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Reviews on Environmental Health

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Volume 31, Issue 4


Lung function and dust in climbing halls: two pilot studies

Hanns Moshammer / Shifra Shahraki / Thomas Mondel / Patrik Gebhart
Published Online: 2016-11-12 | DOI: https://doi.org/10.1515/reveh-2016-0024


In climbing halls, high levels of dust are found because magnesia powder is used to dry hands. Concerns have been raised about possible health effects after reports from asthmatics experiencing worsening of symptoms while or after climbing. We investigated acute and sub-acute effects of climbing in dusty halls on lung function in two pilot studies. The first study examined 109 climbers before and after a climbing activity that lasted at least 1 h. In the second study, 25 climbers from different age classes participated in a 2-day climbing competition. Of these, 24 agreed to take part in our investigation, but only 22 provided valid lung function tests on both days. The climbers underwent lung function tests before the first round of the competition (in the morning), after the second round approximately 3 h later and in the morning of the second day before the competition started again. In the first study, we found acute effects, a decline in lung function immediately after the exposure, likely due to protective reflexes of the bronchial muscles and stronger declines in persons with higher exhaled nitric oxide (NO) pre-climbing. In the second study, we also expected sub-acute effects on the next day due to inflammation. On the first day of the competition (second study), dust levels at a central monitor increased over time in a linear manner. Most of the dust was in the size range between 2.5 and 10 μm and dust levels of particulate matter (PM10) reached 0.5 mg/m3. There was a decline in lung function over 24 h in persons with higher exhaled NO levels pre-exposure. All spirometric parameters were affected though the effects were not statistically significant in all cases. Younger age classes started earlier in the morning. Because of the increasing trend in dust levels we expected stronger effects with higher numbers but for the acute effects the reverse was true, possibly because younger climbers use magnesia more or with less experience thus causing higher individual exposure. No differences by age or by time of the first climb were observed for the 24-h lung function change.

Keywords: asthma exacerbation; atopy; eosinophilic inflammation; exhaled NO; magnesia dust


  • 1.

    Weinbruch S, Dirsch T, Ebert M, Hofmann H, Kandler K. Dust exposure in indoor climbing halls. J Environ Monit 2008:10(5):648–54.Web of SciencePubMedCrossrefGoogle Scholar

  • 2.

    Castro A, Calvo AI, Alves C, Alonso-Blanco E, Coz E, et al. Indoor aerosol size distributions in a gymnasium. Sci Total Environ 2015:524–525:178–86.Web of ScienceGoogle Scholar

  • 3.

    Alves C, Calvo AI, Marques L, Castro A, Nunes T, et al. Particulate matter in the indoor and outdoor air of a gymnasium and a fronton. Environ Sci Pollut Res Int 2014:21:12390–402.Web of ScienceCrossrefGoogle Scholar

  • 4.

    Braniš M, Šafránek J. Characterization of coarse particulate matter in school gyms. Environ Res 2011:111(4):485–91.PubMedWeb of ScienceCrossrefGoogle Scholar

  • 5.

    Stuart BO. Deposition and clearance of inhaled particles. Environ Health Perspect 1984:55:369–90.PubMedCrossrefGoogle Scholar

  • 6.

    Lippmann M, Yeates DB, Albert RE. Deposition, retention, and clearance of inhaled particles. Br J Ind Med 1980:37(4):337–62.PubMedGoogle Scholar

  • 7.

    Walters JAE, Wood-Baker R, Walls J, Johns DP. Stability of the EasyOne ultrasonic spirometer for use in general practice. Respirol Carlton Vic 2006:11(3):306–10.CrossrefGoogle Scholar

  • 8.

    Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, et al. Standardisation of spirometry. Eur Respir J 2005:26(2):319–38.CrossrefPubMedGoogle Scholar

  • 9.

    Schöffl VR, Hoffmann G, Küpper T. Acute injury risk and severity in indoor climbing-a prospective analysis of 515,337 indoor climbing wall visits in 5 years. Wilderness Environ Med 2013:24(3):187–94.Web of ScienceCrossrefPubMedGoogle Scholar

  • 10.

    Cieslewicz G, Tomkinson A, Adler A, Duez C, Schwarze J, et al. The late, but not early, asthmatic response is dependent on IL-5 and correlates with eosinophil infiltration. J Clin Invest 1999:104(3):301–8.CrossrefPubMedGoogle Scholar

  • 11.

