Home environmental and lifestyle factors associated with asthma, rhinitis and wheeze in children in Beijing, China

Huang, Su; Garshick, Eric; Weschler, Louise B.; Hong, Chuan; Li, Jing; Li, Linyan; Qu, Fang; De-wen, Gao; Zhou, Yanyan; Sundell, Jan; Zhang, Yinping; Koutrakis, Petros

doi:10.1016/j.envpol.2019.113426

Cited by 41 publications

(40 citation statements)

References 84 publications

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“…Parental smoking appears to be a controversial risk factor for allergic rhinitis. Two studies [ 3 , 24 ] showed that maternal smoking is a risk factor for allergic rhinitis. However, the associations between the parental smoking indexes during early childhood and both DDR and current rhinitis in this study were not significant and weak in most cases in terms of aORs even after adjustment.…”

Section: Discussionmentioning

confidence: 99%

“…Even though there are highly observable socioeconomic and health burdens associated with asthmas and other allergies on the population of Asia, very few investigations have concentrated on these conditions. Studies conducted in China mainly concerned the association between children’s allergic diseases and the home environmental and lifestyle-related factors [ 3 ]; however, few focused on the perinatal period, defined as the stage of child development beginning from the start of pregnancy to the end of the child’s first year of life.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Childhood Asthma and Allergies and Their Associations with Perinatal Exposure to Home Environmental Factors: A Cross-Sectional Study in Tianjin, China

Ellie

Sun

Hou

et al. 2021

IJERPH

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Asthma, rhinitis, and eczema are becoming increasingly prevalent among children in China. Studies have shown that the perinatal period is critical and impacts children’s health. However, research on the associations between perinatal factors and childhood allergic diseases in China are few. We investigated 7366 children of ages 0–8 years old. The childhood asthma and allergies were surveyed by distributing questionnaires, modelled after Dampness in Buildings and Health (DBH) study in Sweden and had been validated. To determine the prevalence of the allergic conditions, explore for potential confounders, and analyze the associations between the allergies and the home environmental factors, chi-square test and binary logistic regression models (enter method) were employed. The prevalence of children’s doctor-diagnosed asthma, rhinitis, and eczema were 4.4%, 9.5%, and 39.1%, respectively. After adjusting for sociodemographic factors, the negative effect of dampness/humidity on children’s health became more obvious, with odd ratios (aORs) of up to 1.70 (95% confidence interval (CI): 1.12–2.57) for doctor-diagnosed asthma (DDA), 2.12 (95% CI: 1.38–3.25) for doctor-diagnosed rhinitis (DDR) and 1.79 (95% CI: 1.46–2.21) for doctor-diagnosed eczema (DDE). With parental smoking, aORs of up to 4.66 (95% CI: 1.99–10.92) for DDA and 1.74 (95%: 1.00–3.02) for DDE. Renovation exhibited aORs of up to 1.67 (95% CI: 1.13–2.47) for DDR. Although they showed no significant associations with some of the health outcomes, contact with animals, in general, were risk factors for the allergic conditions. Generally, the indoor environmental factors around the perinatal period were significant risk factors for the doctor-diagnosed allergic conditions discussed in this study.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Childhood Asthma and Allergies and Their Associations with Perinatal Exposure to Home Environmental Factors: A Cross-Sectional Study in Tianjin, China

Ellie

Sun

Hou

et al. 2021

IJERPH

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“…To understand the relationship between ambient indoor environments and child health, the survey in Chongqing was first conducted in 2010 46 (named Phase I hereafter). Increasing urbanization and industrialization, coupled with changes in climate and improved building energy efficiency, have changed lifestyles and indoor environments, which may be associated with the incidence of children respiratory diseases and asthma 8,48,49 . Under such circumstances, the survey was repeated in Chongqing in 2019 (named Phase II hereafter), nearly 10 years after Phase I.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the effect of building construction periods on household dampness/mold and childhood diseases corresponding to different energy efficiency design requirements

et al. 2020

Indoor Air

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Despite concerns about building dampness and children’ health, few studies have examined the effects of building energy efficiency standards. This study explored the connections between self‐reported household dampness and children’ adverse health outcomes across buildings corresponding to construction periods (pre‐2001, 2001‐2010, post‐2010). Significant differences of dampness‐related indicators were found between buildings; the prevalence was remarkable in pre‐2001 buildings. The prevalence of lifetime‐ever doctor‐diagnosed diseases for children was significantly associated with building dampness (adjust odd ratios > 1), but was not affected by construction periods. The hygrothermal performance for a typical residence was simulated, varying in U‐values of envelopes and air change rates. The simulated performance improvement increased indoor temperatures in 2001‐2010 and post‐2010 buildings. The frequency with higher indoor relative humidity was higher in pre‐2001 buildings, leading to the highest values for maximum mold index (Mmax) on wall surface, especially in winter. Compared to buildings in 2001‐2010, increased insulation and lower air change rate led to a relatively higher relative humidity in post‐2010 buildings, adversely increasing the Mmax values. The findings addressed the positive and negative role of building standard development, which help suggesting appropriate environmental and design solutions to trade‐off energy savings and dampness/mold risk in residences.

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“…Maternal lifestyle has been reported that it was closely related with offspring's behavior and cardiometabolic health (6)(7)(8). Large population-based study and prospective cohort study both showed that maternal current lifestyle, such as body weight, smoking, and alcohol drinking, had a strong independent correlation with offspring weight status and blood pressure (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Association Between Maternal Lifestyle and Risk of Metabolic Syndrome in Offspring—A Cross-Sectional Study From China

Yang

Wang

et al. 2020

Front. Endocrinol.

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BackgroundThe prevalence of MS among children and adolescents continues to rise, which has become an escalating serious health issue worldwide. It had been reported that maternal current lifestyle had a strong independent correlation with offspring health. However, it is not clear whether comprehensive lifestyle of mother has an impact on the MS risk in offspring and the role of offspring’s lifestyle in it.Methods and ResultsWe included 4,837 mother-child pairs from a multi-centered cross-sectional study conducted in China. The information of maternal lifestyle was obtained by self-reported questionnaire, and metabolic syndrome (MS) in offspring was determined by anthropometric measurements and blood tests. Logistic regression models were employed to evaluate the association between maternal lifestyle and risk of MS in offspring. We found maternal healthy lifestyle was independently associated with lower risk of offspring MS, and the risk of MS in offspring decreased with the increased number of maternal ideal lifestyle factors. Although adolescents’ lifestyle did not fully explain the relationship between maternal lifestyle and risk of offspring MS, compared with those had less ideal lifestyle factors in both mothers and offspring, the risk of offspring MS was lower in those had more ideal lifestyle factors in both mothers and adolescents.ConclusionsHealthy lifestyle in mothers was associated with a lower risk of MS in offspring, which was independent of offspring’s lifestyle. These findings support mother-based lifestyle intervention could be an effective strategy to reduce the MS risk in adolescents.

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Home environmental and lifestyle factors associated with asthma, rhinitis and wheeze in children in Beijing, China

Cited by 41 publications

References 84 publications

Prevalence of Childhood Asthma and Allergies and Their Associations with Perinatal Exposure to Home Environmental Factors: A Cross-Sectional Study in Tianjin, China

Prevalence of Childhood Asthma and Allergies and Their Associations with Perinatal Exposure to Home Environmental Factors: A Cross-Sectional Study in Tianjin, China

Evaluating the effect of building construction periods on household dampness/mold and childhood diseases corresponding to different energy efficiency design requirements

Association Between Maternal Lifestyle and Risk of Metabolic Syndrome in Offspring—A Cross-Sectional Study From China

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