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Pre-natal and post-natal exposure to pet ownership and lung function in children: The Seven Northeastern Cities Study
L-W Hu1, Z Qian2, S C Dharmage3
1Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Insights
Early life pet exposure, particularly dogs, is linked to reduced lung function in children. This association was observed with current pet exposure but not prenatal exposure, with girls being more affected.
Area of Science:
- Environmental Health
- Pediatric Pulmonology
- Epidemiology
Background:
- Pet ownership is common in households with children.
- The impact of pet exposure on pediatric lung function requires further investigation.
Purpose of the Study:
- To assess the association between prenatal and postnatal pet exposure and children's lung function.
- To identify specific pet types and demographic factors influencing this relationship.
Main Methods:
- Cross-sectional study (Seven Northeastern Cities - SNEC) involving lung function measurements (spirometry) and pet ownership questionnaires.
- Statistical analysis using multiple logistic regression and generalized linear modeling.
- Evaluation of lung function parameters: forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), maximal mid-expiratory flow (MMEF), and peak expiratory flow (PEF).
Main Results:
- Postnatal pet exposure in the first two years of life was significantly associated with lung function impairment (FVC <85% predicted).
- Current pet exposure showed increased odds of lung function impairment, particularly for FVC and FEV1.
- Dog ownership was linked to higher odds of impairment compared to other pets.
- Girls with current pet exposure exhibited a greater likelihood of lung function impairment than boys.
- No significant association was found between prenatal pet exposure and lung function impairment.
Conclusions:
- Postnatal exposure to pets, especially dogs, is negatively associated with children's lung function.
- The findings suggest a need for further research into the mechanisms underlying this association and potential public health implications.
- Gender differences in the impact of pet exposure on lung function warrant additional study.
Abstract:
To evaluate the association between pre-natal and post-natal exposure to pet ownership and lung function in children, a cross-sectional study named Seven Northeastern Cities (SNEC) study was conducted. In this study, children's lung function including the forced expiratory volume in 1 second (FEV1 ), forced vital capacity (FVC), maximal mid-expiratory flow (MMEF), and peak expiratory flow (PEF) were measured by spirometers, and pet ownership situations were collected by questionnaire. Analyzed by multiple logistic regression and generalized linear modeling, we found that for all subjects, pet exposure in the first 2 years of life was significantly associated with lung function impairment of FVC<85% predicted (adjusted odds ratio [aOR]=1.28; 95% confidence interval [CI]: 1.01, 1.63). For current pet exposure, the increased odds of lung function impairment ranged from 35% (aOR=1.35; 95%CI: 1.12, 1.62) for FVC<85% predicted to 57% (aOR=1.57; 95%CI: 1.29, 1.93) for FEV1 <85% predicted. The in utero exposure was not related to lung function impairment. Compared with other pets, higher odds were observed among children with dogs. When stratified by gender, girls with current pet exposure were more likely to have lung function impairment than boys. It implies self-reported exposures to pets were negatively associated with lung function among the children under study.
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