Short-term health effects of particulate and photochemical air pollution in asthmatic children

Just, J; Segala, C; Sahraoui, F; Priol, G; Grimfeld, A; Neukirch, F

HERO ID

35429

Reference Type

Journal Article

Year

2002

Language

English

PMID

12412681

HERO ID 35429
In Press No
Year 2002
Title Short-term health effects of particulate and photochemical air pollution in asthmatic children
Authors Just, J; Segala, C; Sahraoui, F; Priol, G; Grimfeld, A; Neukirch, F
Journal European Respiratory Journal
Volume 20
Issue 4
Page Numbers 899-906
Abstract In a previous panel study in Paris, France, detrimental effects of moderately high levels of winter air pollution on the symptoms and lung function of asthmatic children were demonstrated. A new study was conducted, with the aim of assessing the short-term effects of photo-oxidant and particulate air pollution on childhood asthma during spring and early summer in Paris. Eighty-two medically diagnosed asthmatic children were followed up for 3 months. Outcomes included the incidence and prevalence of asthma attacks, nocturnal cough, supplementary use of beta2-agonists, symptoms of airway irritation, and peak expiratory flow (PEF) value and its variability. The statistical methods controlled for the lack of independence between daily health outcomes, temporal trends and pollen and weather conditions. Black smoke and nitrogen dioxide (NO2) were associated with increases in the occurrence of nocturnal cough and respiratory infections. Ozone (O3) was associated with an increase in the occurrence of asthma attacks and respiratory infections and with changes in lung function, as shown by an increase in PEF variability and a decrease in PEF. Statistically significant interactions were demonstrated between O3 and temperature and between O3 and pollen count for asthma attacks. O3 levels had a greater effect on additional bronchodilator use and on irritations of the eyes, nose and throat on days on which no steroids were used. Particulate matter was associated with eye irritation only. This study showed that, although within international air quality standards, the prevailing levels of photo-oxidant and particulate pollution in spring and early summer had measurable short-term effects on children with mild-to-moderate asthma.
Doi 10.1183/09031936.02.00236902
Pmid 12412681
Wosid WOS:000178712200018
Is Certified Translation No
Dupe Override No
Comments ECRIB. Acute over e in Segala.Eur. Respir. J. 20: 899-906.|WOS:000178712200018
Is Public Yes
Language Text English
Keyword air pollution; asthma in children; generalised estimating equations; panel study
Is Qa No
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