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父母职业是儿童喘息和哮喘的危险因素。

Parental occupation is a risk factor for childhood wheeze and asthma.

机构信息

Environmental and Occupational Medicine, University of Aberdeen, Aberdeen, AB25 2ZP, UK.

出版信息

Eur Respir J. 2010 May;35(5):987-93. doi: 10.1183/09031936.00050009. Epub 2009 Nov 19.

Abstract

The present birth cohort study investigated whether or not childhood wheeze and asthma are associated with parental exposure to occupational sensitisers that cause asthma. Parental occupation, from the Avon Longitudinal Study of Parents and Children (ALSPAC), was related to wheeze, asthma, ventilatory function, airway responsiveness and atopic sensitisation in children aged 0-102 months. Occupation was recorded for 11,193 mothers and 9,473 fathers antenatally, and for 4,631 mothers and 5,315 fathers post-natally. Childhood respiratory outcomes were not associated with parental occupational exposure to diisocyanates, glues/resins, dyes, animal dust, solder, enzymes and wood dust. Maternal post-natal occupational exposure to latex and/or biocides/fungicides increased the likelihood of childhood wheeze and asthma. High levels of latex or biocide/fungicide exposure were associated with an OR (95% CI) of 1.26 (1.07-1.50) and 1.22 (1.02-2.05), respectively, for wheezing up to 81 months. Combined maternal latex and biocide/fungicide exposure increased the likelihood of childhood wheeze (1.22 (1.03-1.43)) and asthma. High paternal occupational flour dust exposure was associated with an increased likelihood of wheeze after 30 months (2.31 (1.05-5.10)) and asthma by 91 months (3.23 (1.34-7.79)). Maternal occupational exposure to latex and/or biocides and paternal exposure to flour dust increases the risk of childhood asthma. Further studies in this area are justified.

摘要

本出生队列研究调查了儿童喘息和哮喘是否与父母接触引起哮喘的职业致敏剂有关。从阿冯纵向研究父母和子女(ALSPAC)中获得的父母职业与 0-102 月龄儿童的喘息、哮喘、通气功能、气道反应性和特应性致敏有关。在产前记录了 11193 名母亲和 9473 名父亲的职业,在产后记录了 4631 名母亲和 5315 名父亲的职业。儿童呼吸道结局与父母职业接触二异氰酸酯、胶/树脂、染料、动物粉尘、焊料、酶和木尘无关。母亲产后职业接触乳胶和/或生物杀灭剂/杀真菌剂增加了儿童喘息和哮喘的可能性。高水平的乳胶或生物杀灭剂/杀真菌剂暴露与喘息至 81 个月的 OR(95%CI)分别为 1.26(1.07-1.50)和 1.22(1.02-2.05)相关。母亲乳胶和生物杀灭剂/杀真菌剂联合暴露增加了儿童喘息的可能性(1.22(1.03-1.43))和哮喘。高父亲职业面粉粉尘暴露与 30 个月后喘息的可能性增加相关(2.31(1.05-5.10))和 91 个月后哮喘(3.23(1.34-7.79))相关。母亲职业接触乳胶和/或生物杀灭剂和父亲职业接触面粉粉尘会增加儿童哮喘的风险。在该领域进一步研究是合理的。

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