Department of Clinical Epidemiology and Biostatistics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; School of Public Health, Institute of Environment and Population Health, Anhui Medical University, Hefei, China; Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
Department of Respiratory Disease, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Environ Res. 2022 Nov;214(Pt 3):113988. doi: 10.1016/j.envres.2022.113988. Epub 2022 Aug 11.
Asthma affects over 300 million people globally and is a cause of substantial burden of disease, including both premature death and reduced quality of life in people of all ages. Although both genetic and environmental factors play an important role in the pathogenesis of asthma, the rising trend of asthma and other allergic diseases over recent decades is thought to be largely caused by alteration in environmental conditions. Thus, a considerable amount of attention has been paid to environmental modification for the treatment and management of asthma, including household allergen reduction and/or irritant removal. More advanced environmental modification strategies (e.g., health resort medical rehabilitation, high-altitude climate therapy and multiple-hit interventions) have also been suggested. Research advances have been made over the past decades, but major challenges and opportunities coexist in this emerging field. Concerted efforts are required to tackle these formidable challenges.
哮喘影响着全球超过 3 亿人,是疾病负担的一个重要原因,包括各年龄段人群的过早死亡和生活质量降低。尽管遗传和环境因素都在哮喘发病机制中起着重要作用,但近年来哮喘和其他过敏性疾病的上升趋势被认为在很大程度上是由环境条件的改变引起的。因此,人们对环境修饰进行了大量关注,以治疗和管理哮喘,包括减少家庭过敏原和/或去除刺激物。更先进的环境修饰策略(例如,疗养医学康复、高海拔气候疗法和多因素干预)也已被提出。过去几十年来,研究取得了进展,但这一新兴领域既有挑战也有机遇。需要共同努力来应对这些艰巨的挑战。