1.Comparative analysis of household indoor PM2.5 concentrations and prevalence of hypertension between cities
Anujin M ; Myagmarchuluun S ; Erkebulan M ; Ser-Od Kh ; Shatar Sh ; Gantuyаa D ; Enkhjargal G ; Munkh-Erdene L ; Gregory C. Gray ; Jungfeng Zhang ; Damdindorj B ; Ulziimaa D ; Davaalkham D
Mongolian Journal of Health Sciences 2025;89(5):5-10
Background:
According to the World Health Organization (WHO), 6.7 million people die annually due to air pollution
caused by solid fuel use, with the majority of deaths resulting from respiratory diseases and cardiovascular conditions. In
Mongolia, air pollution ranks as the fourth leading risk factor contributing to mortality, following hypertension, diabetes,
and other major health risks. Although there have been numerous studies on outdoor air pollution in Mongolia, research
linking indoor air pollution at the household level with the health status of residents remains limited.
Aim:
To compare indoor PM2.5 concentrations in households of Ulaanbaatar and Darkhan and examine their association
with hypertension during the winter season.
Materials and Methods:
The study was conducted during November and December 2023, and January 2024, involving
240 households in Ulaanbaatar and Darkhan. Indoor PM2.5 concentrations were measured using Purple Air real-time
sensors continuously for 24 hours over approximately one month. After measuring indoor air pollution, individuals aged
18–60 years living in the selected households were recruited based on specific inclusion criteria. Blood pressure was
measured three times and the average value was recorded. Information on respiratory illnesses was collected through
structured questionnaires. Statistical analysis was performed using STATA version 19.0.
Results:
A total of 241 households participated in the study, with 116 from Ulaanbaatar and 125 from Darkhan. Of the
participants, 46.5% were male and 53.5% were female. In terms of housing type, 96 households (39.8%) lived in gers,
97 (40.2%) lived in stove-heated houses, and 48 (19.9%) lived in apartments. Among all participants, 66.0% (n=159) had
hypertension and 34.0% (n=79) had normal blood pressure. Among participants aged over 40, 69.9–88.5% had hypertension, which is statistically significantly higher compared to younger individuals (p=0.0001). By body mass index, 75.3%
(n=72) of overweight individuals and 78.4% (n=58) of obese participants had hypertension, showing a statistically significant difference compared to participants with normal weight (p=0.0001). The 24-hour average concentration of indoor
PM2.5 was measured using the Purple Air device, and the levels in gers and stove-heated houses exceeded the limit set
by the MNS 4585:2025 standard (37.5 µg/m³)
Conclusion
This study identified a relationship between environmental factors, such as air pollution and housing type,
and the prevalence of hypertension. The indoor PM2.5 concentration in gers and stove-heated houses was above the standard limit, indicating a negative impact on the health of those residents. Furthermore, the high prevalence of hypertension
among participants over the age of 40 and those who are overweight suggests a possible link to lifestyle and environmental conditions.
2.Comparative Analysis of Outdoor Particulate Matter Concentrations in Ulaanbaatar Using Direct Measurements and Fixed Monitoring Station Data
Maralmaa E ; ; Yerkyebulan M ; Ser-Od Kh ; Shatar Sh ; Gantuya D ; Munkh-Erdene L ; Enkhjargal G ; Myagmarchuluun S ; Gregory Gray ; Junfeng Zhang ; Ulziimaa D ; Damdindorj B ; Davaalkham D ; ; Darambazar G
Mongolian Journal of Health Sciences 2025;89(5):105-111
Background:
Particulate matter with an aerodynamic diameter of 2.5 micrometers or smaller (PM2.5) penetrates
deep into the alveoli through the respiratory tract and is characterized by its ability to induce oxidative stress, systemic
inflammation, and vascular inflammation. Mongolia ranks among the countries with the highest levels of air pollution. In
Ulaanbaatar, where more than half of the country’s population resides, wintertime PM2.5 concentrations often exceed 200
μg/m³, which is about eight times higher than the World Health Organization (WHO) guideline value. A study involving
1,200 adults in Ulaanbaatar showed that quality of life deteriorated sharply during periods of high air pollution, with
effects more pronounced among individuals who already had impaired respiratory function.
Aim:
To examine the relationship between indoor household PM2.5 concentrations and lung function indicators among
adults in Ulaanbaatar and Darkhan.
Materials and Methods:
This analytical cross-sectional study recruited adult participants from Ulaanbaatar and Darkhan
through targeted sampling. Household air quality was measured using PurpleAir sensors, which were installed in
participants’ homes for one month. After exposure measurement, lung function was assessed via spirometry. Statistical
analyses were conducted using SPSS version 25.0.