    Raemdonck K, de Alba J, Birrell MA, Grace M, Maher SA, et al. A role for sensory nerves in the late asthmatic response. Thorax 2012:67:19–25.Web of SciencePubMedCrossrefGoogle Scholar

  • 12.

    Nijkamp FP, Folkerts G. Nitric oxide and bronchial hyperresponsiveness. Arch Int Pharmacodyn Ther 1995:329(1):81–96.PubMedGoogle Scholar

  • 13.

    Steerenberg PA, Janssen NAH, De Meer G, Fischer PH, Nierkens S, et al. Relationship between exhaled NO, respiratory symptoms, lung function, bronchial hyperresponsiveness, and blood eosinophilia in school children. Thorax 2003:58(3):242–5.PubMedCrossrefGoogle Scholar

  • 14.

    Ricciardolo FLM. Multiple roles of nitric oxide in the airways. Thorax 2003:58(2):175–82.CrossrefPubMedGoogle Scholar

  • 15.

    Pisi R, Aiello M, Tzani P, Marangio E, Olivieri D, et al. Measurement of fractional exhaled nitric oxide by a new portable device: comparison with the standard technique. J Asthma 2010:47(7):805–9.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 16.

    ATS/ERS Recommendations for Standardized Procedures for the Online and Offline Measurement of Exhaled Lower Respiratory Nitric Oxide and Nasal Nitric Oxide. Am J Resp Crit Care Med 2005:171(8):912–30.Google Scholar

  • 17.

    Burkart J, Steiner G, Reischl G, Moshammer H, Neuberger M, et al. Characterizing the performance of two optical particle counters (Grimm OPC1.108 and OPC1.109) under urban aerosol conditions. J Aerosol Sci 2010:41(10):953–62.Web of ScienceCrossrefPubMedGoogle Scholar

  • 18.

    Roberts ES, Richards JH, Jaskot R, Dreher KL. Oxidative stress mediates air pollution particle-induced acute lung injury and molecular pathology. Inhal Toxicol 2003:15:1327–46.PubMedCrossrefGoogle Scholar

  • 19.

    Kelly FJ. Oxidative stress: its role in air pollution and adverse health effects. Occupl Environ Med 2003:60(8):612–6.CrossrefGoogle Scholar

  • 20.

    Fell AKM, Sikkeland LIB, Svendsen MV, Kongerud J. Airway inflammation in cement production workers. Occup Environ Med 2009:67(6):395–400.PubMedWeb of ScienceGoogle Scholar

  • 21.

    Fell AKM, Notø H, Skogstad M, Nordby K-C, Eduard W, et al. A cross-shift study of lung function, exhaled nitric oxide and inflammatory markers in blood in Norwegian cement production workers. Occup Environ Med 2011:68(11):799–805.Web of ScienceCrossrefPubMedGoogle Scholar

  • 22.

    Ali BA, Ballal SG, Albar AA, Ahmed HO. Post-shift changes in pulmonary function in a cement factory in eastern Saudi Arabia. Occup Med (Lond) 1998:48(8):519–22.CrossrefGoogle Scholar

  • 23.

    Mwaiselage J, Moen B, Bråtveit M. Acute respiratory health effects among cement factory workers in Tanzania: an evaluation of a simple health surveillance tool. Int Arch Occ Env Health 2005:79(1):49–56.Google Scholar

  • 24.

    Weinbruch S, Dirsch T, Kandler K, Ebert M, Heimburger G, et al. Reducing dust exposure in indoor climbing gyms. J Environ Monit 2012:8:2114–20.Web of ScienceGoogle Scholar

About the article

Corresponding author: Doz. Dr. Hanns Moshammer, Institute Environmental Health, ZPH, Medical University Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria, Phone: +43 1 40160 34935

Received: 2016-07-12

Accepted: 2016-09-27

Published Online: 2016-11-12

Published in Print: 2016-12-01

Citation Information: Reviews on Environmental Health, Volume 31, Issue 4, Pages 401–407, ISSN (Online) 2191-0308, ISSN (Print) 0048-7554, DOI: https://doi.org/10.1515/reveh-2016-0024.

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