Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study

Background: Mounting evidence links exposure to traffic-related air pollution (TRAP) to impairment in cognitive functioning. Objectives: To determine if short-term, controlled exposure to diesel exhaust (DE) adversely affects one or more cognitive function domains. Methods: We carried out a double-b...

Full description

Saved in:
Bibliographic Details
Main Authors: Jason Curran, A.J. Hirsch Allen, Christopher F. Rider, Robin Shutt, Chris Carlsten
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Environment International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412024008006
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832589981689839616
author Jason Curran
A.J. Hirsch Allen
Christopher F. Rider
Robin Shutt
Chris Carlsten
author_facet Jason Curran
A.J. Hirsch Allen
Christopher F. Rider
Robin Shutt
Chris Carlsten
author_sort Jason Curran
collection DOAJ
description Background: Mounting evidence links exposure to traffic-related air pollution (TRAP) to impairment in cognitive functioning. Objectives: To determine if short-term, controlled exposure to diesel exhaust (DE) adversely affects one or more cognitive function domains. Methods: We carried out a double-blinded crossover design with 28 healthy, adult volunteers. Volunteers were exposed to two conditions for 120 min each, on separate order-randomized occasions: filtered air (FA) and DE (300 µg/m3 PM2.5) at the Air Pollution Exposure Laboratory (APEL) at Vancouver General Hospital (VGH). Volunteers were blinded to the two exposure conditions. Volunteers completed five computerised neuropsychological tests of the Cambridge Neuropsychological Test Automated Battery (CANTAB) prior to (2-hr before) and at three timepoints following each exposure condition (0-hr, 3-h post-, and 24-h post-exposure). The selected CANTAB tests were related to five cognitive domains – attention, spatial working memory, strategy use, executive function, and processing speed. We hypothesized that short-term diesel exposure would adversely affect one or more cognitive function domains. Results: Following screening, 15 volunteers were randomized to receive FA followed by DE and 14 volunteers were randomized to receive the exposures in the reverse sequence. A total of 28 volunteers contributed to the final analysis. Short-term exposure to DE was associated with slower reaction times in the Reaction Time Index task. DE was associated with a decrease of 18.2 ms (p = 0.05) in simple reaction time and 23.5 ms (p = 0.04) in five-choice reaction time. Conclusions: This first study to investigate the effects of TRAP on the cognitive performance of humans in a controlled environment shows slowed reaction times similar to those previously demonstrated with blood alcohol levels of 0.05%. Important implications exist for workers in occupations where attention and reaction time are connected to safety and performance.
format Article
id doaj-art-6cad04c68456451ebcad6a76421edf53
institution Kabale University
issn 0160-4120
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Environment International
spelling doaj-art-6cad04c68456451ebcad6a76421edf532025-01-24T04:44:05ZengElsevierEnvironment International0160-41202025-01-01195109213Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover studyJason Curran0A.J. Hirsch Allen1Christopher F. Rider2Robin Shutt3Chris Carlsten4School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada; Department of Medicine, Division of Respiratory Medicine, Air Pollution Exposure Lab, Chan-Yeung Centre for Occupational and Environmental Respiratory Disease, University of British Columbia, Vancouver, CanadaDepartment of Medicine, Division of Respiratory Medicine, Air Pollution Exposure Lab, Chan-Yeung Centre for Occupational and Environmental Respiratory Disease, University of British Columbia, Vancouver, CanadaDepartment of Medicine, Division of Respiratory Medicine, Air Pollution Exposure Lab, Chan-Yeung Centre for Occupational and Environmental Respiratory Disease, University of British Columbia, Vancouver, CanadaEnvironmental Health Science and Research Bureau, Health Canada, CanadaDepartment of Medicine, Division of Respiratory Medicine, Air Pollution Exposure Lab, Chan-Yeung Centre for Occupational and Environmental Respiratory Disease, University of British Columbia, Vancouver, Canada; Corresponding author at: Department of Medicine, Faculty of Medicine – University of British Columbia, 2775 Laurel St., 7th Floor, Vancouver General Hospital, Vancouver, BC.Background: Mounting evidence links exposure to traffic-related air pollution (TRAP) to impairment in cognitive functioning. Objectives: To determine if short-term, controlled exposure to diesel exhaust (DE) adversely affects one or more cognitive function domains. Methods: We carried out a double-blinded crossover design with 28 healthy, adult volunteers. Volunteers were exposed to two conditions for 120 min each, on separate order-randomized occasions: filtered air (FA) and DE (300 µg/m3 PM2.5) at the Air Pollution Exposure Laboratory (APEL) at Vancouver General Hospital (VGH). Volunteers were blinded to the two exposure conditions. Volunteers completed five computerised neuropsychological tests of the Cambridge Neuropsychological Test Automated Battery (CANTAB) prior to (2-hr before) and at three timepoints following each exposure condition (0-hr, 3-h post-, and 24-h post-exposure). The selected CANTAB tests were related to five cognitive domains – attention, spatial working memory, strategy use, executive function, and processing speed. We hypothesized that short-term diesel exposure would adversely affect one or more cognitive function domains. Results: Following screening, 15 volunteers were randomized to receive FA followed by DE and 14 volunteers were randomized to receive the exposures in the reverse sequence. A total of 28 volunteers contributed to the final analysis. Short-term exposure to DE was associated with slower reaction times in the Reaction Time Index task. DE was associated with a decrease of 18.2 ms (p = 0.05) in simple reaction time and 23.5 ms (p = 0.04) in five-choice reaction time. Conclusions: This first study to investigate the effects of TRAP on the cognitive performance of humans in a controlled environment shows slowed reaction times similar to those previously demonstrated with blood alcohol levels of 0.05%. Important implications exist for workers in occupations where attention and reaction time are connected to safety and performance.http://www.sciencedirect.com/science/article/pii/S0160412024008006Air pollutionDiesel exhaustCrossover studyNeurocognitive performance
spellingShingle Jason Curran
A.J. Hirsch Allen
Christopher F. Rider
Robin Shutt
Chris Carlsten
Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
Environment International
Air pollution
Diesel exhaust
Crossover study
Neurocognitive performance
title Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
title_full Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
title_fullStr Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
title_full_unstemmed Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
title_short Effects of diesel exhaust inhalation on cognitive performance in human volunteers: A randomized controlled crossover study
title_sort effects of diesel exhaust inhalation on cognitive performance in human volunteers a randomized controlled crossover study
topic Air pollution
Diesel exhaust
Crossover study
Neurocognitive performance
url http://www.sciencedirect.com/science/article/pii/S0160412024008006
work_keys_str_mv AT jasoncurran effectsofdieselexhaustinhalationoncognitiveperformanceinhumanvolunteersarandomizedcontrolledcrossoverstudy
AT ajhirschallen effectsofdieselexhaustinhalationoncognitiveperformanceinhumanvolunteersarandomizedcontrolledcrossoverstudy
AT christopherfrider effectsofdieselexhaustinhalationoncognitiveperformanceinhumanvolunteersarandomizedcontrolledcrossoverstudy
AT robinshutt effectsofdieselexhaustinhalationoncognitiveperformanceinhumanvolunteersarandomizedcontrolledcrossoverstudy
AT chriscarlsten effectsofdieselexhaustinhalationoncognitiveperformanceinhumanvolunteersarandomizedcontrolledcrossoverstudy