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Pediatric Asthma Attack and Home Paint Exposure

Although asthma mortality has been declining for the past several decades, asthma morbidity is on the rise, largely due to deteriorating indoor air quality and comorbidities, such as allergies. Consumer products and building materials including paints emit volatile organic compounds (VOCs), such as...

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Autores principales: Saif, Nadia T., Janecki, Julia M., Wanner, Adam, Colin, Andrew A., Kumar, Naresh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069823/
https://www.ncbi.nlm.nih.gov/pubmed/33924688
http://dx.doi.org/10.3390/ijerph18084118
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author Saif, Nadia T.
Janecki, Julia M.
Wanner, Adam
Colin, Andrew A.
Kumar, Naresh
author_facet Saif, Nadia T.
Janecki, Julia M.
Wanner, Adam
Colin, Andrew A.
Kumar, Naresh
author_sort Saif, Nadia T.
collection PubMed
description Although asthma mortality has been declining for the past several decades, asthma morbidity is on the rise, largely due to deteriorating indoor air quality and comorbidities, such as allergies. Consumer products and building materials including paints emit volatile organic compounds (VOCs), such as propylene glycol (PG), which is shown to dehydrate respiratory tracts and can contributor to airway remodeling. We hypothesize that paint exposure increases the risk of asthma attacks among children because high levels of VOCs persist indoors for many weeks after painting. Children 1–15 years old visiting two of the University of Miami general pediatric clinics were screened for their history of asthma and paint exposure by interviewing their parents and/or guardians accompanying them to the clinic. They were also asked questions about asthma diagnosis, severity of asthma and allergies and their sociodemographics. The risk of asthma attack among asthmatic children was modeled with respect to paint exposure adjusting for potential confounders using multivariate logistic regressions. Of 163 children, 36 (22%) reported physician-diagnosed asthma and of these, 13 (33%) had an asthma attack during the last one year. Paint exposure was marginally significant in the univariate analysis (OR = 4.04; 95% CI = 0.90–18.87; p < 0.1). However, exposed asthmatic children were 10 times more likely to experience an asthma attack than unexposed asthmatic children (OR = 10.49; CI = 1.16–94.85, p < 0.05) when adjusted for other risk factors. Given paint is one of the sources of indoor VOCs, multiple strategies are warranted to manage the health effects of VOC exposure from paint, including the use of zero-VOC water-based paint, exposure avoidance and clinical interventions.
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spelling pubmed-80698232021-04-26 Pediatric Asthma Attack and Home Paint Exposure Saif, Nadia T. Janecki, Julia M. Wanner, Adam Colin, Andrew A. Kumar, Naresh Int J Environ Res Public Health Communication Although asthma mortality has been declining for the past several decades, asthma morbidity is on the rise, largely due to deteriorating indoor air quality and comorbidities, such as allergies. Consumer products and building materials including paints emit volatile organic compounds (VOCs), such as propylene glycol (PG), which is shown to dehydrate respiratory tracts and can contributor to airway remodeling. We hypothesize that paint exposure increases the risk of asthma attacks among children because high levels of VOCs persist indoors for many weeks after painting. Children 1–15 years old visiting two of the University of Miami general pediatric clinics were screened for their history of asthma and paint exposure by interviewing their parents and/or guardians accompanying them to the clinic. They were also asked questions about asthma diagnosis, severity of asthma and allergies and their sociodemographics. The risk of asthma attack among asthmatic children was modeled with respect to paint exposure adjusting for potential confounders using multivariate logistic regressions. Of 163 children, 36 (22%) reported physician-diagnosed asthma and of these, 13 (33%) had an asthma attack during the last one year. Paint exposure was marginally significant in the univariate analysis (OR = 4.04; 95% CI = 0.90–18.87; p < 0.1). However, exposed asthmatic children were 10 times more likely to experience an asthma attack than unexposed asthmatic children (OR = 10.49; CI = 1.16–94.85, p < 0.05) when adjusted for other risk factors. Given paint is one of the sources of indoor VOCs, multiple strategies are warranted to manage the health effects of VOC exposure from paint, including the use of zero-VOC water-based paint, exposure avoidance and clinical interventions. MDPI 2021-04-13 /pmc/articles/PMC8069823/ /pubmed/33924688 http://dx.doi.org/10.3390/ijerph18084118 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Saif, Nadia T.
Janecki, Julia M.
Wanner, Adam
Colin, Andrew A.
Kumar, Naresh
Pediatric Asthma Attack and Home Paint Exposure
title Pediatric Asthma Attack and Home Paint Exposure
title_full Pediatric Asthma Attack and Home Paint Exposure
title_fullStr Pediatric Asthma Attack and Home Paint Exposure
title_full_unstemmed Pediatric Asthma Attack and Home Paint Exposure
title_short Pediatric Asthma Attack and Home Paint Exposure
title_sort pediatric asthma attack and home paint exposure
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069823/
https://www.ncbi.nlm.nih.gov/pubmed/33924688
http://dx.doi.org/10.3390/ijerph18084118
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