Related Experiment Video
Updated: Mar 26, 2026

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Association of carbon monoxide levels with allergic diseases in children
Jihyun Kim1, Youngshin Han, Sung Chul Seo
1Department of Pediatrics, Samsung Medical Center, Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Insights
Exposure to carbon monoxide (CO) in infancy is linked to a higher risk of developing allergic rhinitis. Higher CO levels in the past year also increased the likelihood of current atopic dermatitis symptoms in children.
Area of Science:
- Environmental Health
- Pediatric Allergy
- Epidemiology
Background:
- Air pollution is a suspected factor in the development and worsening of allergic diseases.
- Understanding the specific impact of air pollutants on childhood allergies is crucial for public health.
Purpose of the Study:
- To examine the link between early-life exposure to outdoor air pollution and the development of allergic diseases.
- To assess the association between residential air pollution levels and current allergy symptoms in children.
Main Methods:
- A nationwide cross-sectional survey of 6- to 7-year-old children was conducted.
- Data from 1828 infants and 1894 children living near air quality monitoring sites were analyzed.
- Allergic disease prevalence was assessed via questionnaires and pediatrician examinations; air pollutant data (SO2, NO2, O3, CO, PM) were obtained.
Main Results:
- A 100 ppb increase in mean daily carbon monoxide (CO) during infancy correlated with a 1.10 odds ratio for lifetime allergic rhinitis.
- A 1 ppm increase in annual average CO over the past 12 months showed an 8.11 odds ratio for current atopic dermatitis.
- No significant associations were found for other measured air pollutants.
Conclusions:
- Infant exposure to elevated carbon monoxide (CO) levels elevates the risk for allergic rhinitis.
- Increased CO exposure in the preceding year is associated with a higher risk of current atopic dermatitis symptoms in children.
Background:
Air pollution is regarded as a potential reason for the development or aggravation of allergic diseases.
Objective:
To investigate the relationship between exposure to outdoor air pollution during the first year of life and the development of allergic diseases, and to determine the association between outdoor air pollution near the residence and recent symptoms of allergic diseases in children.
Methods:
A nationwide cross-sectional survey was conducted in 6- to 7-year-old children. Among them, subjects who had been born (n = 1828) or lived (n = 1894) within 2 km of the nearest air quality monitoring sites were selected. The prevalence of allergic diseases was assessed by using questionnaires. Each subject was examined by pediatricians to determine the presence of eczema. Publicly available data were used regarding the daily ambient concentrations of sulfur dioxide, nitrogen dioxide, ozone, carbon monoxide (CO), and particulate matter.
Results:
For a 100 ppb increase in the mean daily CO level during the first year of life, the adjusted odds ratio for lifetime allergic rhinitis was 1.10 (95% confidence interval, 1.03-1.19). For a 1 ppm increase in the annual average CO level during the past 12 months, the adjusted odds ratio for the presence of atopic dermatitis on the day of the survey was 8.11 (95% confidence interval, 1.06-62.12). However, the other air pollutants showed no statistical significance.
Conclusions:
Higher exposure to CO during infancy increased the risk of development of allergic rhinitis. The risk of current atopic dermatitis symptoms increased in children who were exposed to higher CO levels during the past 12 months.
Related Concept Videos
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Allergic Reactions
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Allergic Reactions: Anaphylaxis

