Environmental tobacco smoke exposure and risk of allergic sensitisation in children: a systematic review and meta-analysis

Feleszko, Wojciech; Ruszczyński, Marek; Jaworska, Joanna; Strzelak, Agnieszka; Zalewski, B.; Kulus, Marek

doi:10.1136/archdischild-2013-305444

Cited by 70 publications

(44 citation statements)

References 37 publications

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“…Numerous past and recent studies have documented the adverse health effects of environmental tobacco smoke (ETS; Castro et al 2011;Wu et al 2012;McCarville et al 2013;Feleszko et al 2014). Following the enhancement of regulatory measures on tobacco consumptions in public spaces, the tobacco industry initiated major investments in the development of new products, in an effort to revive the business by promoting and marketing new (often unregulated) products for the consumers (Savell et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Environmental pollution and emission factors of electronic cigarettes, heat-not-burn tobacco products, and conventional cigarettes

Ruprecht

Marco

Saffari

et al. 2017

Aerosol Science and Technology

119

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The increasing popularity of electronic cigarettes (e-cigarettes) and, more recently, the new "heatnot-burn" tobacco products (iQOS) as alternatives to traditional tobacco cigarettes has necessitated further documentation of and research into the composition and potential health risks/benefits of these devices. In a recent study, we compared second-hand exposure to particulate metals and organic compounds from e-cigarettes and traditional cigarettes, by conducting continuous and time-integrated measurements in an indoor environment, followed by computing the emission rates of these species using a single-compartment mass balance model. In this study, we have used a similar approach to further expand our previous analyses by characterizing black carbon, metal particles, organic compounds, and size-segregated particle mass and number concentrations emitted from these devices in addition to the newly marketed iQOS. Analysis of the iQOS sidestream smoke indicated that the particulate emission of organic matter from these devices is significantly different depending on the organic compound. While polycyclic aromatic hydrocarbons (PAHs) were mostly non-detectable in the iQOS smoke, certain n-alkanes, organic acids (such as suberic acid, azelaic acid, and n-alkanoic acids with carbon numbers between 10 and 19) as well as levoglucosan were still emitted in substantial levels from iQOS (up to 2-6 mg/h during a regular smoking regimen). Metal emissions were reduced in iQOS smoke compared to both electronic cigarettes and conventional cigarettes and were mostly similar to the background levels. Another important finding is the presence of carcinogenic aldehyde compounds, including formaldehyde, acetaldehyde, and acrolein, in iQOS smoke, although the levels were substantially lower compared to conventional cigarettes. EDITORYifang Zhu

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Section: Introductionmentioning

confidence: 99%

Environmental pollution and emission factors of electronic cigarettes, heat-not-burn tobacco products, and conventional cigarettes

Ruprecht

Marco

Saffari

et al. 2017

Aerosol Science and Technology

119

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“…The World Health Organization estimated that each year ETS exposure is responsible for more than 890,000 premature deaths worldwide [4]. ETS exposure during childhood has been linked to an increased risk of sudden infant death syndrome [5] and allergic sensitization [6] in addition to the development of asthma [7,8]. Moreover, children with long-term ETS exposure are more susceptible to upper and lower respiratory tract infections, reduced lung function and/ or early onset of cardiovascular diseases [7,8].…”

Section: Introductionmentioning

confidence: 99%

Exposure to Environmental Tobacco Smoke and Prevalence of Atopic Dermatitis among Adolescents in Kuwait

Abdualrasool¹,

Al-Shanfari²,

Booalayan³

et al. 2018

Dermatology

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Background: This study aimed to (i) assess the prevalence of exposure to environmental tobacco smoke (ETS) at homes, (ii) assess the prevalence of atopic dermatitis and (iii) evaluate the association between ETS exposure and atopic dermatitis status among adolescents. Methods: During October 2015, a cross-sectional study design was implemented using a self-administered, modified version of the ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire among students enrolled in nine high schools of one of the six governorates of Kuwait. Prevalence of ETS exposure at home (1 or more smokers at home vs. none) and atopic dermatitis were computed. A multivariable log-binomial regression model was used to evaluate the adjusted association between ETS exposure and atopic dermatitis. Results: Of 800 invited students, 746 (93.3%) participated, of whom 74.8% were Kuwaiti and 50.1% were female with a mean (SD) age of 16.8 (0.68) years. Prevalence of ETS exposure at home was 54%. Prevalence of atopic dermatitis was 14.9%. A final multivariable log-binomial regression model showed that compared with the adolescents free from atopic dermatitis, adolescents with atopic dermatitis were significantly more likely to have had ETS exposure at home (adjusted prevalence ratio = 1.49; 95% CI: 1.03–2.14; p = 0.034) or tended to be female (adjusted prevalence ratio = 1.42; 95% CI: 0.99–2.03; p = 0.054). Conclusions: A high prevalence of ETS exposure at home among adolescents was recorded. ETS exposure and female gender were significantly associated with atopic dermatitis status. Intervention fostering voluntary adoption of a smoke-free home rule may help protect the adolescents against ETS exposure and alleviate the menace of associated morbidity.

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“…In childhood, secondhand smoke is linked to childhood asthma, allergies, reduced lung function, recurrent otitis media, and attention-deficit/hyperactivity disorder (ADHD). [31][32][33]37,38 Evidence suggests a relationship between prenatal and postnatal exposure to ETS and the development of childhood cancers such as brain tumors, leukemia, and lymphoma. Further research is warranted to further investigate this association.…”

Section: Toxic Effectsmentioning

confidence: 99%

Developmental Exposure to Environmental Toxicants

Falck

Mooney

Kapoor

et al. 2015

Pediatric Clinics of North America

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Environmental tobacco smoke exposure and risk of allergic sensitisation in children: a systematic review and meta-analysis

Cited by 70 publications

References 37 publications

Environmental pollution and emission factors of electronic cigarettes, heat-not-burn tobacco products, and conventional cigarettes

Environmental pollution and emission factors of electronic cigarettes, heat-not-burn tobacco products, and conventional cigarettes

Exposure to Environmental Tobacco Smoke and Prevalence of Atopic Dermatitis among Adolescents in Kuwait

Developmental Exposure to Environmental Toxicants

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