Health risks for children exercising in an air-polluted environment can be reduced by monitoring air quality with low-cost particle sensors

A child’s body is highly sensitive to air quality, especially regarding the concentration of particulate matter (PM). Nevertheless, due to the high cost of precision instruments, measurements of PM concentrations are rarely carried out in school areas where children spend most of their daily time. This paper presents the results of PM measurements made by a validated, low-cost university air pollution measurement system operating in a rural area near schools. An assessment of children’s exposure to PM during school hours (8 a.m.–6 p.m.) at different times of the year was carried out. We show that PM10 concentrations in the air, particularly in winter, often exceeded the alert values of 50 µg m−3, posing a health risk to children, especially when children exercise outside the school building. We also calculated the rate and total PM10 deposition in the respiratory tract during various physical activities performed in clean and polluted air. Monitoring actual PM10 concentrations as presented in this paper, using a low cost sensors, offer school authorities and teachers an opportunity to reduce health risks for children. This can be achieved by adjusting the duration and exercise intensity of children’s outdoor physical activities according to the measured air quality.

Protecting the health of the population is an essential policy task for nations 1 , the European Union (EU) 2 , and worldwide 3 .Due to the high sensitivity to the impact of the environment, special attention must be paid to protecting the health of school children 4 .One of the key public health problems is currently exposure to high concentrations of particulate matter in ambient air, both in urban and rural populations.
Low-cost systems for monitoring the concentration of airborne particulate matter are made by government institutions 5 and also are being developed at universities 6,7 .Currently, almost every major city (e.g., in the EU 8 ) possesses at least one air quality monitoring station provided by the government (state or local government) 5 .Unfortunately, highly accurate systems are too expensive to be purchased with available funds and for the needs of small communities.The use of low-cost measurement networks makes it possible to monitor air quality in smaller towns and villages, thereby reducing the technological exclusion of this mainly rural part of the population (e.g., the rural population comprised 40.1% of Poland's total population in 2020) 9 .
The negative effects of particulate matter on human health are widely documented, with a particular focus on the harmful effects of the fine particles such as PM 2.5 and PM 1 on various tissues/organs of the human body 10,11 .However, the most commonly measured indicator of air pollution worldwide is the PM 10 .Therefore, in this study we focus on this indicator in terms of its potential impact on children's health.It is worth noting that the particulate matter included in this indicator (PM 10 ) also comprises particulate matter labelled as PM 2.5 , PM 1 , etc.For example, the PM 2.5 /PM 10 ratio over the study area was ~ 0.82, as reported by Wilczyńska-Michalik and Michalik 12 and Nieckarz and Zoladz 7 .
In this paper, we highlight a potential health hazard related to the outdoor physical activity of children conducted in polluted air.Results are reported of airborne particulate matter readings using the low-cost Storm&DustNet measurement network 7 .Measurements were taken near schools in several villages in the

Characteristics of measurements stations
In the present study, we measure air pollution, air temperature (T), humidity (H), and pressure (PR) utilizing university measuring stations (UMS).These stations belong to a low-cost air monitoring system that is part of the Storm&DustNet scientific project of Jagiellonian University in Kraków, Poland 7 .The UMS continuously measure the airborne mass concentration of particulate matter (PM), namely PM 1 , PM 2.5 , and PM 10 , and the concentration of suspended particulate matter (C) in five diameter ranges (0.3-0.5 µm, 0.5-1.0µm, 1.0-2.5 µm, 2.5-5.0 µm, 5.0-10.0µm).Samples are taken 30 times per minute, accumulated to obtain average values per minute, and transferred to a database server by wireless GSM technology.Finally, we analyzed the average values of concentrations calculated based on stored 1-min data.The UMS measure mass concentration with a precision of ± 9 µg•m −3 in a wide range of data (from a few up to 240 µg•m −3 ), while the levels of temperature, humidity, and pressure precision are ± 1 °C, ± 3% RH, and ± 1 hPa, respectively 13 .

UMS locations
Eleven UMS stations were mounted on buildings at a height of approximately 3 m above ground level.The UMS (labeled by letters: A, B, C, D, E, F, G, H, I, J, K) are distributed over the Małopolska Province in southern Poland.All selected places were away from highways and roads with heavy traffic.The study area was contained within a 6 × 10-km rectangle, with distances between stations ranging from 1.5 to 4 km.Particulate matter measurements were carried out over a period from 1 September 2018 to 31 August 2022 (1461 days) covering four heating periods in 11 locations.Station K was installed in a country town close to a primary school.The next eight stations were installed in villages close to primary schools (stations: A, B, D, E, F, G, H, I), and one was placed close to a nursery school (station C).An additional station (J) was installed as a background station in a village with a small population close to green areas where the building density was low.

