{"title":"急性细支气管炎后的空气污染是学龄前哮喘的危险因素:一项巢式病例对照研究。","authors":"Hao-Wei Chung, Hui-Min Hsieh, Chung-Hsiang Lee, Yi-Ching Lin, Yu-Hsiang Tsao, Ming-Chu Feng, Chih-Hsing Hung","doi":"10.1186/s12940-023-01035-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Acute bronchiolitis and air pollution are both risk factor of pediatric asthma. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis.</p><p><strong>Methods: </strong>A nested case-control retrospective study was performed at the Kaohsiung Medical University Hospital systems between 2009 and 2019. The average concentration of PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub>, NO, NO<sub>2,</sub> and NO<sub>X</sub> was collected for three, six, and twelve months after the first infected episode. Adjusted regression models were employed to evaluate the association between asthma and air pollution exposure after bronchiolitis.</p><p><strong>Results: </strong>Two thousand six hundred thirty-seven children with acute bronchiolitis were included. Exposure to PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub>, NO, NO<sub>2,</sub> and NO<sub>X</sub> in the three, six, and twelve months following an episode of bronchiolitis was found to significantly increase the risk of preschool asthma in infants with a history of bronchiolitis.(OR, 95%CI: PM<sub>10</sub> = 1.517-1.559, 1.354-1.744; PM<sub>2.5</sub> = 2.510-2.603, 2.148-3.061; SO<sub>2</sub> = 1.970-2.040, 1.724-2.342; ; NO = 1.915-1.950, 1.647-2.272; NO<sub>2</sub> = 1.915-1.950, 1.647-2.272; NO<sub>X</sub> = 1.752-1.970, 1.508-2.252) In a sensitive analysis of hospitalized infants, only PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2,</sub> and NO were found to have significant effects during all time periods. (OR, 95%CI: PM<sub>10</sub> = 1.613-1.650, 1.240-2.140; PM<sub>2.5</sub> = 2.208-2.286, 1.568-3.061; SO<sub>2</sub> = 1.679-1.622, 1.197-2.292; NO = 1.525-1.557, 1.094-2.181) CONCLUSION: The presence of ambient PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub> and NO in the three, six, and twelve months following an episode of acute bronchiolitis has been linked to the development of preschool asthma in infants with a history of acute bronchiolitis.</p>","PeriodicalId":5,"journal":{"name":"ACS Applied Materials & Interfaces","volume":null,"pages":null},"PeriodicalIF":8.3000,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694905/pdf/","citationCount":"0","resultStr":"{\"title\":\"Air pollution after acute bronchiolitis is a risk factor for preschool asthma: a nested case-control study.\",\"authors\":\"Hao-Wei Chung, Hui-Min Hsieh, Chung-Hsiang Lee, Yi-Ching Lin, Yu-Hsiang Tsao, Ming-Chu Feng, Chih-Hsing Hung\",\"doi\":\"10.1186/s12940-023-01035-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Acute bronchiolitis and air pollution are both risk factor of pediatric asthma. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis.</p><p><strong>Methods: </strong>A nested case-control retrospective study was performed at the Kaohsiung Medical University Hospital systems between 2009 and 2019. The average concentration of PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub>, NO, NO<sub>2,</sub> and NO<sub>X</sub> was collected for three, six, and twelve months after the first infected episode. Adjusted regression models were employed to evaluate the association between asthma and air pollution exposure after bronchiolitis.</p><p><strong>Results: </strong>Two thousand six hundred thirty-seven children with acute bronchiolitis were included. Exposure to PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub>, NO, NO<sub>2,</sub> and NO<sub>X</sub> in the three, six, and twelve months following an episode of bronchiolitis was found to significantly increase the risk of preschool asthma in infants with a history of bronchiolitis.