Early‐life residential exposure to moisture damage is associated with persistent wheezing in a Finnish birth cohort

Tischer, Christina; Täubel, Martin; Kirjavainen, Pirkka V.; Depner, Martin; Hyvärinen, Anne; Piippo-Savolainen, Eija; Pekkanen, Juha; Karvonen, Anne M.

doi:10.1111/pai.13864

Cited by 3 publications

(1 citation statement)

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“…For example, extreme weather events, such as heavy rainfall and floods, can exacerbate indoor mould or dust mite exposure leading to worsened respiratory health [ 34 , 35 ]. Strong associations between residential exposure to moisture damage or mould during early childhood and a persistent wheezing phenotype later in childhood have already been observed [ 36 ].…”

Section: The Impact Of Climate Change On Respiratory Healthmentioning

confidence: 99%

Climate change and respiratory disease: clinical guidance for healthcare professionals

Andersen

Vicedo-Cabrera

Hoffmann

2023

Breathe

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Climate change is one of the major public health emergencies with already unprecedented impacts on our planet, environment and health. Climate change has already resulted in substantial increases in temperatures globally and more frequent and extreme weather in terms of heatwaves, droughts, dust storms, wildfires, rainstorms and flooding, with prolonged and altered allergen and microbial exposure as well as the introduction of new allergens to certain areas. All these exposures may have a major burden on patients with respiratory conditions, which will pose increasing challenges for respiratory clinicians and other healthcare providers. In addition, complex interactions between these different factors, along with other major environmental risk factors (e.g.air pollution), will exacerbate adverse health effects on the lung. For example, an increase in heat and sunlight in urban areas will lead to increases in ozone exposure among urban populations; effects of very high exposure to smoke and pollution from wildfires will be exacerbated by the accompanying heat and drought; and extreme precipitation events and flooding will increase exposure to humidity and mould indoors. This review aims to bring respiratory healthcare providers up to date with the newest research on the impacts of climate change on respiratory health. Respiratory clinicians and other healthcare providers need to be continually educated about the challenges of this emerging and growing public health problem and be equipped to be the key players in solutions to mitigate the impacts of climate change on patients with respiratory conditions.Educational aimsTo define climate change and describe major related environmental factors that pose a threat to patients with respiratory conditions.To provide an overview of the epidemiological evidence on climate change and respiratory diseases.To explain how climate change interacts with air pollution and other related environmental hazards to pose additional challenges for patients.To outline recommendations to protect the health of patients with respiratory conditions from climate-related environmental hazards in clinical practice.To outline recommendations to clinicians and patients with respiratory conditions on how to contribute to mitigating climate change.

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Section: The Impact Of Climate Change On Respiratory Healthmentioning

confidence: 99%

Climate change and respiratory disease: clinical guidance for healthcare professionals

Andersen

Vicedo-Cabrera

Hoffmann

2023

Breathe

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Pathophysiological aspects of exposure to dampness-associated indoor mould and mycotoxins: A mini-overview

Viljoen¹,

Claassen²

2023

Journal of Hazardous Materials Advances

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Early‐life residential exposure to moisture damage is associated with persistent wheezing in a Finnish birth cohort

Tischer

Täubel

Kirjavainen

et al. 2022

Pediatric Allergy Immunology

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Background and Aims: Moisture damage increases the risk for respiratory disorders in childhood. Our aim was to determine whether early age residential exposure to inspector-observed moisture damage or mold is associated with different wheezing phenotypes later in childhood.Methods: Building inspections were performed by civil engineers, in a standardized manner, in the children's homes-mostly single family and row houses (N = 344)-in the first year of life. The children were followed up with repeated questionnaires until the age of 6 years and wheezing phenotypes-never/infrequent, transient, intermediate, late onset, and persistent-were defined using latent class analyses. The multinomial logistic regression model was used for statistical analysis.Results: A total of 63% (n = 218) had infrequent or no wheeze, 23% (n = 80) had transient and 9.6% (n = 21) had a persistent wheeze. Due to the low prevalence, results for intermediate (3.8%, n = 13) and late-onset wheeze (3.5%, n = 12) were not further evaluated. Most consistent associations were observed with the persistent wheeze phenotype with an adjusted odds ratio (95% confidence intervals) 2.04 (0.67-6.18) for minor moisture damage with or without mold spots (present in 23.8% of homes) and 3.68 (1.04-13.05) for major damage or any moisture damage with visible mold in This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Early‐life residential exposure to moisture damage is associated with persistent wheezing in a Finnish birth cohort

Cited by 3 publications

References 35 publications

Climate change and respiratory disease: clinical guidance for healthcare professionals

Climate change and respiratory disease: clinical guidance for healthcare professionals

Pathophysiological aspects of exposure to dampness-associated indoor mould and mycotoxins: A mini-overview

Early‐life residential exposure to moisture damage is associated with persistent wheezing in a Finnish birth cohort

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