The contribution of motorized traffic to air pollution is widely recog
nized, but relatively few studies have looked at the respiratory healt
h status of subjects living near busy roads. We studied children in si
x areas located near major motorways in the Netherlands. We measured l
ung function in the children, and we assessed their exposure to traffi
c-related air pollution using separate traffic counts for automobiles
and trucks. We also measured air pollution in the children's schools.
Lung function was associated with truck traffic density but had a less
er association with automobile traffic density. The association was st
ronger in children living closest (<300 m) to the motorways. Lung func
tion was also associated with the concentration of black smoke, measur
ed inside the schools, as a proxy for diesel exhaust particles. The as
sociations were stronger in girls than in boys. The results indicate t
hat exposure to traffic-related air pollution, in particular diesel ex
haust particles, may lead to reduced lung function in children living
near major motorways.