Results:
A total of 236 participants were included: 114 (48.3%) from Ulaanbaatar and 122 (51.7%) from Darkhan. The
sample consisted of 111 men (47.0%) and 125 women (53.0%). The mean indoor PM2.5 concentration was 66.24 μg/m³
(SD 44.87 μg/m³), ranging from a minimum of 7.79 μg/m³ to a maximum of 264.55 μg/m³. Stratification by housing type
showed the highest PM2.5 levels in gers (82.34 μg/m³), followed by detached houses (67.34 μg/m³), while apartments
had the lowest concentrations (32.24 μg/m³). Correlation analysis revealed statistically significant negative associations
between PM2.5 levels and measures of expiratory function, including the FEV1/FVC ratio, peak expiratory flow (PEF),
and mid-expiratory flow (FEF25–75). Reduced forced vital capacity (FVC) was observed in 9.4% of participants, reduced
forced expiratory volume in one second (FEV1) in 15.3%, and a decreased FEV1/FVC ratio in 3.8%.
Conclusion
Indoor household PM2.5 concentrations were highest in gers, and expiratory flow-related lung function
parameters showed significant negative associations with particulate exposure. This suggests that indoor PM2.5 primarily
affects airflow limitation rather than overall lung volumes in this population.
3. Dental caries status among preschool children
Suvdanchimeg A ; Delgertsetseg J ; Munkh-Od SH ; Tselmeg B ; Oyuntsetseg B
Innovation 2016;2(1):26-28
Dental caries is prevent problem, not only Mongolia, but also world wide. According to World Health Organization’s report in 1976 the mean DMFT of 12 years old of Mongolian children was 1.48 and in 1990 was 2.6. According to Mongolian research studies, the prevalence of caries and mean DMFT children within the age range of 3-17 years old was 79.2% and 3.88 and in 3-5 years old children were 4.9 correspondingly. Several investigators have reported increasing caries rate among Mongolian children, especially those living in cities. The aim of this study to access dental caries status among preschool, children of Ulaanbaatar city, Mongolia.The study covered 294 preschool children who were 3 - 5 years randomly selected from 2 kindergartens of Ulaanbaatar city. Design: Cross – sectional study, oral epidemiological survey based on World Нealth Organization methodology clinical examination.The caries prevalence of all preschool children was 85%. The caries prevalence in 3 years old children was 75.6%, in 4 years old, it was 85.78% in 5 years old, it was 93.8%. The caries prevalence was high among 5 years old children. The mean dmft score was 6.2±0.2 all children.Only 15% of the children were caries free. The caries prevalence of the preschool children was 85%, and the mean dmft (decayed, missing, filled tooth) were 6.2±0.2. The dental caries prevalence and mean dmft score among preschool children of Ulaanbaatar city were “VERY HIGH” stage which is determined by criteria World Health Organization.
4. Dental caries status and some growth indices among preschool children Ulaanbaatar ciry
Delgertsetseg J ; Oyuntsetseg B ; Munkh-Od SH
Innovation 2014;8(2):25-27
The aim of this study to assess dental caries status and some growth indices among preschool children of Ulaanbaatar city, Mongolia. The study population consisted of 499 preschool children aged 3-5 years old randomly selected from 6 kindergartens of Ulaanbaatar city. The all children were examined oral examination and body weight and height by anthropometric methods. 1. The caries prevalence of all preschool children was 92.9%. The mean dmft and dmfs score were 8.2±4.8 and 11.7±8.6 of all children, 8.4±4.6 and 12.9±9.1 of 5 years old, 7.8±5.4 and 10.9±9.1 of 4 years old, 8.4±4.7 and 11.3±7.7 of 3 years old, respectively (p<0.01).2. The average body weight and height were 15.8±2.2 кg and 97.7±5.8 cm of 3 years old, 17.2±1.8 kg and 103.4±4.7 cm of 4 years old, 18.5±2.3 kg and 108.1±5.5 cm of 5 years old, respectively (p<0.001).The dental caries prevalence and mean dmft score among preschool children of Ulaanbaatar city were “VERY HIGH” stage, which is determined by criteria WHO. The body height and weight of preschool children of Ulaanbaatar city are increasing year by year. There is not observed significantly the relationship between dental caries status and body growth indices
5.Dental caries status and some growth indices among preschool twins of Ulaanbaatar city
Delgertsesteg J ; Oyuntsetseg B ; Munkh-Od SH
Mongolian Medical Sciences 2013;166(4):40-43
Purpose: To study some growth indices and dental caries status of twins of kindergarten, Ulaanbaatar city.Methods: The study group consists of 7 pairs or 14 twins and control group consist of 14 children, who were same aged and same classmates of twins. The body weight and height of all children was measured by anthropometric methods and dental examination was done by WHO criteria 2003. The plaque index was determined by Pederov-Volodkini and caries activity was determined by Shimono (1974).Results: 1. The average body weight of study group was lower than control group, but the average body height of study group was higher than control group (p<0.01). 2. The mean deft score 6 dft, 7 dfs in study group and 8 dft, 12 dfs in control group, respectively (p<0.05). 3. Satisfactory of oral hygiene index was 64% in study group and 57% in control group (p<0.05). 4. When we determined the caries activity, high caries activity group was 50% in study group and 57% in control group (p<0.01). Conclusion: The risk factors and scores of dental caries of twin were lower than the control group. In the future we have to carry detailed study to relationship between body weight and mean dft score.
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