Abstract
BACKGROUND: There is limited evidence for the role of air pollution in the development and triggering of wheezing symptoms in young children. A study was undertaken to examine the effect of exposure to air pollution on wheezing symptoms in children under the age of 3 years with genetic susceptibility to asthma.
METHODS: Daily recordings of symptoms were obtained for 205 children participating in the birth cohort study Copenhagen Prospective Study on Asthma in Children and living in Copenhagen for the first 3 years of life. Daily air pollution levels for particulate matter <10 microm in diameter (PM(10)) and the concentrations of ultrafine particles, nitrogen dioxide (NO(2)), nitrogen oxide (NO(x)) and carbon monoxide (CO) were available from a central background monitoring station in Copenhagen. The association between incident wheezing symptoms and air pollution on the concurrent and previous 4 days was estimated by a logistic regression model (generalised estimating equation) controlling for temperature, season, gender, age, exposure to smoking and paternal history of asthma.
RESULTS: Significant positive associations were found between concentrations of PM(10), NO(2), NO(x), CO and wheezing symptoms in infants (aged 0-1 year) with a delay of 3-4 days. Only the traffic-related gases (NO(2), NO(x)) showed significant effects throughout the 3 years of life, albeit attenuating after the age of 1 year.
CONCLUSIONS: Air pollution related to traffic is significantly associated with triggering of wheezing symptoms in the first 3 years of life.
| Original language | English |
|---|---|
| Journal | Thorax |
| Volume | 63 |
| Issue number | 8 |
| Pages (from-to) | 710-6 |
| Number of pages | 7 |
| ISSN | 0040-6376 |
| DOIs | |
| Publication status | Published - Aug 2008 |
Keywords
- Air Pollutants
- Air Pollution
- Asthma
- Carbon Monoxide
- Child, Preschool
- Denmark
- Epidemiologic Methods
- Female
- Genetic Predisposition to Disease
- Humans
- Infant
- Male
- Nitrogen Dioxide
- Nitrogen Oxides
- Particulate Matter
- Pedigree
- Prospective Studies
- Respiratory Sounds
- Time Factors
- Vehicle Emissions
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