Fatores de risco para sibilância recorrente em menores de 13 anos no Sul do Brasil

Prietsch, Sílvio Omar Macedo; Fischer, Gilberto Bueno; César, Juraci Almeida; Cervo, Patrícia Velasques; Sangaletti, Leonardo Luiz; Wietzycoski, Cácio Ricardo; Zacca, Diego; Santos, Fernanda Martins dos

doi:10.1590/s1020-49892006001000006

Cited by 17 publications

(14 citation statements)

References 25 publications

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“…Em relação à utilização de outras fontes de energia, não foi encontrada relação com o desfecho estudado, diferente do estudo de Prietsch et al 11 , que reportou um risco 2,6 vezes maior de sibilância recorrente entre aqueles que utilizavam outros combustíveis no ambiente doméstico. Da mesma forma, a aglomeração de moradores no domicílio não se mostrou associada à sibilância, ainda que outros autores tenham verificado probabilidade 59% maior da ocorrência do desfecho em domicílios com duas ou mais pessoas por cômodo 11 .…”

Section: Discussionunclassified

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Wheezing in children and adolescents living next to a petrochemical plant in Rio Grande do Norte, Brazil

et al. 2010

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Objective: To examine the association between wheezing in children and adolescents and living downwind of the dispersion plume of atmospheric pollutants emitted by the Guamaré Petrochemical Complex, in the state of Rio Grande do Norte, Brazil. Methods:Cross-sectional study of wheezing in children and adolescents (aged 0 to 14 years) living in the vicinity of the Guamaré petrochemical complex in 2006. The standardized International Study of Asthma and Allergies in Childhood questionnaire was used, with additional questions concerning tobacco use, income, living conditions, and educational achievement. Daily concentrations of PM 10 , PM 2.5 , black carbon, SO 2 , NO 2 , O 3 , benzene, toluene, and xylenes were measured at a fixed monitoring station. According to their position relative to wind direction, communities present in the area affected by plant emissions were categorized into one of two groups, exposed communities and reference communities.Results: Two hundred and nine children and adolescents took part in the study. Mean daily concentrations of the monitored pollutants were consistently below established acceptable upper limits. The prevalence of wheezing in the 12 months prior to study was 27.3%. After adjustment, statistically significant associations were found between wheezing and living in exposed communities (adjusted odds ratio [OR adj ] 2.01; 95% confidence interval [95%CI] 1.01-4.01), male gender (OR adj 2.50; 95%CI 1.21-5.18), and age 0 to 6 years (OR adj 5.00; 95%CI 2.41-10.39). Conclusion:Even with low levels of atmospheric pollutants, respiratory symptoms in children and adolescents were associated with living downwind of a petrochemical plant. Male preschoolers were the most vulnerable group. Resultados: Participaram do estudo 209 crianças e adolescentes. As concentrações médias diárias dos poluentes monitorados mantiveramse abaixo dos limites estabelecidos nos padrões de qualidade do ar. A prevalência de sibilos nos últimos 12 meses foi de 27,3%. Associações estatisticamente significantes com sibilos nos últimos 12 meses foram verificadas mesmo após ajustamentos para comunidades expostas [razão de chances (odds ratio, OR ajust ) = 2,01; intervalo de confiança de 95% (IC95%) 1,01-4,01], gênero masculino (OR ajust = 2,50; IC95% 1,21-5,18) e idade de 0 a 6 anos (OR ajust = 5,00; IC95% 2,41-10,39). J Pediatr (Rio J) Conclusão:Mesmo em baixas concentrações de poluentes atmosfé-ricos, a ocorrência de sintomas respiratórios em crianças e adolescentes nas comunidades no entorno de um PPQ esteve associada a residência na direção preferencial dos ventos, mostrando-se mais vulnerável o grupo de pré-escolares do gênero masculino.J Pediatr (Rio J). 2010;86(4):337-344

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Section: Discussionunclassified

“…A identificação precoce de sibilância recorrente é importante pela redução da função pulmonar e da gravidade da expressão da doença na infância, que pode permanecer na idade adulta [10][11][12] . Para menores de 5 anos de idade, o diagnóstico da asma é complexo, e a abordagem é feita por meio de sintomas de sibilância 13 .…”

Section: Introductionunclassified

Wheezing in children and adolescents living next to a petrochemical plant in Rio Grande do Norte, Brazil

et al. 2010

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“…The most serious piece of data is that more than 50% of premature deaths among children under 5 are due to pneumonia caused by particulate matter (soot) inhaled from household air pollution [14]. Even with such relevant information, we found only one research done on Brazil about this risk effects: the use of wood stove for cooking as a major factor associated for recurrent wheezing in children [41].…”

Section: A Study On Incidence Of Clinical Hypoxic Ischemic Encephalopmentioning

confidence: 99%

“…In addition, children living in crowded environments and poor housing conditions play a fundamental role in the causal chain of respiratory diseases [38,42,46]. As well, the use of a wood stove for cooking was responsible for a higher occurrence of recurrent wheezing [41]. Schvartsman et al (2013) [ [44] to study the prevalence and risk factors for asthma in a cohort of children born in 1993 and followed up to the age of six years longitudinal 12.8% asthma / allergic rhinitis 6-7 y S Associated factors: female gender, non-white skin, asthma in the family, smoking during pregnancy and allergic rhinitis in children.…”

Section: Home Lifementioning

confidence: 99%

Children's Environment in Brazil: From Domestic (Indoor) to Regional Threats

Perlroth¹,

Branco²

2017

IJPCC

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“…Wheezing is multifactorial, it may be associated to demographic, socioeconomic, genetic, gestational, nutritional, and environmental causes, among others, reflecting on society, on children, and on their relatives. 9 Despite all studies and discoveries on the risk factors for wheezing, its incidence and prevalence do not decrease; besides, this symptom is a possible indicator of asthma at a later stage of the child's life, and it can cause significant problems with regard to the individual's personal and social aspects. Asthma, in addition to the repercussions on the life of patients, also has a high financial cost to be treated, making it a disease requiring special attention on the part of public health.…”

Section: Introductionmentioning

confidence: 99%

Prevalência de sibilância recorrente e seus fatores de risco

Assis

Sousa²,

Feitosa

et al. 2014

J. Hum. Growth Dev.

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Objective: analyze the prevalence of recurrent wheezing and its risk factors. Method: systematic literature review, guided by the research question "what is the prevalence of recurrent wheezing and its risk factors?". The search was performed in the databases MedLine and LILACS, in April and May 2013. The inclusion criteria were: scientific study, fully available, published between 2002 and 2013, with free access. Results: wheezing presents a higher prevalence in developing countries, possibly due to poor socioeconomic conditions. Among its risk factors, we find heredity, mother's education level, attendance of day nursery, smoking during pregnancy, breastfeeding for < 3 months, animals in the household of children, among others. Conclusion: in Latin America, the prevalence of wheezing shows to be high and the use of non-standardized instruments hampers its treatment.

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Fatores de risco para sibilância recorrente em menores de 13 anos no Sul do Brasil

Abstract: These results suggest that the management of recurrent wheezing and asthma must consider checking for and simultaneously treating rhinitis. The measures to minimize the effects of recurrent wheezing should include educational and treatment programs focusing on asthma.

Cited by 17 publications

References 25 publications

Wheezing in children and adolescents living next to a petrochemical plant in Rio Grande do Norte, Brazil

Wheezing in children and adolescents living next to a petrochemical plant in Rio Grande do Norte, Brazil

Children's Environment in Brazil: From Domestic (Indoor) to Regional Threats

Prevalência de sibilância recorrente e seus fatores de risco

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