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Motor vehicle air pollution and asthma in children: a meta-analysis
Janvier Gasana1, Deepa Dillikar, Angelico Mendy
1South Florida Asthma Consortium, Ft. Lauderdale, FL, USA. janvier.gasana@gmail.com
Insights
Motor vehicle emissions are linked to increased childhood asthma and wheeze. Proximity to busy roads exposes children to pollutants, raising the incidence and prevalence of these respiratory conditions.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Background:
- Asthma affects over 17 million Americans, with one-third being children.
- Children are more susceptible to air pollution due to narrower airways and higher breathing rates.
- Previous studies on traffic emissions and childhood asthma have yielded conflicting results.
Purpose of the Study:
- To clarify the relationship between motor vehicle emissions and the development of childhood wheeze and asthma.
- To conduct a meta-analysis to consolidate existing research findings.
Main Methods:
- A systematic literature search was conducted across MEDLINE, Highwire, and The Cochrane Library.
- Adjusted odds ratios (OR) and 95% confidence intervals (CI) were extracted from 19 relevant studies.
- Summary effect estimates (meta-OR) were calculated using STATA 11.1.
Main Results:
- Exposure to nitrogen dioxide, nitrous oxide, and carbon monoxide showed a positive association with childhood asthma prevalence.
- Sulfur dioxide exposure was linked to a higher prevalence of childhood wheeze.
- Nitrogen dioxide exposure was associated with increased childhood asthma incidence, while particulate matter was linked to increased wheeze incidence.
Conclusions:
- Living or attending school near high-traffic areas increases children's exposure to motor vehicle air pollutants.
- This exposure is associated with a higher incidence and prevalence of childhood asthma and wheeze.
Background:
Asthma affects more than 17 million people in the United States;1/3 of these are children. Children are particularly vulnerable to airborne pollution because of their narrower airways and because they generally breathe more air per pound of body weight than adults, increasing their exposure to air pollutants. However, the results from previous studies on the association between motor vehicle emissions and the development of childhood wheeze and asthma are conflicting. Therefore, we conducted a meta-analysis to clarify their potential relationship.
Methods:
MEDLINE, Highwire, and The Cochrane Library databases were searched for relevant studies. Adjusted odds ratio (OR) with corresponding 95% confidence interval (CI) for the association between traffic air pollutants and wheeze or asthma were retrieved from individual studies and pooled to generate summary effect estimates (meta-OR) in STATA 11.1.
Results:
Nineteen studies were included in the meta-analysis. Exposure to nitrogen dioxide (meta-OR: 1.05, 95% CI: 1.00-1.11), nitrous oxide (meta-OR: 1.02, 95% CI: 1.00-1.04), and carbon monoxide (meta-OR: 1.06, 95% CI: 1.01-1.12) were positively associated with a higher prevalence of childhood asthma. Exposure to sulfur dioxide (meta-OR: 1.04, 95% CI: 1.01-1.07) was positively associated with a higher prevalence of wheeze in children. Exposure to nitrogen dioxide was positively associated with a higher incidence of childhood asthma (meta-OR: 1.14, 95% CI: 1.06-1.24), and exposures to particulate matter was positively associated with a higher incidence of wheeze in children (meta-OR: 1.05, 95% CI: 1.04-1.07).
Conclusions:
Living or attending schools near high traffic density roads exposes children to higher levels of motor vehicle air pollutants, and increases the incidence and prevalence of childhood asthma and wheeze.
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