(OR, 95%CI: PM<sub>10</sub> = 1.517-1.559, 1.354-1.744; PM<sub>2.5</sub> = 2.510-2.603, 2.148-3.061; SO<sub>2</sub> = 1.970-2.040, 1.724-2.342; ; NO = 1.915-1.950, 1.647-2.272; NO<sub>2</sub> = 1.915-1.950, 1.647-2.272; NO<sub>X</sub> = 1.752-1.970, 1.508-2.252) In a sensitive analysis of hospitalized infants, only PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2,</sub> and NO were found to have significant effects during all time periods. (OR, 95%CI: PM<sub>10</sub> = 1.613-1.650, 1.240-2.140; PM<sub>2.5</sub> = 2.208-2.286, 1.568-3.061; SO<sub>2</sub> = 1.679-1.622, 1.197-2.292; NO = 1.525-1.557, 1.094-2.181) CONCLUSION: The presence of ambient PM<sub>10</sub>, PM<sub>2.5</sub>, SO<sub>2</sub> and NO in the three, six, and twelve months following an episode of acute bronchiolitis has been linked to the development of preschool asthma in infants with a history of acute bronchiolitis.</p>\",\"PeriodicalId\":5,\"journal\":{\"name\":\"ACS Applied Materials & Interfaces\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":8.3000,\"publicationDate\":\"2023-12-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694905/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Materials & Interfaces\",\"FirstCategoryId\":\"93\",\"ListUrlMain\":\"https://doi.org/10.1186/s12940-023-01035-1\",\"RegionNum\":2,\"RegionCategory\":\"材料科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MATERIALS SCIENCE, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Materials & Interfaces","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1186/s12940-023-01035-1","RegionNum":2,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MATERIALS SCIENCE, MULTIDISCIPLINARY","Score":null,"Total":0}
Air pollution after acute bronchiolitis is a risk factor for preschool asthma: a nested case-control study.
Background: Acute bronchiolitis and air pollution are both risk factor of pediatric asthma. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis. This study aimed to assess subsequent exposure to air pollutants related to the inception of preschool asthma in infants with acute bronchiolitis.
Methods: A nested case-control retrospective study was performed at the Kaohsiung Medical University Hospital systems between 2009 and 2019. The average concentration of PM10, PM2.5, SO2, NO, NO2, and NOX was collected for three, six, and twelve months after the first infected episode. Adjusted regression models were employed to evaluate the association between asthma and air pollution exposure after bronchiolitis.
Results: Two thousand six hundred thirty-seven children with acute bronchiolitis were included. Exposure to PM10, PM2.5, SO2, NO, NO2, and NOX in the three, six, and twelve months following an episode of bronchiolitis was found to significantly increase the risk of preschool asthma in infants with a history of bronchiolitis.(OR, 95%CI: PM10 = 1.517-1.559, 1.354-1.744; PM2.5 = 2.510-2.603, 2.148-3.061; SO2 = 1.970-2.040, 1.724-2.342; ; NO = 1.915-1.950, 1.647-2.272; NO2 = 1.915-1.950, 1.647-2.272; NOX = 1.752-1.970, 1.508-2.252) In a sensitive analysis of hospitalized infants, only PM10, PM2.5, SO2, and NO were found to have significant effects during all time periods. (OR, 95%CI: PM10 = 1.613-1.650, 1.240-2.140; PM2.5 = 2.208-2.286, 1.568-3.061; SO2 = 1.679-1.622, 1.197-2.292; NO = 1.525-1.557, 1.094-2.181) CONCLUSION: The presence of ambient PM10, PM2.5, SO2 and NO in the three, six, and twelve months following an episode of acute bronchiolitis has been linked to the development of preschool asthma in infants with a history of acute bronchiolitis.
期刊介绍：
ACS Applied Materials & Interfaces is a leading interdisciplinary journal that brings together chemists, engineers, physicists, and biologists to explore the development and utilization of newly-discovered materials and interfacial processes for specific applications. Our journal has experienced remarkable growth since its establishment in 2009, both in terms of the number of articles published and the impact of the research showcased. We are proud to foster a truly global community, with the majority of published articles originating from outside the United States, reflecting the rapid growth of applied research worldwide.
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