Biomass fuel use and the risk of asthma in Nigerian children
Jesse D Thacher1, Anders Emmelin, Aboi J K Madaki
1Institute of Environmental Medicine, Karolinska Institutet, Nobels Väg 13, 17177 Stockholm, Sweden.
Insights
Biomass fuel smoke exposure in Nigerian children was not linked to increased asthma symptoms or airway obstruction. However, lifetime smoke exposure may affect lung function in females and older children.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Background:
- Biomass fuel smoke exposure is a known risk factor for childhood respiratory infections.
- The association between biomass fuel smoke and childhood asthma remains unclear.
- This study investigated biomass fuel use and its impact on asthma in Nigerian children.
Purpose of the Study:
- To examine the relationship between biomass fuel use and asthma symptoms in Nigerian children.
- To assess the association between biomass fuel smoke exposure and lung function (airway obstruction) in this population.
- To identify potential risk factors for asthma in children exposed to biomass fuel smoke.
Main Methods:
- A cross-sectional study involving 299 children aged 5-11 years in North Central Nigeria.
- Data collection included cooking fuel types, daily smoke exposure duration, and asthma symptoms via a modified ISAAC questionnaire.
- Lung function was evaluated using spirometry to measure forced expiratory volume in 1 second (FEV1) and forced expiratory volume in 6 seconds (FEV6).
Main Results:
- The prevalence of a lifetime history of wheeze was 9.4%, and 4.7% of children exhibited airway obstruction.
- Female children had significantly lower predicted FEV1 and FEV6 values compared to males.
- Advancing age was associated with a decline in predicted FEV1.
- No significant association was found between daily firewood use and increased asthma symptoms or airway obstruction.
Conclusions:
- Daily biomass fuel smoke exposure was not significantly associated with increased asthma symptoms or airway obstruction in Nigerian children.
- Lifetime smoke exposure might contribute to reduced spirometric values observed in female subjects and with increasing age.
- Further research is needed to elucidate the long-term respiratory effects of biomass fuel smoke exposure in vulnerable populations.
Background:
Biomass fuel smoke exposure contributes to respiratory infections in childhood, but its association with asthma has not been established. We studied the relationship of biomass fuel use with asthma symptoms and lung function in Nigerian children.
Methods:
A cross-sectional study was performed in 299 village children aged 5-11 years in North Central Nigeria. Data were collected regarding the cooking fuels used and duration of daily smoke exposure in the cooking area. Asthma symptoms were assessed with a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire, and lung function was assessed with spirometry.
Results:
The prevalence of a lifetime history of wheeze was 9.4% (95% CI: 6.3%-13.2%). Fourteen children (4.7%) had airway obstruction (FEV1/FEV6 <85%). Female subjects had lower FEV1 and FEV6 (110 % and 120% percent predicted, respectively) than males (121% and 130%, respectively, P <0.001 for both differences). Advancing age was associated with a relative decline in the predicted value of FEV1 of 7.8 % per year (r = -0.61; P < 0.001). Children in families that used firewood daily did not have a significantly increased likelihood of asthma-related symptoms (OR = 2.36, 95% CI: 0.66-8.44). Similarly, airway obstruction did not differ significantly between children in households that did and did not use firewood daily (mean FEV1/FEV6 of 0.95 and 0.97, respectively; P = 0.41).
Conclusion:
Reported smoke exposure was not associated with an increased risk of asthma symptoms or airway obstruction. However, lifetime smoke exposure may explain the reduction in spirometric values in female subjects and with advancing age.
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