Parental smoking patterns and their association with wheezing in children

被引:7
作者
Schvartsman, Claudio [1 ,3 ]
Lima Farhat, Sylvia Costa [1 ]
Schvartsman, Samuel [1 ]
Nascimento Saldiva, Paulo Hilario [2 ]
机构
[1] Univ Sao Paulo, Fac Med, Hosp Clin, Inst Crianca, Sao Paulo, Brazil
[2] Univ Sao Paulo, Fac Med, Dept Pathol, Lab Expt Air Pollut, Sao Paulo, Brazil
[3] Hosp Israelita Albert Einstein, Dept Pediat, Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
Air Pollution; Indoor/Adverse Effects; Bronchial Hyperactivity/Chemically Induced; Cotinine/Analysis; Child; Tobacco Smoke Pollution/Adverse Effects; ENVIRONMENTAL TOBACCO-SMOKE; URINARY COTININE LEVELS; PASSIVE-SMOKING; CHILDHOOD ASTHMA; EARLY-LIFE; EXPOSURE; QUESTIONNAIRE; NICOTINE; INFANTS; PREDICTORS;
D O I
10.6061/clinics/2013(07)08
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE: To investigate parental smoking patterns and their association with wheezing in children. METHODS: We performed a case-control study that included 105 children between 6 and 23 months of age who were divided into two groups: cases (children with 3 previous episodes of wheezing) and controls (healthy children without wheezing). The children's exposure to cigarette smoking was estimated using a questionnaire completed by the mothers and by the children's urinary cotinine levels. RESULTS: Based on both the questionnaire results and cotinine levels, exposure to cigarette smoking was higher in the households of cases in which the incidence of maternal smoking was significantly higher than that of paternal smoking. Children in this group were more affected by maternal smoking and by the total number of cigarettes smoked inside the house. Additionally, the questionnaire results indicated that the risk of wheezing was dose dependent. The presence of allergic components, such as atopic dermatitis and siblings with allergic rhinitis and asthma, greatly increased the odds ratio when wheezing was associated with cotinine levels. CONCLUSION: Children exposed to tobacco smoke have an increased risk of developing wheezing syndrome. This risk increases in association with the number of cigarettes smoked inside the house and the presence of other allergic components in the family.
引用
收藏
页码:934 / 939
页数:6
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