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Published on: November 19, 2016
Exposure to grass pollen--but not birch pollen--affects lung function in Swedish children
O Gruzieva1, G Pershagen1,2, M Wickman1,3
1Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Insights
Pollen exposure, especially grass pollen, can negatively impact children's lung function. This effect is more pronounced in children already sensitized to pollen allergens, highlighting a need for updated allergy awareness.
Area of Science:
- Environmental Health
- Pediatric Allergy
- Respiratory Medicine
Background:
- Global increase in pollen allergy necessitates understanding its impact on respiratory health.
- Limited research exists on the specific effects of pollen exposure on lung function in children.
Purpose of the Study:
- To investigate the association between daily pollen exposure and lung function in a pediatric cohort.
- To examine if pollen sensitization modifies the effect of pollen exposure on lung function.
Main Methods:
- Utilized data from the Swedish BAMSE birth cohort, including over 1800 children.
- Assessed lung function and IgE levels at ages 8 and 16.
- Estimated daily concentrations of 9 pollen types and air pollutants (ozone, NO2, PM10, PM2.5) preceding testing days.
Main Results:
- Exposure to grass pollen on the preceding day was linked to reduced forced expiratory volume in 8-year-olds.
- A significant association was observed for an increase in grass pollen counts.
- The negative impact on lung function was stronger in children sensitized to pollen allergens.
Conclusions:
- Pollen exposure, particularly grass pollen, can impair lung function in children.
- Children with pollen sensitization are more vulnerable to these effects.
- Current allergy care routines may need enhancement, especially for grass pollen-sensitive individuals, with updated public health information.
Abstract:
Allergic response to pollen is increasing worldwide, leading to high medical and social costs. However, the effect of pollen exposure on lung function has rarely been investigated. Over 1800 children in the Swedish birth cohort BAMSE were lung-function- and IgE-tested at the age of 8 and 16 years old. Daily concentrations for 9 pollen types together with measurements for ozone, NO2 , PM10 , PM2.5 were estimated for the index day as well as up to 6 days before the testing. Exposure to grass pollen during the preceding day was associated with a reduced forced expiratory volume in 8-yr-olds; -32.4 ml; 95% CI: -50.6 to -14.2, for an increase in three pollen counts/m³. Associations appeared stronger in children sensitized to pollen allergens. As the grass species flower late in the pollen season, the allergy care routines might be weakened during this period. Therefore, allergy information may need to be updated to increase awareness among grass pollen-sensitized individuals.
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