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Association of advanced paternal age with lung function at school age
Chun-Chun Gau1,2,3,4, Hsin-Ju Lee1, Hung-Yi Lu1
1Division of Allergy, Asthma, and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, Kweishan, Taoyuan, Taiwan.
Insights
Advanced paternal age is linked to reduced lung function in children, particularly those exposed to environmental tobacco smoke or not breastfed. This highlights a novel adverse effect of paternal age on respiratory health.
Area of Science:
- Pediatric Respiratory Health
- Reproductive Epidemiology
- Childhood Lung Function
Background:
- Epidemiological studies suggest advanced paternal age impacts offspring health.
- The specific effects on children's respiratory health remain unclear.
Purpose of the Study:
- To investigate the association between paternal age and lung function in children.
- To examine the relationship between paternal age and fraction of exhaled nitric oxide (FeNO).
Main Methods:
- Analysis of data from 1330 children (mean age 6.4 years) from the LIGHTS cohort.
- Measurements included lung function and FeNO.
- Covariate-adjusted regression analyses were applied.
Main Results:
- Increased paternal age was associated with decreased FEV1/FVC ratio and FEF75.
- These associations were significant among children with prenatal exposure to environmental tobacco smoke (ETS) or those not breastfed.
- No association was found between paternal age and FeNO.
Conclusions:
- Advanced paternal age is linked to reduced lung function in school-aged children.
- Children exposed to ETS prenatally or not breastfed are more vulnerable.
- Further research is needed to confirm these findings.
Background:
Epidemiological studies suggest that advanced paternal age impact offspring health, but its impact on respiratory health is unclear. This study aimed to investigate the association of paternal age with lung function and fraction of exhaled nitric oxide (FeNO) in children.
Methods:
We analyzed data from 1330 single-born children (576 girls, 43.3%; mean age, 6.4 years), who participated in the Longitudinal Investigation of Global Health in Taiwanese Schoolchildren (LIGHTS) cohort and received measurements of lung function and FeNO at 6-year follow-up visits. Covariate-adjusted regression analyses were applied.
Results:
Every 5-year increase in paternal age at birth was associated with 0.51% decrease in FEV1/FVC ratio (95% CI - 0.86 to - 0.15; p = 0.005) and 19.86 mL/s decrease in FEF75 (95% CI: - 34.07 to - 5.65; p = 0.006). Stratified analyses revealed that increasing paternal age at birth was associated with decreasing FEV1/FVC ratio and FEF75 only among children with prenatal exposure to environmental tobacco smoke (ETS) or not being breastfed. Sensitivity analyses using paternal age as a categorical variable found decreasing FEV1/FVC ratio and FEF75 in the groups of paternal age 35-39 and ≥ 40 years. There was no association of paternal age at birth with FeNO.
Conclusion:
Our findings provide novel evidence linking advanced paternal age at birth with decreasing lung function in children at school age. Children with prenatal exposure to ETS or not being breastfed are more vulnerable to the adverse effect of advanced paternal age on childhood lung function. Further studies are warranted to confirm this novel adverse effect of advanced paternal age.
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