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Published on: August 7, 2017
Parental occupational exposure pre- and post-conception and development of asthma in offspring
Kathrine Pape1,2, Cecile Svanes3,4, Camilla S Sejbæk1
1National Research Center for the Working Environment, Copenhagen, Denmark.
Insights
Parental occupational exposures before conception did not link to childhood asthma. However, maternal exposure to allergens and chemicals pre- and post-conception showed a slight increase in early-onset asthma in offspring.
Area of Science:
- Environmental Health
- Epidemiology
- Pediatric Respiratory Health
Background:
- Growing evidence suggests occupational exposures impact respiratory health.
- Emerging research explores the effects of parental pre-conception occupational exposures on offspring respiratory health.
Purpose of the Study:
- To investigate the association between parental occupational exposures before conception and asthma development in offspring aged 0-15 years.
Main Methods:
- Utilized data from 3985 offspring in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) study.
- Linked parental job history (pre- and post-conception) to an asthma-specific job-exposure matrix (JEM).
- Employed logistic regression models, adjusting for various familial and individual factors.
Main Results:
- No significant association found between parental occupational exposure (microorganisms, pesticides, allergens, reactive chemicals) before conception and offspring asthma.
- Maternal exposure to allergens and reactive chemicals both pre- and post-conception was linked to increased odds of early-onset asthma (0-3 years).
Conclusions:
- The study found no general evidence linking parental occupational exposure before conception to offspring asthma.
- A potential association was observed for maternal exposure to specific agents during both pre- and post-conception periods with early-onset childhood asthma.
Background:
While direct effects of occupational exposures on an individual's respiratory health are evident, a new paradigm is emerging on the possible effects of pre-conception occupational exposure on respiratory health in offspring. We aimed to study the association between parental occupational exposure starting before conception and asthma in their offspring (at 0-15 years of age).
Methods:
We studied 3985 offspring participating in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Their mothers or fathers (n = 2931) previously participated in the European Community Respiratory Health Survey (ECRHS). Information was obtained from questionnaires on parental job history pre- and post-conception which was linked to an asthma-specific job-exposure matrix (JEM). We assessed the association between parental occupational exposure and offspring asthma, applying logistic regression models, clustered by family and adjusted for study centre, offspring sex, parental characteristics (age, asthma onset, place of upbringing, smoking) and grandparents' level of education.
Results:
Parental occupational exposure to microorganisms, pesticides, allergens or reactive chemicals pre-conception or both pre- and post-conception was not related to offspring asthma; in general, subgroup analyses confirmed this result. However, maternal exposure both pre- and post-conception to allergens and reactive chemicals was associated with increased odds for early-onset asthma in offspring (0-3 years of age); odds ratio 1.70 (95% CI: 1.02-2.84) and 1.65 (95% CI: 0.98-2.77), respectively.
Conclusions:
This study did not find evidence that parental occupational exposure, defined by an asthma JEM before conception only or during pre- and post-conception vs non-exposed, was associated with offspring asthma.
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