Related Experiment Video
Updated: Jul 7, 2026

Auricular Acupressure as an Adjuvant Treatment for Wheezing in Stable Chronic Obstructive Pulmonary Disease
Published on: May 10, 2024
Ambient air pollution triggers wheezing symptoms in infants
Z J Andersen1, S Loft, M Ketzel
1Department of Biostatistics, Institute of Public Health, Copenhagen University, Øster Farimagsgade 5 Entr. B, P O Box 2099, 1014 Copenhagen K, Denmark. zorana@cancer.dk
Insights
Traffic-related air pollution, including particulate matter (PM10) and gases like nitrogen dioxide (NO2), significantly triggers wheezing in infants and young children. These effects are most pronounced in the first year of life.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Background:
- Limited evidence exists on air pollution's role in childhood wheezing.
- Investigating air pollution's impact on wheezing in children under 3 with asthma susceptibility is crucial.
Purpose of the Study:
- To examine the effect of air pollution exposure on wheezing symptoms in children under 3 years old.
- To assess the association between specific air pollutants and incident wheezing.
Main Methods:
- A birth cohort of 205 children in Copenhagen tracked daily symptoms for 3 years.
- Daily air pollution data (PM10, ultrafine particles, NO2, NOx, CO) were collected.
- Logistic regression (GEE) analyzed associations, controlling for confounders.
Main Results:
- Significant positive associations found between PM10, NO2, NOx, CO and wheezing in infants (0-1 year) with a 3-4 day lag.
- Traffic-related gases (NO2, NOx) showed effects throughout 3 years, diminishing after age 1.
Conclusions:
- Traffic-related air pollution is significantly linked to triggering wheezing symptoms in early childhood.
- Early-life exposure to traffic pollution poses a risk for respiratory symptoms.
Background:
There is limited evidence for the role of air pollution in the development and triggering of wheezing symptoms in young children. A study was undertaken to examine the effect of exposure to air pollution on wheezing symptoms in children under the age of 3 years with genetic susceptibility to asthma.
Methods:
Daily recordings of symptoms were obtained for 205 children participating in the birth cohort study Copenhagen Prospective Study on Asthma in Children and living in Copenhagen for the first 3 years of life. Daily air pollution levels for particulate matter <10 microm in diameter (PM(10)) and the concentrations of ultrafine particles, nitrogen dioxide (NO(2)), nitrogen oxide (NO(x)) and carbon monoxide (CO) were available from a central background monitoring station in Copenhagen. The association between incident wheezing symptoms and air pollution on the concurrent and previous 4 days was estimated by a logistic regression model (generalised estimating equation) controlling for temperature, season, gender, age, exposure to smoking and paternal history of asthma.
Results:
Significant positive associations were found between concentrations of PM(10), NO(2), NO(x), CO and wheezing symptoms in infants (aged 0-1 year) with a delay of 3-4 days. Only the traffic-related gases (NO(2), NO(x)) showed significant effects throughout the 3 years of life, albeit attenuating after the age of 1 year.
Conclusions:
Air pollution related to traffic is significantly associated with triggering of wheezing symptoms in the first 3 years of life.
Related Concept Videos
Asthma-I: Introduction
Asthma I: Introduction
Asthma III: Clinical Manifestations
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Allergic Reactions
