Indoor exposures and recurrent wheezing in infants: a study in the BAMSE cohort

G Emenius1, M Svartengren, J Korsgaard

  • 1Department of Occupational and Environmental Health, Stockholm County Council, Sweden. gunnel.emenius@smd.sll.se

Insights

Indoor dampness and newly painted surfaces are linked to recurrent infant wheezing. Multiple dampness indicators significantly increase the risk, suggesting combined indoor exposures worsen outcomes.

Area of Science:

  • Environmental Health
  • Pediatric Respiratory Medicine
  • Epidemiology

Background:

  • Recurrent wheezing in infancy is a significant health concern.
  • Indoor environmental factors are suspected contributors to infant respiratory illnesses.

Purpose of the Study:

  • To investigate the association between indoor environmental exposures and the development of recurrent wheezing in infants.
  • To determine the impact of dampness and recently painted surfaces on infant respiratory health.

Main Methods:

  • A birth cohort of 4089 children was followed.
  • A nested case-control study involved 181 infants with recurrent wheezing and 359 controls.
  • Home inspections assessed indoor conditions, including dampness and paint status.

Main Results:

  • Parent-reported and observed dampness were associated with increased odds of recurrent infant wheezing (OR 1.4-1.6).
  • A dose-response relationship was observed, with three or more signs of dampness increasing the risk (OR 2.7).
  • Newly painted surfaces in the bedroom were linked to a higher risk of recurrent wheezing (OR 1.7).

Conclusions:

  • Indoor dampness indicators are associated with recurrent infant wheezing.
  • Recently repainted interior surfaces may also contribute to infant wheezing.
  • Combined indoor exposures appear to strengthen the risk of recurrent wheezing in infants.
Abstract

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