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[Respiratory symptoms associated with asthma prevalence and air pollution in preschool children]
Laura Andrea Rodríguez1, Juan José Rey, Astrid Berena Herrera
1Observatorio de Salud Pública de Santander, Bucaramanga, Colombia.
Insights
Indoor air quality, not outdoor pollution, significantly impacts asthma symptoms in preschool children. Factors like mold and concrete flooring are linked to increased respiratory issues in Bucaramanga, Colombia.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Context:
- Rising air pollution levels are known to harm human health, particularly worsening asthma and allergies.
- Preschool children are a vulnerable population susceptible to environmental respiratory triggers.
Purpose:
- To determine the prevalence of asthma symptoms in preschool children across areas with varying outdoor air pollution levels.
- To investigate the association between indoor and outdoor air quality and asthma-related respiratory symptoms in young children.
Summary:
- A cross-sectional study in Bucaramanga, Colombia, assessed 768 children under seven for asthma indicators using a validated Spanish questionnaire.
- Wheezing prevalence was 25.6% and asthma diagnosis was 8.4%, with no significant differences linked to outdoor pollution levels (particulate matter, ozone).
- Indoor air pollutants like cigarette smoke and aerosols were frequent. Concrete flooring and mold presence were associated with increased respiratory symptoms, unlike outdoor pollution.
Impact:
- Findings suggest indoor air quality is a more significant factor than outdoor pollution in pediatric asthma symptoms in Bucaramanga.
- Highlights the importance of addressing indoor environmental factors, such as mold and flooring, to mitigate respiratory issues in preschool children.
- Provides evidence for targeted public health interventions focusing on indoor environments to reduce the burden of childhood asthma.
Introduction:
Increases in the air pollution levels has well-documented harmful effects on human health, especially exacerbating problems of asthma and other allergies.
Objective:
The prevalence of symptoms associated with asthma was determined in preschool populations in zones with differing levels of air pollution.
Materials And Methods:
A cross-sectional study was conducted in Bucaramanga, Colombia, comparing respiratory symptoms in 768 children under seven years in two urban zones with different pollution levels of particulate matter and ozone. Morbidity was evaluated for respiratory indicators of asthma by means of a questionnaire version previously validated in Spanish.
Results:
The use of cigarettes (27.5%) and aerosols (22.7%) were the most frequent source of indoor air pollution. Wheezing prevalence was 25.6% (95% CI 23.2-29.8%) and diagnosis of asthma was 8.4% (95% CI 6.2-11.5%), with no differences between zones. The final multivariate model did not show an association between outdoor pollution and symptoms related with asthma. However, concrete flooring and presence of mold did show an association with these symptoms.
Conclusions:
Indoor air quality rather than outdoor air pollution may play a more important role in producing respiratory symptoms related with asthma in preschool children in the city of Bucaramanga, Colombia.
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Critical processes in asthma pathophysiology include: