Abstract
Exhaled breath condensate analysis is a developing method for investigating airway pathology. Impact of food and drink on breath condensate composition has not been systematically addressed. The aim of the study was to follow exhaled breath condensate pH after drinking an acidic and a neutral beverage. Breath condensate, capillary blood, and urine of 12 healthy volunteers were collected before and after drinking either 1 l of coke or 1 l of mineral water. The pH of each sample was determined with a blood gas analyzer. The mean difference between the pH of two breath condensate samples collected within 15 min before drinking was 0.13 ± 0.03. Condensate pH decreased significantly from 6.29 ± 0.02 to 6.24 ± 0.02 (p < 0.03) after drinking coke and from 6.37 ± 0.03 to 6.22 ± 0.04 (p < 0.003) after drinking water. Drinking coke induced significant changes in blood and urine pH as well. Drinking influences exhaled breath condensate composition and may contribute to the variability of exhaled breath condensate pH.
Similar content being viewed by others
References
Horváth I, Hunt J, Barnes PJ (2005) On behalf of the ATS/ERS Task Force on Exhaled Breath Condensate. Exhaled breath condensate: methodological recommendations and unresolved questions. Eur Respir J 26:523–548
Vaughan J, Ngamtrakulparit L, Pajewski TN, Turner R, Nguyen TA, Smith A, Urban P, Hom S, Gaston B, Hunt J (2003) Exhaled breath condensate pH is a robust and reproducible assay of airway acidity. Eur Respir J 22:889–894
Effros RM, Casaburi R, Su J, Dunning M, Torday J, Biller J, Shaker R (2005) The effects of volatile salivary acids and bases upon exhaled breath condensate pH. Am J Respir Crit Care Med 173:386–392
Books SM, Haight RR, Gordon RL (2006) Age does not affect airway pH and ammonia as determined by exhaled breath measurements. Lung 184:195–200
McCafferty JB, Bradshaw TA, Tate S, Greening AP, Innes JA (2004) Effects of breathing pattern and inspired air conditions on breath condensate volume, pH, nitrite, and protein concentrations. Thorax 59:694–698
Hunt JF, Fang K, Malik R, Snyder A, Malkotra N, Platts-Mills TAE, Gaston B (2000) Endogenous airway acidification: implications for asthma pathophysiology. Am J Respir Crit Care Med 161:694–699
Kostikas K, Papatheodorou G, Ganas K, Psathakis K, Panagou P, Loukides S (2002) pH in expired breath condensate of patients with inflammatory airway diseases. Am J Respir Crit Care Med 165:1364–1370
Tate S, MacGregor G, Davis M, Innes JA, Greening AP (2002) Airways in cystic fibrosis are acidified: detection by exhaled breath condensate. Thorax 57:926–929
Kullmann T, Barta I, Lázár Zs, Szili B, Barat E, Valyon M, Kollai M, Horvath I (2007) Exhaled breath condensate pH standardised for CO2 partial pressure. Eur Respir J 29:496–501
Effros RM, Hoagland KW, Bosbous M, Castillo D, Foss B, Dunning M, Gare M, Lin W, Sun F (2002) Dilution of respiratory solutes in exhaled condensates. Am J Respir Crit Care Med 165:663–669
Leung TF, Li CY, Yung E, Liu EK, Lam CW, Wong GW (2006) Clinical and technical factors affecting pH and other biomarkers in exhaled breath condensate. Pediatr Pulmonol 41:87–94
Soyer OU, Dizdar EA, Keskin O, Lilly C, Kalayci O (2006) Comparison of two methods for exhaled breath condensate collection. Allergy 61:1016–1018
Goldoni M, Caglieri A, Andreoli R, Poli D, Manini P, Vettori MV, Corradi M, Mutti A (2005) Influence of condensation temperature on selected exhaled breath parameters. BMC Pulm Med 5:1
Czebe K, Barta I, Antus B, Valyon M, Horváth I, Kullmann T (2008) Influence of condensing equipment and temperature on exhaled breath condensate pH, total protein and leukotriene concentrations. Respir Med [Epub ahead of print]
Riediker M, Danuser B (2007) Exhaled breath condensate pH is increased after moderate exercise. J Aerosol Med 20:13–18
Hunt J, Erwin E, Palmer L, Vaughan J, Malhotra N, Platts-Mills TAE, Gaston B (2002) Expression and activity of pH-regulatory glutaminase in the human airway epithelium. Am J Respir Crit Care Med 165:101–107
Czebe K, Kullmann T, Csiszer E, Barat E, Horváth I, Antus B (2008) Variability of exhaled breath condensate pH in lung transplant recipients. Respiration 75:339–344
Metz G, Jenkins DJ, Peters TJ, Newman A, Blendits LM (1975) Breath hydrogen as a diagnostic method for hypolactasia. Lancet 1(7917):1155–1157
Graham DY, Klein PD, Evans DJ, Evans DG, Alpert LC, Opekun AR, Boutton TW (1987) Campylobacter pylori detected noninvasively by the C13-urea breath test. Lancet 1(8543):1174–1177
Turner SW, Craig LCA, Harbour PJ, Forbes SH, Martindale S, McNeill G, Seaton A, Ayres JG, Devereux G, Helens PJ (2007) Carbonated drink consumption and increased exhaled nitric oxide in atopic children. Eur Respir J 30:1463–1464
Acknowledgments
The authors are thankful to E. Huszár for critical comments and for suggesting the model experiment and to J. Csoszor for assistance in pH measurements. The Hungarian National Scientific Research Fund (OTKA 43396 and 68808) supported the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kullmann, T., Barta, I., Antus, B. et al. Drinking Influences Exhaled Breath Condensate Acidity. Lung 186, 263–268 (2008). https://doi.org/10.1007/s00408-008-9086-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00408-008-9086-6