Exploring the link between the pediatric exposome, respiratory health, and executive function in children: a
Cecilia S Alcala1, Jamil M Lane1, Vishal Midya1
1Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Insights
Pediatric environmental exposures may impact children's asthma and executive functions (E.F.) through biological pathways. This review highlights the bidirectional links between the exposome, asthma, and E.F. development.
Area of Science:
- Pediatric environmental health
- Neurodevelopmental science
- Respiratory medicine
Background:
- Asthma is a prevalent childhood condition affecting neurodevelopment.
- Executive functions (E.F.) are crucial cognitive processes for goal-directed behavior.
- Existing research suggests asthma may impair children's E.F.
Purpose of the Study:
- To review the inter-relationships between pediatric environmental exposures, asthma, and E.F.
- To identify potential biological mechanisms and pathways linking these factors.
- To explore the dynamic and bidirectional nature of these associations.
Main Methods:
- Systematic literature review of relevant studies.
- Analysis of research on pediatric environmental exposures.
- Examination of the connection between asthma and executive function impairments.
Main Results:
- The pediatric exposome may influence asthma and E.F. through pathways like the lung-brain axis, neuroendocrine system, and hypoxia.
- A bidirectional relationship exists between the exposome, asthma, and E.F.
- Synergistic links between asthma and E.F. deficits are evident, implicating the pediatric exposome.
Conclusions:
- The pediatric exposome plays a significant role in the development of asthma and executive function deficits in children.
- Understanding these complex interactions is crucial for targeted interventions.
- Further research is needed to elucidate the precise mechanisms involved.
Abstract:
Asthma is a highly prevalent inflammatory condition, significantly affecting nearly six million U.S. children and impacting various facets of their developmental trajectories including neurodevelopment. Evidence supports a link between pediatric environmental exposures in two key areas: asthma and executive function (E.F.). E.F.s are a collective of higher-order cognitive processes facilitating goal-oriented behaviors. Studies also identify asthma-associated E.F. impairments in children. However, limited research has evaluated the inter-relationships among environmental exposures, asthma, and E.F. in children. This review explored relevant research to identify and connect the potential mechanisms and pathways underlying these dynamic associations. The review suggests that the role of the pediatric exposome may function through (1) several underlying biological pathways (i.e., the lung-brain axis, neuroendocrine system, and hypoxia), which could drive asthma and maladaptive E.F. in children and (2) the relationships between the exposome, asthma, and E.F. is a bidirectional linkage. The review reveals essential synergistic links between asthma and E.F. deficits, highlighting the potential role of the pediatric exposome.
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