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Association between volatile organic compound concentrations in daycares and child wheeze: the French CRESPI study
Ioannis A Sakellaris1, Corinne Mandin2, Franziska Bright3
1Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, Villejuif, 94807, France. ioannis.sakellaris@inserm.fr.
Insights
Exposure to specific volatile organic compounds (VOCs) in daycares is linked to recurrent wheeze in children. Identifying and controlling these VOCs may lower respiratory risks for children in childcare settings.
Area of Science:
- Environmental Health
- Pediatric Respiratory Health
- Toxicology
Background:
- Growing concern exists regarding indoor air quality's impact on children's respiratory health.
- While household volatile organic compounds (VOCs) are studied, their role in daycare settings remains unexplored.
- This research investigates the link between VOC concentrations in daycares and respiratory issues in children.
Purpose of the Study:
- To examine the association between specific VOC concentrations in daycare facilities and wheezing outcomes in children.
- To identify potential risk factors for respiratory problems in children related to daycare air quality.
Main Methods:
- A cross-sectional study of 532 children across 100 French daycares (2019-2022).
- Measurement of 54 VOC/aldehyde concentrations via active sampling, analyzed individually and by factor analysis.
- Wheezing outcomes assessed by parental questionnaire, with statistical analysis using Generalized Estimating Equations.
Main Results:
- Higher concentrations of methylisobutylketone and 1-methoxy-2-propylacetate were significantly associated with recurrent wheeze.
- Potential associations were noted for 1,2,4-trimethylbenzene and decamethylcyclopentasiloxane, though not significant after multiple testing corrections.
- A 'care/cleaning-products' factor was linked to ever wheezing with inhaled corticosteroid use.
Conclusions:
- Daycare exposure to specific VOCs is associated with wheezing in children.
- Identifying and mitigating these VOCs in daycares is crucial for reducing children's respiratory health risks.
Background:
Concern is increasing about of the role of poor indoor air quality in respiratory disorders especially in children. While the deleterious respiratory health impact of some volatile organic compounds (VOCs) in the home environment has been suggested, daycares have never been investigated. This study aims to investigate the association between VOCs concentrations in daycare facilities and children's respiratory health.
Methods:
This cross-sectional study included 532 children (mean age: 22.3 months; 47.4% female) of the French CRESPI cohort (100 daycares, 2019-2022). VOC/aldehyde (n = 54) concentrations were measured on a one-day active sampling in daycares. They were studied individually in 4 categories based on quartiles and grouped in factors using principal component analysis. Wheezing outcomes - ever wheeze, recurrent wheeze (≥ 3 times), and ever wheeze with inhaled corticosteroid (ICS) use - were evaluated by parental questionnaire. Associations between daycare VOC concentrations/ factors and wheezing outcomes were analyzed with Generalized Estimating Equations to account for a possible daycare effect, and adjusted for child age, parental smoking status and education level.
Results:
After correction for multiple testing, higher concentrations of methylisobutylketone (Odds-Ratio for Q4 vs. Q1, 95%CI: 2.40, 1.46-3.92; p-trend < 0.001, FDR-adjusted p = 0.02) and 1-methoxy-2-propylacetate (2.58, 1.54-4.33; p-trend < 0.001, FDR-adjusted p = 0.02) were associated with recurrent wheeze. Associations were further suggested for 1,2,4-trimethylbenzene (2.70, 1.34-5.45; p-trend = 0.01) and decamethylcyclopentasiloxane (2.27, 1.09-4.71; p-trend = 0.02) but were not significant after correction for multiple testing. Similar findings were observed for all wheezing outcomes. Using factor analysis, three identified factors were associated with wheezing outcomes, including a 'care/cleaning-products' factor associated with ever wheeze with ICS (OR: 1.22, 1.00-1.47).
Conclusions:
Daycare exposure to specific VOCs was associated with wheeze in children. Their identification and control in daycares may reduce potential health risks.
Trial Registration:
The CRESPI protocol was registered in the clinical trials register - NCT no 04170881.
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