density lipoproteins measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in blood lipids associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  6. Peripheral Venous Blood - LDL

    Low density lipoproteins measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in blood lipids associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  7. Peripheral Venous Blood - VLDL

    Very Low density lipoproteins measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in blood lipids associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  8. Peripheral Venous Blood - Triglycerides

    Triglycerides measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in blood lipids associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  9. Peripheral Venous Blood - CRP

    C Reactive Protein measured in plasma in milligrams per deciliter (mg/dL)

    This outcome is measured repeatedly to assess change in inflammatory markers associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  10. Peripheral Venous Blood - IL1B

    Cytokine IL1B measured in plasma in picograms per milliliter (pg/mL)

    This outcome is measured repeatedly to assess change in inflammatory markers associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  11. Peripheral Venous Blood - IL6

    Cytokine IL6 measured in plasma in picograms per milliliter (pg/mL)

    This outcome is measured repeatedly to assess change in inflammatory markers associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  12. Peripheral Venous Blood - IL8

    Cytokine IL8 measured in plasma in picograms per milliliter (pg/mL)

    This outcome is measured repeatedly to assess change in inflammatory markers associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  13. Peripheral Venous Blood - TNFa

    Cytokine TNFa measured in plasma in picograms per milliliter (pg/mL)

    This outcome is measured repeatedly to assess change in inflammatory markers associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  14. Retinal Vasculature - CRAE

    Retinal images taken via non-mydriatic fundus camera are analyzed for central retinal artery equivalent (CRAE) measured in micrometer (um)

    This outcome is measured repeatedly to assess change in retinal vasculature associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  15. Retinal Vasculature - CRVE

    Retinal images taken via non-mydriatic fundus camera are analyzed for central retinal venous equivalent (CRAE) measured in micrometer (um)

    This outcome is measured repeatedly to assess change in retinal vasculature associated with change in ambient air pollution exposure

    Measured: Through study completion, an average of 1-2 years

  16. Retinal Vasculature - AVR

    Retinal images taken via non-mydriatic fundus camera are analyzed for arteriole to venule ratio (AVR), which is central retinal venous equivalent (CRAE) measured in micrometer (um) divided by central retinal artery equivalent (CRAE). Expressed as a ratio T wave complexity

    Measured: Through study completion, an average of 1-2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 May 2023
  2. Study start21 Aug 2023
  3. Primary completionDec 2025 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Ecologic or community
Time perspective
Prospective
Enrolment
82 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05843370
Sponsor's protocol ID
23-0428
Acronym
SENSE
Status last verified
Feb 2024
First submitted
24 Mar 2023
Last updated
20 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Air Pollution and Pollution; Exposure, run by Environmental Protection Agency (EPA) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 20 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Heart Rate Variability - SDNN (time frame: Through study completion, an average of 1-2 years). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in