PMID- 38042204 OWN - NLM STAT- MEDLINE DCOM- 20240118 LR - 20240118 IS - 1879-1026 (Electronic) IS - 0048-9697 (Linking) VI - 912 DP - 2024 Feb 20 TI - Household polluting cooking fuels and intrinsic capacity among older population: A harmonized nationwide analysis in India and China. PG - 169031 LID - S0048-9697(23)07661-1 [pii] LID - 10.1016/j.scitotenv.2023.169031 [doi] AB - BACKGROUNDS: Household polluting cooking fuels, as an important changeable behavior, are related to various detrimental health effects among the elderly. There is limited research on the association between polluting cooking fuel use and intrinsic capacity (IC) as an indicator of healthy aging. This study aimed to evaluate the above-mentioned association in India and China, where polluting cooking fuel use is common. METHODS: We enrolled 33,803 participants aged >/=60 years from two nationally representative studies: the Longitudinal Aging Study in India and the China Health and Retirement Longitudinal Study. Polluting cooking fuel use was defined as a self-report of using wood, coal, kerosene, crop residue, or dung. IC was measured by five aspects, including locomotion, cognition, vitality, sensory, and psychological capacity. The random-effects mixed linear regression and logistic regression with population weighting were performed. Multivariable-adjusted model and propensity score were used to adjust for potential confounders. RESULTS: A total of 47.54 % and 59.32 % of elderly adults reported primary cooking using polluting fuels in India and China, respectively. Using polluting cooking fuels was consistently associated with IC decline; particularly, cognitive capacity was the most susceptible domain. In India, participants using polluting fuels had a 1.062 (95 % confidence interval [CI]: 1.047-1.078) times risk for IC deficits, whereas more prominent results were observed in China (odds ratio [OR]: 2.040, 95 % CI: 1.642-2.533). Such harmful effects might be alleviated by transferring from polluting to clean fuels. Additionally, the duration of polluting fuel use was also positively associated with IC deficits. CONCLUSION: This study provided substantial public implications on healthy aging for the elderly population at a global scale, strengthening the importance of health education and policy efforts to accelerate the transition from polluting to clean fuels. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Shen, Ji AU - Shen J AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. FAU - Shi, Hong AU - Shi H AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. FAU - Zhang, Jie AU - Zhang J AD - Department of Geriatric Medicine, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. FAU - Meng, Xue AU - Meng X AD - Office of National Clinical Research for Geriatrics, Department of Scientific Research, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. FAU - Zhang, Chi AU - Zhang C AD - The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. FAU - Kang, Yuting AU - Kang Y AD - Office of National Clinical Research for Geriatrics, Department of Scientific Research, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1, Dahua Road, Dongdan, Dongcheng District, Beijing 100730, PR China. Electronic address: kangyuting5049@bjhmoh.cn. LA - eng PT - Journal Article DEP - 20231201 PL - Netherlands TA - Sci Total Environ JT - The Science of the total environment JID - 0330500 SB - IM MH - Adult MH - Humans MH - Aged MH - *Air Pollution, Indoor/analysis MH - Longitudinal Studies MH - Cooking/methods MH - India/epidemiology MH - China/epidemiology OTO - NOTNLM OT - China OT - Cohort study OT - Elderly OT - India OT - Intrinsic capacity OT - Polluting fuel use COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/12/03 00:42 MHDA- 2024/01/18 06:42 CRDT- 2023/12/02 19:25 PHST- 2023/09/17 00:00 [received] PHST- 2023/11/29 00:00 [revised] PHST- 2023/11/29 00:00 [accepted] PHST- 2024/01/18 06:42 [medline] PHST- 2023/12/03 00:42 [pubmed] PHST- 2023/12/02 19:25 [entrez] AID - S0048-9697(23)07661-1 [pii] AID - 10.1016/j.scitotenv.2023.169031 [doi] PST - ppublish SO - Sci Total Environ. 2024 Feb 20;912:169031. doi: 10.1016/j.scitotenv.2023.169031. Epub 2023 Dec 1.