Dust hazards in the studied locations as places in everyday life
The analysis was carried out for both the entire 4-year period considered (1 September 2018 to 31 August 2022) and also for two separate periods: "cold" from October to March (X-III) and "warm" from April to September (IV-IX).
The highest values of average PM 10 concentration over the overall period considered were recorded by stations K and A, equaling 43.1 µg•m −3 and 42.4 µg•m −3 , respectively.Similarly, the highest mean concentration was recorded during the cold period, equaling 65.4 µg•m −3 and 65.3 µg•m −3 for stations K and A, respectively.The highest daily PM 10 concentration occurred on 3 January 2021 in station A (328.8 µg•m −3 ).
On the other hand, throughout the period under review, the lowest average PM 10 values were recorded by stations I and J, amounting to 28.7 and 29.0 µg•m −3 , respectively.In all locations, the average PM 10 value in the warm period did not exceed level 19 µg•m −3 (see Table 1).
In the analyzed period, each measuring station recorded several dozen days in each cold period during which PM 10 concentrations exceeded the permissible level of 50 µg•m −3 (see Table 2, Fig. 1).The highest number of days (137) exceeding the permissible levels was recorded by station A in the cold period X 2020-III 2021, while the lowest number of days with the PM 10 > 50 µg•m −3 was recorded by the station J in the cold period X 2019-III 2020.The average number of days exceeding the permissible level of 50 µg•m −3 in the cold period for all stations in the analyzed period is 75.7.In period X 2020-III 2021, the highest average number of days exceeding the acceptable level was recorded 87.0; and the smallest (64.4 d) was recorded during the cold period X 2019-III 2020.
In the overall period under review (1 September 2018 to 31 August 2022), the highest number of days amounting to 390 exceedances of the daily permissible level of 50 µg•m −3 was reported by station K, and the smallest number of exceedance days (212) was recorded by station J (see Table 3).The maximum number of days exceeding the permissible level in monthly intervals is 27, which was recorded in March 2022 by station E (see Fig. 1).
Average daily distributions of the hourly PM 10 in all localization are bimodal (Fig. 2).The highest value of PM 10 was achieved within the hours of 6-8 p.m.The second maximum is much weaker and occurs in the hours 6-8 a.m.On average, in the cold period, PM 10 is several times higher than in the warm period (see Table 1).Moreover, the largest increase was recorded by station K (4.5), and the smallest increase in the cold period was recorded by station J (2.3).
In almost all locations, the optimal 2-h period with the lowest average PM 10 concentration occurs between 12 and 2 p.m. except for station I, where this period falls from 11 a.m. to 1 p.m.The overall average value for the cleanest 2-h period across all locations is 34.6 µg m −3 (see Table 4), while for the same hours during the warm period, the average value is 10.0 µg m −3 .Figure 2 shows a noticeable decrease in PM 10 concentration at all locations around 10 a.m., indicating that the period between 10 a.m. and 2 p.m. has the lowest PM 10 levels in the study area.This finding is consistent with research conducted by Nieckarz and Zoladz 7 .

Deposition factor (DF)
Based on previous research [16][17][18][19] , we assume that the value of the deposition factor at rest (DF At rest ) and deposition factor for exercising children (DF Exercise ) are equal to 0.60 and 0.40, respectively, which represents the average mass deposition fraction of PM 10 in the human respiratory tract.We assume one DF value for boys and girls in all analyzed age groups (from 9 to 16 years).
where TD represents total deposition of PM 10 calculated with Eq. (1) (using DF for at-rest and exercise, respectively, according to Table 6) in the volume of ventilated air (minute ventilation V̇E) during time activity (TA).

