Effects of passive smoking on lung function tests in preschool children born late-preterm: a preventable health

Ayla Gunlemez1, İlkay Er1, Canan Baydemir2

  • 1a Department of Neonatology , Kocaeli University , Kocaeli , Turkey.

Insights

Passive smoking negatively impacts lung function in late-preterm children. This study found increased airway resistance in preschool children exposed to secondhand smoke, highlighting risks to pulmonary health.

Area of Science:

  • Pediatric Pulmonology
  • Environmental Health
  • Neonatal Medicine

Background:

  • Late-preterm delivery (34-36 weeks gestation) is linked to impaired lung development.
  • Passive smoking (exposure to secondhand smoke) is a known environmental risk factor for respiratory issues in children.

Purpose of the Study:

  • To investigate the impact of passive smoking on lung function in preschool children born late-preterm.
  • To utilize impulse oscillometry (IOS) as a noninvasive tool for assessing pulmonary function.

Main Methods:

  • A cohort of 139 late-preterm children (3-7 years) was divided into passive smoking (PS) and non-PS groups.
  • Lung function was assessed using impulse oscillometry (IOS), measuring resistance (R5-R20) and reactance (X5-X20) at 5-20 Hz.

Main Results:

  • Children exposed to passive smoking (PS group) exhibited significantly higher median peripheral airway resistance (R5-R20) compared to the non-PS group.
  • A significant decrease in median reactance (X10) was observed in the PS group, indicating altered lung mechanics.

Conclusions:

  • Passive smoking exposure is associated with increased peripheral airway resistance in late-preterm born children.
  • Secondhand smoke adversely affects lung function in this vulnerable pediatric population, underscoring the need for avoidance.
Abstract

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