air pollution, fetal and infant tobacco smoke exposure, and wheezing in preschool children a population-based prospective birth cohort空气污染,胎儿和婴儿接触烟草烟雾,和喘息学龄前儿童基于人群的前瞻性出生队列.pdfVIP
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air pollution, fetal and infant tobacco smoke exposure, and wheezing in preschool children a population-based prospective birth cohort空气污染,胎儿和婴儿接触烟草烟雾,和喘息学龄前儿童基于人群的前瞻性出生队列
Sonnenschein-van der Voort et al. Environmental Health 2012, 11:91
/content/11/1/91
RESEARCH Open Access
Air pollution, fetal and infant tobacco smoke
exposure, and wheezing in preschool children:
a population-based prospective birth cohort
1,2,3 4 1,3,5 1,2,6
Agnes MM Sonnenschein-van der Voort , Yvonne de Kluizenaar , Vincent WV Jaddoe , Carmelo Gabriele ,
7 5 3 4 4 2
Hein Raat , Henriëtte A Moll , Albert Hofman , Frank H Pierik , Henk ME Miedema , Johan C de Jongste
and Liesbeth Duijts2,3,8*
Abstract
Background: Air pollution is associated with asthma exacerbations. We examined the associations of exposure to
ambient particulate matter (PM ) and nitrogen dioxide (NO ) with the risk of wheezing in preschool children, and
10 2
assessed whether these associations were modified by tobacco smoke exposure.
Methods: This study was embedded in the Generation R Study, a population-based prospective cohort study
among 4,634 children. PM10 and NO2 levels were estimated for the home addresses using dispersion modeling.
Annual parental reports of wheezing until the age of 3 years and fetal and infant tobacco smoke exposure was
obtained by questionnaires.
Results: Average annual PM10 or NO2 exposure levels per year were not associated with wheezing in the same
year. Longitudinal analyses revealed non-significant tendencies towards positive associations of PM10 or NO2
exposure levels with wheezing during the first 3 years of life (overall odds ratios
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