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Published on: August 7, 2017
Infant swimming in chlorinated pools and the risks of bronchiolitis, asthma and allergy
C Voisin1, A Sardella, F Marcucci
1Dept of Public Health, Catholic University of Louvain, Louvain, Belgium.
Insights
Infant swimming in chlorinated pools is linked to increased risks of bronchiolitis and later asthma. Early exposure may heighten respiratory and allergic conditions in children.
Area of Science:
- Environmental Health
- Pediatrics
- Respiratory Medicine
Background:
- Emerging evidence suggests a link between infant swimming in chlorinated pools and respiratory infections.
- The potential long-term health consequences of this exposure require further investigation.
Purpose of the Study:
- To evaluate the association between chlorinated pool swimming in infancy and the risk of developing bronchiolitis.
- To examine the subsequent impact of early-life pool exposure on late-onset respiratory and allergic conditions.
Main Methods:
- A cohort of 430 children across 30 kindergartens was studied.
- Parental questionnaires collected data on health history, swimming habits, and potential confounding factors.
- Statistical analysis assessed the association between early chlorinated pool attendance and health outcomes.
Main Results:
- Infant attendance at chlorinated pools (indoor/outdoor) before age 2 was associated with a significantly increased risk of bronchiolitis (OR 1.68).
- This risk was exposure-dependent and persisted even after controlling for other risk factors.
- Children with bronchiolitis post-swimming showed higher risks of developing childhood asthma and respiratory allergies.
Conclusions:
- Swimming in chlorinated pools during infancy is a significant risk factor for bronchiolitis.
- Early exposure may lead to increased risks of asthma and allergic sensitization later in childhood.
Abstract:
Recent studies suggest that swimming in chlorinated pools during infancy may increase the risks of lower respiratory tract infection. The aim of the present study was to assess the influence of swimming in chlorinated pools on the risks of bronchiolitis and its late consequences. A total of 430 children (47% female; mean age 5.7 yrs) in 30 kindergartens were examined. Parents completed a questionnaire regarding the child's health history, swimming practice and potential confounders. Attendance at indoor or outdoor chlorinated pools ever before the age of 2 yrs was associated with an increased risk of bronchiolitis (OR 1.68; 95% CI 1.08-2.68; p = 0.03), which was exposure-dependent for both types of pool (p-value for trend <0.01). Associations persisted, and were even strengthened, by the exclusion of other risk factors. Among children with no parental antecedents of atopic disease or no day-care attendance, odds ratios for bronchiolitis amounted to 4.45 (1.82-10.9; p = 0.001) and 4.44 (1.88-10.5; p = 0.007) after >20 h spent in chlorinated pools during infancy. Infant swimmers who developed bronchiolitis also showed higher risks of asthma and respiratory allergies later in childhood. Swimming pool attendance during infancy is associated with a higher risk of bronchiolitis, with ensuing increased risks of asthma and allergic sensitisation.
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