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[Respiratory function in allergic asthmatic children and its relation to the environmental pollen concentration]
Celsa López Campos1, Cuauhtémoc B Rincón Castañeda, Víctor Borja Aburto
1Unidad de Investigación Médica en Epidemiología Clínica, Hospital de Especialidades núm. 71, Centro Médico Nacional de Torreón, Coahuila, IMSS. lopezcelsa@yahoo.com.mx
Insights
Environmental pollen, specifically Chenopodiaceae and Amaranthaceae, impacts pediatric asthma. Winter pollen exposure correlates with changes in children's peak expiratory flow (PEF), indicating a link between air quality and respiratory health.
Area of Science:
- Pediatric Pulmonology
- Environmental Health Science
- Allergology
Context:
- Bronchial asthma is a prevalent chronic childhood illness, leading to significant school and work absenteeism.
- Understanding environmental triggers is crucial for managing pediatric asthma effectively.
- Home monitoring of respiratory function provides valuable data on daily variations.
Purpose:
- To investigate the relationship between respiratory function in asthmatic children and environmental factors, including airborne contaminants and climate.
- To assess the correlation between peak expiratory flow (PEF) measurements and specific environmental exposures.
- To identify potential triggers for asthma exacerbations in children.
Summary:
- A study monitored 26 asthmatic children over eight months, measuring peak expiratory flow (PEF) twice daily.
- No significant association was found between PEF and most pollen types from June to November.
- However, a significant link emerged between winter concentrations of Chenopodiaceae and Amaranthaceae pollen and the difference in daily PEF (Difpef) (p < 0.05).
Impact:
- Environmental Chenopodiaceae and Amaranthaceae pollen are associated with a variability of 0.0075 L/min in Difpef per pollen grain/m³ during winter post-rain periods.
- This finding highlights the importance of monitoring specific airborne allergens during winter months for asthmatic children.
- Results can inform public health strategies and patient management for pediatric asthma in the Comarca Lagunera region.
Background:
Bronchial asthma is the most common chronic disease in children, producing the highest absenteeism among children and adults.
Objective:
To determine the relation between respiratory function in asthmatic children and contaminant and climatic environmental factors.
Material And Methods:
It was performed a study with 26 asthmatic patients, from the Immuno-Allergies Department of the Specialties Hospital no. 71 of the Centro Medico Nacional Torreon, with an 8-month-follow-up. By a home monitoring, subjects determined their peak expiratory flow (PEF) twice a day: PEF1: in the morning, at getting up without or before medication, and PEF2: at night, before sleeping without or before medication.
Results:
From June to August 1995, as well as from September to November 1995, a relation between pulmonary function, measured by PEF1 and PEF2, and some of the palinologic families or species studied was not found. On the other hand, from December 1995 to February 1996 a significant relation between the concentration of pollen's particles of Chenopodiaceaes and Amaranthaceaes and the difference between PEF1 and PEF2 (Difpef), with a p value < 0.05.
Conclusions:
Environmental Chenopodiaceaes' and Amaranthaceaes' pollen is related to a variability of 0.0075 L/min of Difpef for each grain of pollen/m3 in the environment during winter, after rain time of the Comarca Lagunera.
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