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Published on: November 4, 2010
Health effects of ultraviolet irradiation in asthmatic children's homes
Jonathan A Bernstein1, R Carter Bobbitt, Linda Levin
1Department of Internal Medicine, Division of Immunology, Allergy Section, Cincinnati, Ohio, USA. jonathan.Bernstein@uc.edu
Insights
Central UV irradiation improved peak expiratory flow rate variability and reduced asthma symptoms in children with mold allergies. Further research is needed to confirm these health benefits for allergic asthma management.
Area of Science:
- Environmental Health
- Pediatric Allergy
- Respiratory Medicine
Background:
- Mold sensitization is a common trigger for asthma in children.
- Indoor air quality significantly impacts allergic asthma symptoms and severity.
- Current interventions focus on allergen avoidance and medication, with a need for novel environmental strategies.
Purpose of the Study:
- To evaluate the health benefits of centrally installed ultraviolet (UV) irradiation units in mold-sensitized asthmatic children.
- To assess the impact of UV irradiation on clinical outcomes and indoor environmental parameters.
Main Methods:
- A 28-week double-blinded placebo-controlled cross-over trial involving 19 mold-sensitized asthmatic children (ages 5-17).
- Clinical outcomes included peak expiratory flow rates (PEFR), symptom scores, quality-of-life, and medication use.
- Environmental monitoring assessed temperature, humidity, dew point, and airborne mold/bacterial counts.
Main Results:
- A statistically significant improvement in PEFR variability was observed with UV irradiation (p < 0.05).
- UV treatment led to significant reductions in asthma symptom scores and medication use during the first treatment period (p < 0.05).
- No significant differences were found for other clinical or environmental outcomes between UV and placebo units.
Conclusions:
- Central UV irradiation shows potential in reducing airway hyperresponsiveness (PEFR variability) and certain clinical symptoms in asthmatic children.
- UV irradiation may be a viable indoor environmental intervention for allergic asthma.
- Larger, controlled longitudinal studies are required to validate these findings and confirm clinical health effects.
Objective:
Centrally installed ultraviolet (UV) irradiation units were investigated to determine the potential health benefits in mold-sensitized asthmatic children.
Methods:
Nineteen mold-sensitized asthmatic children 5 to 17 years of age with home central ventilation systems were enrolled in a 28-week double-blinded placebo controlled cross-over trial. Clinical outcome measurements included morning and evening peak expiratory flow rates (PEFR), PEFR variability, change in forced expiratory volume in 1 second (FEV1), change in total rhinoconjunctivitis and asthma symptom scores, change in rhinoconjunctivitis and asthma quality-of-life scores, and total (rescue and controller) medication use from baseline and between time periods. Environmental outcomes included changes in temperature, relative humidity, dew point, and indoor airborne mold and bacterial counts from baseline and between time periods. Analysis of variance (ANOVA) and regression analysis and t test were used to evaluate relationships between environmental exposure(s) and clinical outcome measurements during each study period.
Results:
Twelve male and seven female children, average age 10.6 years, were enrolled. A statistically significant improvement in PEFR variability in subjects receiving CREON2000 units followed by placebo units was observed (p < 0.05) across both treatment periods. Within group analysis during treatment period 1, a statistically significant improvement in reduction of asthma symptom scores, the number of days with asthma symptoms, total asthma medication use, and PEFR variability were observed in subjects receiving CREON2000 units versus placebo units (p < 0.05). No significant differences were observed between the CREON 2000 and placebo units for other clinical or environmental outcome measurements.
Conclusions:
Central UV irradiation was effective at reducing airway hyperresponsiveness manifested as PEFR variability and some clinical symptoms. A larger cohort controlled longitudinal study to validate the clinical health effects of UV irradiation as a primary indoor environmental intervention for allergic asthma is necessary to confirm this finding.
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