Comparative Prevalence of Abnormal Spirometry Results in Female Adults Residing in a Community Without Electric Supply: Impact of Biomass Fuel Exposure - Study Protocol
Nicole Jacob DJ Mangilit, Ma. Czharlene A. Manango, Patrick H. Mangua, Bryce Anthony C. Manlapit, Nicklous Jan S. Marañon, Maria Patricia Anne G. Marcelo, Gabriella Therese D. Martin, Joaquin Angelo G. Martin, Reine Arielle M. Masangkay, Andrea Nicole M. Matawaran, Tim S. Trinidad, Ilona Grace D. Tiburcio
Dec 2025 DOI 10.35460/2546-1621.2025-0220 Access
Abstract
Background: About one-third of the world's population relies on traditional solid biomass for cooking, heating and lighting. The use of biomass fuels is a practice in the Philippines, especially the use of dry firewood. One community familiar with this practice is Our Lady of Banneux ANCOP Community (OLBAC). Despite this, specific data on these effects in Filipino communities remains limited.
Objective: To determine if there is a difference in the prevalence of abnormal spirometry in female adult residents of OLBAC who have significant and nonsignificant exposure to biomass fuel smoke.
Methods: A convenience sample of 54 adult female residents of OLBAC in San Mateo, Rizal, will be recruited in this analytical cross-sectional study. After enrollment, they will undergo a single spirometry procedure to determine their lung function status. The primary data to be collected from the experimental groups are FEV1, FVC and FEV1/FVC ratio. The data will undergo descriptive and `inferential analysis, and the lung function variable will be analyzed with logistic regression to account for confounding variables.
Expected Results: The descriptive data analysis will determine the mean values of lung function parameters (FEV1 and FVC) where long exposures may lead to an abnormal FVC compared to short or no exposure. The results in the inferential analysis may indicate a negative association between length of biomass fuel exposure and percentage predicted FVC among the sample, suggesting that more prolonged exposure to biomass fuel increases the risk of impaired lung function.
Key Words: Biomass fuel, biomass fuel exposure, spirometry, obstructive lung diseases, lung function
- International Energy Agency. Key world energy statistics 2016 [Internet]. Paris: OECD/IEA; 2016. Available from: http://dx.doi.org/10.1787/key_energ_stat-2016-en
- Arora P, Gupta R, Chopra R, Gupta A, Mishra N, Sood S. Effect of chronic exposure to biomass fuel smoke on pulmonary function test parameters. Int J Res Med Sci [Internet]. 2014;2(4):1488. Available from: http://dx.doi.org/10.5455/2320-6012.ijrms20141145
- Chan KH, Kurmi OP, Bennett DA, Yang L, Chen Y, Tan Y, et al. Solid fuel use and risks of respiratory diseases. A cohort study of 280,000 Chinese never-smokers. Am J Respir Crit Care Med [Internet]. 2019;199(3):352–61. Available from: http://dx.doi.org/10.1164/rccm.201803-0432OC
- Zhang X, Zhu X, Wang X, Wang L, Sun H, Yuan P, et al. Association of exposure to biomass fuels with occurrence of chronic obstructive pulmonary disease in rural western China: A real-world nested case-control study. Int J Chron Obstruct Pulmon Dis [Internet]. 2023;18:2207–24. Available from: http://dx.doi.org/10.2147/COPD.S417600
- Seposo X, Arcilla ALA, De Guzman JGN 3rd, Dizon EMS, Figuracion ANR, Morales CMM, et al. Ambient air quality and the risk for Chronic Obstructive Pulmonary Disease among Metro Manila Development Authority traffic enforcers in Metro Manila: An exploratory study. Chronic Dis Transl Med [Internet]. 2021;7(2):117–24. Available from: http://dx.doi.org/10.1016/j.cdtm.2021.01.002. PMC8180521
- Ponce MC, Sankari A, Sharma S. Pulmonary function tests. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2025]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482339/
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0
International License, which permits use, share — copy and redistribute the material in any medium or format,
adapt — remix, transform, and build upon the material, as long as you give appropriate credit,
provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner,
but not in any way that suggests the licensor endorses you or your use. You may not use the material for
commercial purposes. If you remix, transform, or build upon the material, you must distribute your
contributions under the same license as the original. You may not apply legal terms or technological
measures that legally restrict others from doing anything the license permits. The images or other
third party material in this article are included in the article’s Creative Commons license, unless indicated
otherwise in a credit line to the material. If material is not included in the article’s Creative Commons
license and your intended use is not permitted by statutory regulation or exceeds the permitted use,
you will need to obtain permission directly from the copyright holder. To view a copy of this license,
visit https://creativecommons.org/licenses/by-nc-sa/4.0/.
