Gas cooking, kitchen ventilation, and asthma, allergic symptoms and sensitization in young children--the PIAMA study
S M Willers1, B Brunekreef, M Oldenwening
1Institute for Risk Assessment Sciences, Universiteit Utrecht, Utrecht, The Netherlands.
Insights
Gas cooking is linked to nasal symptoms in young children, but not other respiratory issues. Kitchen ventilation did not alter this association in homes with poor ventilation.
Area of Science:
- Environmental Health
- Pediatric Health
- Respiratory Medicine
Background:
- Inconsistent findings exist regarding gas cooking and children's respiratory health.
- Kitchen ventilation may influence the association between gas cooking and respiratory outcomes.
- Combustion product dispersal is a key factor in indoor air quality.
Purpose of the Study:
- To examine the impact of kitchen ventilation on the relationship between gas cooking and respiratory/allergic outcomes in children.
- To assess the role of combustion product dispersal in pediatric respiratory health.
- To investigate the specific effects of gas stoves on children's respiratory symptoms.
Main Methods:
- A birth cohort study followed over 3000 children, collecting data on respiratory and allergic symptoms.
- Blood samples were analyzed for antibodies in a subset of children at age 4.
- Gas cooking, kitchen ventilation, and the chance of combustion product accumulation (CACP) were assessed at age 5.
Main Results:
- Gas cooking showed an association only with nasal symptoms in children.
- No significant relationship was found between gas cooking and other respiratory or allergic outcomes.
- Using CACP as an exposure variable did not change the overall results; nasal symptom association became borderline significant.
Conclusions:
- Gas cooking is associated with nasal symptoms in young children.
- Kitchen ventilation characteristics did not modify the observed association in this cohort.
- Insufficient kitchen ventilation in most gas-cooking households limits the impact of ventilation assessment.
Background:
Several studies reported inconsistent associations between using gas for cooking and respiratory symptoms or lung function in children. Kitchen ventilation characteristics may modify the relationship between gas cooking and respiratory health. The aim of this study was to investigate the effect of kitchen ventilation (while cooking) on the relationship between gas cooking, combustion product dispersal, and respiratory and allergic outcomes in children.
Methods:
Data on respiratory and allergic symptoms and diagnoses were collected by yearly questionnaires in a population of over 3000 children participating in a birth cohort study on development of allergy and asthma. At 4 years of age, a sub-sample of 647 children provided blood samples for antibody testing. Data on gas cooking and kitchen ventilation were collected when the children were 5 years old. Based on these data a model was constructed to determine the chance of accumulation of combustion products (CACP) in the kitchen.
Results:
No relationship was found between gas cooking and any of the respiratory or allergy outcomes except nasal symptoms. The overall results did not change when the 'CACP' was used as exposure variable instead, while the association for nasal symptoms decreased to borderline significance.
Conclusion:
Our results suggest that gas cooking per se is associated with nasal symptoms in young children and not with the other respiratory symptoms that were investigated. Taking kitchen ventilation characteristics into account did not lead to different conclusions in this population where, according to the classification system, the majority of households using gas for cooking have insufficient kitchen ventilation.
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