Effects of a household air pollution intervention using liquefied petroleum gas stoves, continuous fuel distribution and behavioural messaging on dietary and sodium intake of adult women in Puno, Peru: a randomised controlled trial

Carla Tarazona-Meza; Kendra N Williams; Gary Malpartida; Josiah L Kephart; Magdalena Fandiño-Del-Río; Suzanne Simkovich; Shakir Hossen; Marilu Chiang; Kirsten Koehler; William Checkley; Cardiopulmonary Outcomes and Household Air Pollution (CHAP) trial Investigators

doi:10.1017/S1368980023000320

Public Health Nutrition (Aug 2023)

Effects of a household air pollution intervention using liquefied petroleum gas stoves, continuous fuel distribution and behavioural messaging on dietary and sodium intake of adult women in Puno, Peru: a randomised controlled trial

Carla Tarazona-Meza,
Kendra N Williams,
Gary Malpartida,
Josiah L Kephart,
Magdalena Fandiño-Del-Río,
Suzanne Simkovich,
Shakir Hossen,
Marilu Chiang,
Kirsten Koehler,
William Checkley,
Cardiopulmonary Outcomes and Household Air Pollution (CHAP) trial Investigators

Affiliations

Carla Tarazona-Meza: Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Nutrition and Dietetics, Universidad Científica del Sur, Lima, Perú
Kendra N Williams: Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, 1830 E. Monument Street, Room 555, Baltimore, MD 21287, USA
Gary Malpartida: Biomedical Research Unit, A.B. PRISMA, Lima, Perú
Josiah L Kephart: Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
Magdalena Fandiño-Del-Río: Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
Suzanne Simkovich: Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, 1830 E. Monument Street, Room 555, Baltimore, MD 21287, USA
Shakir Hossen: Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, 1830 E. Monument Street, Room 555, Baltimore, MD 21287, USA
Marilu Chiang: Biomedical Research Unit, A.B. PRISMA, Lima, Perú
Kirsten Koehler: Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
William Checkley: ORCiD; Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA Center for Global Non-Communicable Disease Research and Training, Johns Hopkins University, Baltimore, MD, USA Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, 1830 E. Monument Street, Room 555, Baltimore, MD 21287, USA
Cardiopulmonary Outcomes and Household Air Pollution (CHAP) trial Investigators

DOI: https://doi.org/10.1017/S1368980023000320
Journal volume & issue: Vol. 26
pp. 1686 – 1695

Abstract

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Abstract Objective: Household air pollution (HAP) is a widespread environmental exposure worldwide. While several cleaner fuel interventions have been implemented to reduce personal exposures to HAP, it is unclear if cooking with cleaner fuels also affects the choice of meals and dietary intake. Design: Individually randomised, open-label controlled trial of a HAP intervention. We aimed to determine the effect of a HAP intervention on dietary and Na intake. Intervention participants received a liquefied petroleum gas (LPG) stove, continuous fuel delivery and behavioural messaging during 1 year whereas control participants continued with usual cooking practices that involved the use of biomass-burning stoves. Dietary outcomes included energy, energy-adjusted macronutrients and Na intake at baseline, 6 months and 12 months post-randomisation using 24-h dietary recalls and 24-h urine. We used t-tests to estimate differences between arms in the post-randomisation period. Setting: Rural settings in Puno, Peru. Participants: One hundred women aged 25–64 years. Results: At baseline, control and intervention participants were similar in age (47·4 v. 49·5 years) and had similar daily energy (8894·3 kJ v. 8295·5 kJ), carbohydrate (370·8 g v. 373·3 g) and Na intake (4·9 g v. 4·8 g). One year after randomisation, we did not find differences in average energy intake (9292·4 kJ v. 8788·3 kJ; P = 0·22) or Na intake (4·5 g v. 4·6 g; P = 0·79) between control and intervention participants. Conclusions: Our HAP intervention consisting of an LPG stove, continuous fuel distribution and behavioural messaging did not affect dietary and Na intake in rural Peru.

Published in Public Health Nutrition

ISSN: 1368-9800 (Print); 1475-2727 (Online)
Publisher: Cambridge University Press
Country of publisher: United Kingdom
LCC subjects: Medicine: Public aspects of medicine; Medicine: Internal medicine: Specialties of internal medicine: Nutritional diseases. Deficiency diseases
Website: https://www.cambridge.org/core/journals/public-health-nutrition

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