Table 2 Suggestions for study designs for genetic susceptibility to the respiratory effects of air pollution in humans
Study design to which genetics can be includedAdvantagesLimitations
Panel cohort studyProspective measurement of a range of air pollutantsIndividual clinical data may not be available
Larger sample sizes possiblePossibly smaller effect sizes (population based)
Longer time course possibleConfounding factors present
Difficult to assess biological phenotypes
Controlled exposure study of volunteersControlled environment and population, reduces confoundersGenerally smaller sample sizes
Can study high risk populationsMultiple pollutants usually not studied
More practical to assess biological phenotypesRelatively short time course
In vitro experiments of biological samples from volunteersControlled environment and population, reduces confoundersGenerally smaller sample sizes
Detailed mechanistic study possible (eg, gene expression microarrays, proteomics)Relatively short time course
May not entirely reflect in vivo situation
Requires biological samples to be obtained
Randomised controlled trialProspective interventional trialOften need larger sample sizes and longer duration to show a clinically important difference
Can target high risk individualsNeeds replication to be generalisable to other settings
Directly applicable to clinical practice