Discussion
Air quality in warm and cold periods.As presented in Table 1, the mean values of PM 10 in the air in the locations included in this study vary significantly in warm and cold periods.In particular, the PM 10 concentration in the air in the cold period is 3.4-fold higher than in the warm period (Table 1).Note that the PM 10 level even in the warm period often exceeds the barrier of 50 µg m −3 (Table 3).
Children's physical activities According to the Physical Activity Guidelines for Americans, 2nd edition 20 , issued by the U.S. Department of Health and Human Services, the recommended amount of physical activity for children and adolescents at ages 6 through 17 years is 60 min (1 h) or more of moderate-to-vigorous physical activity daily.The statement of this organization underlines the point that regular physical activity in children and adolescents promotes health and fitness.Physically active youth have higher levels of fitness, lower body fat, stronger bones and muscles, and better resilience to stressful situations.In addition, physically active children have better cognitive performance (for a review, see Physical Activity Guidelines for Americans, 2nd edition [health.gov]).Healthy children spontaneously undertake various kinds of physical activities such as soccer, football, handball, cycling, or running (for an overview, see Rowland 21 ), which often exceeds the above-mentioned recommended 60 min of physical activity.
Interestingly, the endurance capacity of children at age 8-16 years old is remarkably good, as judged based on the levels of their maximal oxygen uptake (VȮ 2max ).For example, Reybrouck et al. 15 14 .These findings show that the values of VȮ 2max in children, expressed in relative values, are on a level similar to or even higher than healthy adults [22][23][24] .Moreover, Reybrouck et al. 15 reported that the oxygen uptake of children at the ventilatory anaerobic threshold at age 9-16 years old amounted on average to 31.7 mL O 2 •min −1 •kg −1 in boys and to 30.4 mL O 2 min −1 kg −1 in girls.This result corresponds to about 60% and 65% of their VȮ 2max , respectively, for girls and boys.Accordingly, it has been reported that prepubertal boys at age www.nature.com/scientificreports/11.6-14 years old could perform an exercise in laboratory conditions (walking/running on a treadmill) lasting 60 min, which required about 60% of their VȮ 2max (31.4 − 32.6 mL O 2 min −1 kg −1 ) without symptoms of fatigue (no blood lactate accumulation and submaximal HR during exercise) 25 .
Physical activity and the minute ventilation.Any form of sustained physical activity requires an adequate supply of oxygen to the working muscles to generate the needed amount of energy (ATP) 22,23,26 .A given metabolic rate (~ VȮ 2 ) requires an appropriate minute ventilation (VĖ) 22 .The VĖ in children at ages between 9 and 16 years old when at rest amounts to ~ 7-10 L min −1 , but during maximal exercise, VĖ increases to its maximal values (V̇E max ), ranging from ~ 60 to 85 L min −1 in girls and from ~ 60 to 115 L min −1 in boys depending on their age (see Table 5).The enhanced V̇E during exercise will increase the amount of the various PM inhalation and deposition in the respiratory tract 19 .This issue becomes especially relevant when exercising above the power output corresponding to the change point in VȮ 2 (~ the lactate threshold) 23,24,27 , since above this exercise intensity the V̇E in humans increases non-proportionally to the increase of the exercise intensity [22][23][24]27 .
Depending on individual children's physical capacity, the exercise intensity of physical activities undertaken in the framework of physical education lessons as well as during additional spontaneous physical activities will vary between the children at varied ages.Exercise intensity will influence the magnitude of the absolute V̇E during exercise.In the present study (Table 5) we have presented data of simulations of varied exercise conditions including: (i) heavy-severe physical exercise, such as 1000-m competitive running with the V̇E max , (ii) moderate-heavy intensity exercise with the V̇Eamounting to 75% VĖ max , and (iii) moderate exercise intensity with the V̇E amounting to 40% VĖ max .
Air quality and PM 10 deposition.As presented in Table 6 and 7 we have calculated the rate (µg min −1 ) and the total PM 10 (µg) deposition during various physical activities that require different levels of minute ventilation in children (girls and boys) for varied age groups.Note that the rate of deposition during all forms of exercise markedly increases above its levels at rest (see Tables 6 and 7).Regarding exercise, we show data for both variables (i.e., the rate and total PM 10 deposition) as we believe that these variables should be considered separately.For example, in the case of intensive exercises (e.g., a 1000-m race) frequently practiced during physical education classes in school or other forms of intense exercise will result in a relatively low amount of the total deposition of PM 10 but a high level of the deposition rate.
This scenario is opposite to the situation at rest or during prolonged modern exercise (40% of V̇E max ) where the deposition rate is much smaller, but the total deposition is much greater than during the short-term (3.5 min) maximal exercise.It seems to be likely, that the high deposition rate of PM 10 might have a more acute harmful acute effect on the tissues of the respiratory tract, whereas the high total deposition rate might result in chronic illnesses of the respiratory tract.This hypothesis, however, requires detailed clinical studies in the future.Furthermore, it can be seen in Table 6 that the children at higher ages (see, e.g., groups AG3 and AG4 vs. AG2 and AG1) are exposed to a greater deposition rate and total deposition of PM 10 as their absolute values of the V̇E max are much higher than in younger children (see Tables 6 and 7).As shown in Table 1 the sessional and daily changes of the levels of PM 10 in the inspired air strongly affect the rate and total deposition of PM 10 in the respiratory tract of children.
PM 10 deposition and health risk The deposited dose of inhaled PM was measured over varied areas (urban, roads, and rural), as well as the dose rates in terms of PM 2.5 and PM 10  16-19, 28-32 .These studies indicate that the dose rate was dependent on a few elements, such as geographic factors, physical characteristics of the particle number size distribution, activity type (exercise/at rest), age, gender, concentration metric (number versus mass), and particle diameter.
Studies have shown that the dose rate was nonlinearly proportional to the exposure level.Deep breathing pulls PM faster and farther into the lungs, bypassing initial areas of deposition 33 .According to Ginsberg et al. 34 , the pulmonary region of the lung has slower clearance; therefore, PM remains there longer.Consequently, the particle dose can be two-to four-fold higher among young children.A comprehensive review and description Table 3.Total number of days during which the daily average value of PM 10 exceeded the levels of 50 µg•m −3 and 100 µg•m −3 , in the period from 1 September 2018 to 31 August 2022.

