Evidence map›Paper›PMID 40063536›Full record

ArticlePloS one2025

Association of a cleaner-burning stove with blood pressure in adults in rural Malawi.

Michael N Bates, Graham Flitz, Sarah Rylance, Andrew Naunje, Frank Mbalume, Deborah Havens, Maia Lesosky, Steven B Gordon, Kevin Mortimer, John R Balmes

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michael N BatesSchool of Public Health, University of California, Berkeley, California, United States of America.
Graham FlitzSchool of Public Health, University of California, Berkeley, California, United States of America.
Sarah RylanceLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Andrew NaunjeMalawi Liverpool Wellcome Clinical Research Programme, Blantyre, Malawi.
Frank MbalumeMalawi Liverpool Wellcome Clinical Research Programme, Blantyre, Malawi.
Deborah HavensLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Maia LesoskyNational Heart & Lung Institute, Imperial College, London, United Kingdom.ORCID https://orcid.org/0000-0002-2026-958X
Steven B GordonLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Kevin MortimerDepartment of Pathology, Cambridge Africa, University of Cambridge, Cambridge, United Kingdom.
John R BalmesSchool of Public Health, University of California, Berkeley, California, United States of America.ORCID https://orcid.org/0000-0002-2246-7002

Funding

Cluster Randomized Controlled Trial of an Advanced Stove to Reduce Risk of COPDR56ES023566 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI BALMES, JOHN R · 2014 to 2014
$120k
NIEHS NIH HHS R56 ES023566Wellcome Trust
6 · The paper itself

Abstract

backgroundHypertension is a leading risk factor for cardiovascular disease, and its association with household air pollution (HAP) in sub-Saharan Africa is understudied. MAIN

objectiveTo investigate the association between blood pressure (BP) and HAP exposure in a population-based cohort in rural Malawi. MATERIALS AND

methodsIn the Chikwawa district, the site of a previous randomized controlled trial of a cleaner-burning cookstove intervention (the Cooking and Pneumonia Study or CAPS), we recruited 1,481 randomly selected adults. A subset (∼21%) were from participating households in CAPS. This cross-sectional analysis investigates associations of BP with stove type and, in a sample of participants, with particulate matter ≤ 2.5 μm diameter (PM2.5) and carbon monoxide (CO), both measured using 48-hour personal monitoring. Two main types of analysis were conducted: a) assessment of differences in mean systolic BP (SPB) and diastolic BP (DBP) among three groups based on stove use/type and b) assessment of the associations between PM2.5 and CO with mean SBP and DBP; both analyses using multivariable linear regression.

resultsOf the 1481 participants, 910 provided BP data. There was no difference for either mean SBP or DBP between the CAPS intervention and control groups. However, when comparing all CAPS participants (i.e., those provided cleaner-burning cookstoves by study's end) to the non-CAPS group, mean SBP was reduced (-3.53 mmHg, 95% CI:-6.54,-0.52), but not DBP (-0.73 mmHg, 95% CI:-2.36,0.90). Of these, 599 participants also had ≥24 hours personal exposure monitoring data. Neither the log mean PM2.5 concentration nor the log mean CO concentration was associated with either SBP or DBP. DISCUSSION: In this cross-sectional study in non-pregnant adults to measure both exposure to HAP and blood pressure in sub-Saharan Africa, we found evidence for an association between receiving a cleaner-burning cookstove and reduced SBP, but no evidence for an association between BP and personal exposure to PM2.5 or CO.

Indexed as

Air Pollution, IndoorBlood PressureCookingHypertensionAdultCarbon MonoxideCross-Sectional StudiesFemaleHumansMalawiMaleMiddle AgedParticulate MatterRural PopulationCarbon MonoxideParticulate Matter

Identifiers

PMID40063536
PMCPMC11892808

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.