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Published on: August 7, 2017
Parental smoking, nasal resistance and rhinitis in children
P Virkkula1, K Liukkonen, A K Suomalainen
1Department of Otorhinolaryngology and Head and Neck Surgery, University of Helsinki, Finland.
Insights
Parental smoking increases children's risk of perennial rhinitis symptoms. However, it does not affect nasal resistance, tonsil size, or airway surgery rates in children exposed to environmental tobacco smoke.
Area of Science:
- Pediatric Otolaryngology
- Environmental Health
- Allergy and Immunology
Background:
- Parental smoking is a significant environmental exposure for children.
- Environmental tobacco smoke (ETS) is linked to various respiratory issues in pediatric populations.
- The specific impact of parental smoking on sinonasal health and upper airway anatomy in young children requires further elucidation.
Purpose of the Study:
- To investigate the association between parental smoking and the prevalence of perennial rhinitis in children aged 3-6 years.
- To compare objectively measured nasal resistance between children from smoking and non-smoking households.
- To evaluate the relationship between parental smoking and tonsillar size, nasopharyngeal airway dimensions, and history of upper airway surgery.
Main Methods:
- A prospective cross-sectional study involving 95 children (3-6 years old).
- Data collection included parental questionnaires on smoking habits and child's symptoms, ear-nose-throat examinations, anterior rhinomanometry, and lateral cephalograms.
- Children were categorized based on the presence or absence of parental smoking in the household.
Main Results:
- Children from smoking families had a significantly increased risk (up to 2.76-fold) of developing perennial rhinitis symptoms.
- No statistically significant difference was observed in nasal resistance between children exposed and unexposed to parental smoking.
- Parental smoking status was not associated with variations in tonsillar size, nasopharyngeal airway patency, or the frequency of upper airway surgeries.
Conclusions:
- Parental smoking is a notable risk factor for perennial rhinitis symptoms in young children.
- Environmental tobacco smoke exposure should be considered during parental counseling and the clinical evaluation of children presenting with rhinitis and nasal obstruction.
- While rhinitis symptoms are linked to parental smoking, objective measures of nasal resistance and airway anatomy are not significantly affected in this age group.
Aim:
To determine whether parent-reported perennial rhinitis or objectively measured nasal resistance is more common in children from smoking families. To assess tonsillar size, nasopharyngeal airway and upper airway surgery frequency in children with smoking and non-smoking parents.
Methods:
Ninety-five children (age 3-6 years, median 68 months) participated in this prospective cross-sectional clinical study. History of nasal symptoms was obtained, and all underwent an ear-nose-throat examination, anterior rhinomanometry and a lateral cephalogram. Regular smoking by either parent and their child's snoring was inquired about with a parental questionnaire. We compared children with a parental smoker and children without a parental smoker in the family.
Results:
Smoking in the family led to increased risk for perennial rhinitis in the children up to 2.76-fold (aOR, 95%CI 1.00-7.67), but with no difference in nasal resistance between children from smoking and non-smoking households. Neither tonsillar size, nasopharyngeal airway nor upper airway surgery was associated with parental smoking.
Conclusions:
Parental smoking is associated with symptoms of perennial rhinitis in children. The possible role of environmental tobacco smoke should be taken into account in parent counselling and in evaluation of children being treated for symptoms of rhinitis and nasal obstruction.
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