Localization
Total number of days when PM 10 concentration exceeded 50 µg m −3 Total number of days when PM 10 concentration exceeded 100 µg m − concerning the available models of inhaled particle deposition in the lungs can be found in Morawska et al. 35 .The above-discussed harmful effects of PM on the health of children become particularly relevant when children undertake various forms of physical activities in the polluted air, resulting in an enhancement of the rate and total PM deposition in the respiratory tract (see Tables 6 and 7).
As seen in Tables 6 and 7, the values of the deposition rate and the total deposition for boys from older age groups (AG2-AG4) when exercising at the same percentage of the V̇E max , are systematically higher than in girls Table 5. Value of 100%, 75%, and 40% of VĖ max [L min −1 ] and V E at rest for girls and boys in four age groups.Value calculated based on the data collected in a paper by Lai et al. 14 (for comparisons, see also Reybrouck et al. 15 ).

AG1 AG2 AG3 AG4
Age ).This discrepancy is because the absolute VĖ max (L min −1 ) values in the boys at a given age (above 10 years old) in boys are higher than in girls (see Table 5).
The presented low-cost particulate matter sensors allow for limiting the risk of health hazards in children by showing the actual PM concentrations and choosing the appropriate "time window" for the daily dose of exercise.The chosen period can be when air quality is the highest-in our research, the hours between 10 a.m. and 2 p.m. (see Fig. 2 and Table 4).In cases of heavy air pollution on a given day, teachers aware of this fact, might: perform their daily physical exercise inside the school or sports center buildings, or to limit the intensity and duration of outdoor exercise.

Conclusions
The use of a low-cost measurement network 7 supported by a calibration system 13 is a useful tool in air quality monitoring, particularly in rural areas where the use of expensive, highly accurate measuring devices is beyond the budget of small communities.This low-cost measurement solution eliminates the limitations and social and informational exclusion affecting small communities such as villages (currently about 40% of the population in Poland) 9 .The presence of such installations in rural areas raises the awareness of residents regarding the role of air quality on their health and contributes to activating these communities for environmental protection.As shown in this study, the described low-cost particulate matter sensors monitoring the actual PM 10 concentrations allow for limiting the risk of health hazards in children.This information enables school authorities and teachers to choose an appropriate "time window" for the daily dose of physical exercise performed outdoors when the air quality is the best to minimize the rate and total PM 10 deposition in children's respiratory tracts.

Figure 1 .
Figure 1.Time distributions of a monthly number of days when the daily PM 10 exceeded the value 50 µg•m −3 recorded by the 11 UMS stations (labeled with letters A to K) during the period 1 September 2018 to 31 August 2022.

Figure 2 .
Figure 2. Time distribution of hourly average PM 10 [µg•m −3 ] concentration during all warm periods (thin line) and the cold period (bold line) recorded by 11 UMS stations (labeled with letters A to K).

Table 1 .
Average values of PM 10 for the warm and cold periods (April-September and October-March), respectively, and for the entire period of the measurements considered in this study (i.e., from 1 September 2018 to 31 August 2022).

III 2019 X 2019-III 2020 X 2020-III 2021 X 2021-III 2022
in boys aged 9-16 in the range of 50.6-56.6mL O 2 min −1 kg −1 and in girls at the same age between 42.2 and 43.7 mL O 2 min −1 kg −1 .Similar values of VȮ 2max for the same age groups of children were recently reported by Lai et al.

Table 6 .
Deposition rate and the total deposition of PM 10 at rest and during various physical activities (for a description, see the methods section) resulting in different levels of the minute ventilation (V̇E) in girls at varied ages (groups AG1-AG4). Periods:

Table 7 .
Deposition rate and the total deposition of PM 10 at rest and during various physical activities (for a description, see the methods section) resulting in different levels of the minute ventilation (V̇E) in boys at varied ages (groups AG1-AG4). Periods: