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Early-Life Exposure to Ambient Air Pollution from Multiple Sources and Asthma Incidence in Children: A Nationwide Birth Cohort Study from Denmark.
Pedersen, Marie; Liu, Shuo; Zhang, Jiawei; Jovanovic Andersen, Zorana; Brandt, Jørgen; Budtz-Jørgensen, Esben; Bønnelykke, Klaus; Frohn, Lise Marie; Nybo Andersen, Anne-Marie; Ketzel, Matthias; Khan, Jibran; Stayner, Leslie; Brunekreef, Bert; Loft, Steffen.
Afiliación
  • Pedersen M; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Liu S; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Zhang J; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Jovanovic Andersen Z; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Brandt J; Department of Environmental Science, Aarhus University, Roskilde, Denmark.
  • Budtz-Jørgensen E; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Bønnelykke K; Copenhagen Prospective Studies on Asthma in Childhood (COPSAC), Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
  • Frohn LM; Department of Environmental Science, Aarhus University, Roskilde, Denmark.
  • Nybo Andersen AM; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
  • Ketzel M; Department of Environmental Science, Aarhus University, Roskilde, Denmark.
  • Khan J; Global Centre for Clean Air Research (GCARE), University of Surrey, Guildford, UK.
  • Stayner L; Department of Environmental Science, Aarhus University, Roskilde, Denmark.
  • Brunekreef B; Danish Big Data Centre for Environment and Health (BERTHA), Aarhus University, Roskilde, Denmark.
  • Loft S; School of Public Health, University of Illinois at Chicago, Chicago, USA.
Environ Health Perspect ; 131(5): 57003, 2023 05.
Article en En | MEDLINE | ID: mdl-37162236
BACKGROUND: Ambient air pollution exposure has been associated with childhood asthma, but previous studies have primarily focused on prevalence of asthma and asthma-related outcomes and urban traffic-related exposures. OBJECTIVE: We examined nationwide associations between pre- and postnatal exposure to ambient air pollution components and asthma incidence in children age 0-19 y. METHODS: Asthma incidence was identified from hospital admission, emergency room, and outpatient contacts among all live-born singletons born in Denmark between 1998 and 2016. We linked registry data with monthly mean concentrations of particulate matter (PM) with aerodynamic diameter ≤2.5µm (PM2.5) and PM with aerodynamic diameter ≤10µm (PM10), nitrogen dioxide (NO2), nitrogen oxides, elemental carbon, and organic carbon (OC), sulfur dioxide, ozone, sulfate, nitrate, ammonium, secondary organic aerosols, and sea salt. Associations were estimated with Cox proportional hazard models using fixed prenatal exposure means and time-varying postnatal exposures. RESULTS: Of the 1,060,154 children included, 6.1% had asthma during the mean follow-up period of 8.8 y. The risk of asthma increased with increasing prenatal exposure to all pollutants except for O3 and sea salt. We also observed increased risk after restriction to asthma after age 4 y, after additional adjustment for area-specific socioeconomic status, and for postnatal exposure to most pollutants. The hazard ratio (HR) associated with an interquartile range increase of 2.4 and 8.7 µg/m3 in prenatal exposure was 1.06 [95% confidence interval (CI): 1.04, 1.08] for PM2.5 and 1.04 (95% CI: 1.02, 1.05) for NO2, respectively. This association with PM2.5 was stable after adjustment for NO2, whereas it attenuated for NO2 to 1.01 (95% CI: 0.99, 1.03) after adjustment for PM2.5. For a 0.5-µg/m3 increase in prenatal OC exposure, for which biomass is an important source, the HR was 1.08 (95% CI: 1.06, 1.10), irrespective of adjustment for PM2.5. DISCUSSION: These findings suggest that early-life exposure to ambient air pollution from multiple sources contributes to asthma development. https://doi.org/10.1289/EHP11539.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Asma / Contaminantes Atmosféricos / Contaminación del Aire / Contaminantes Ambientales Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Environ Health Perspect Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Asma / Contaminantes Atmosféricos / Contaminación del Aire / Contaminantes Ambientales Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Newborn / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Environ Health Perspect Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos