Boura Despoina, Spanakis Marios, Markakis George, Notas George, Lionis Christos, Tzanakis Nikolaos, Paraskakis Emmanouil
Department of Respiratory Medicine, University Hospital of Heraklion, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Department of Forensic Sciences and Toxicology, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Children (Basel). 2024 Jun 12;11(6):717. doi: 10.3390/children11060717.
Respiratory disorders significantly impact adolescents' health, often resulting in hospital admissions. Meteorological elements such as wind patterns have emerged as potential contributors to respiratory symptoms. However, it remains uncertain whether fluctuations in wind characteristics over extended periods have a tangible impact on respiratory health, particularly in regions characterized by distinct annual wind patterns. Crete is situated in the central-eastern Mediterranean Sea and frequently faces southerly winds carrying Sahara Desert sand from Africa and northerly winds from the Aegean Sea. This retrospective study analyzes long-term wind direction data and their relationship to respiratory symptoms observed in children up to 14 years old admitted at the University Hospital of Heraklion between 2002 and 2010. Symptoms such as headache, dyspnea, dry cough, dizziness, tachypnea, throat ache, and earache were predominantly reported during the presence of southern winds. Fever, productive cough, and chest pain were more frequently reported during northern winds. Cough was the most common symptom regardless of the wind pattern. Southern winds were significantly associated with higher probabilities of productive or non-productive cough, headache, dyspnea, tachypnea, dizziness, earache, and throat ache. Northern winds were related to a higher incidence of productive cough. Rhinitis, asthma, allergies, pharyngitis, and sinusitis were related to southern winds, while bronchiolitis and pneumonia were associated with northern winds. These findings underscore the critical role of local climatic factors, emphasizing their potential impact on exacerbating respiratory conditions in children. Moreover, they point out the need for further research to elucidate the underlying mechanisms and develop targeted interventions for at-risk populations.
呼吸系统疾病对青少年的健康有重大影响,常常导致住院治疗。诸如风向模式等气象因素已成为导致呼吸道症状的潜在因素。然而,长期以来风特征的波动是否对呼吸道健康有切实影响仍不确定,尤其是在具有明显年度风模式的地区。克里特岛位于地中海中东部,经常面临来自非洲携带撒哈拉沙漠沙尘的南风以及来自爱琴海的北风。这项回顾性研究分析了2002年至2010年期间在伊拉克利翁大学医院住院的14岁及以下儿童的长期风向数据及其与观察到的呼吸道症状之间的关系。在南风出现期间,主要报告的症状有头痛、呼吸困难、干咳、头晕、呼吸急促、喉咙痛和耳痛。在北风期间,发热、咳痰性咳嗽和胸痛的报告更为频繁。无论风向模式如何,咳嗽都是最常见的症状。南风与咳痰性或非咳痰性咳嗽、头痛、呼吸困难、呼吸急促、头晕、耳痛和喉咙痛的较高发生率显著相关。北风与咳痰性咳嗽的较高发生率有关。鼻炎、哮喘、过敏、咽炎和鼻窦炎与南风有关,而细支气管炎和肺炎与北风有关。这些发现强调了当地气候因素的关键作用,突出了它们对加重儿童呼吸道疾病的潜在影响。此外,它们指出需要进一步研究以阐明潜在机制,并为高危人群制定有针对性的干预措施。