Cited by 92Air Quality and Health ImpactsAsthma and respiratory diseasesIndoor Air Quality and Microbial Exposure

Spatiotemporal Variations in Ambient Ultrafine Particles and the Incidence of Childhood Asthma

Lavigne, Eric, Donelle, Jessy, Hatzopoulou, Marianne, Van Ryswyk, Keith, van Donkelaar, Aaron, Martin, Randall V., Chen, Hong, Stieb, David M. +6 more·2019·American Journal of Respiratory and Critical Care Medicine

Abstract

Rationale: Little is known regarding the impact of ambient ultrafine particles (UFPs; Objectives: To examine the association between prenatal and early postnatal life exposure to UFPs and development of childhood asthma. Methods: A total of 160,641 singleton live births occurring in the City of Toronto, Canada between April 1, 2006, and March 31, 2012, were identified from a birth registry. Associations between exposure to ambient air pollutants and childhood asthma incidence (up to age 6) were estimated using random effects Cox proportional hazards models, adjusting for personal- and neighborhood-level covariates. We investigated both single-pollutant and multipollutant models accounting for coexposures to particulate matter ≤2.5 μm in aerodynamic diameter (PM 2.5 ) and NO 2 . Measurements and Main Results: We identified 27,062 children with incident asthma diagnosis during the follow-up. In adjusted models, second-trimester exposure to UFPs (hazard ratio per interquartile range increase, 1.09; 95% confidence interval, 1.06-1.12) was associated with asthma incidence. In models additionally adjusted for PM 2.5 and nitrogen dioxide, UFPs exposure during the second trimester of pregnancy remained positively associated with childhood asthma incidence (hazard ratio per interquartile range increase, 1.05; 95% confidence interval, 1.01-1.09). Conclusions: This is the first study to evaluate the association between perinatal exposure to UFPs and the incidence of childhood asthma. Ex…

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Crossref · 10.1164/rccm.201810-1976oc

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Authors
Lavigne, E., Donelle, J., Hatzopoulou, M., Van Ryswyk, K., van Donkelaar, A., Martin, R. V., Chen, H., Stieb, D. M., Gasparrini, A., Crighton, E., Yasseen, A. S., Burnett, R. T., Walker, M., & Weichenthal, S.
Affiliations
  • Air Health Science Division and
  • Institute for Clinical Evaluative Sciences (CA)
  • Department of Civil Engineering and
  • Department of Physics and Atmospheric Science, Dalhousie University, Halifax, Nova Scotia, Canada
  • Smithsonian Institution (US)
  • Health Canada (CA)
  • London School of Hygiene & Tropical Medicine (GB)
  • BORN Ontario (CA)
  • University of Ottawa (CA)
  • McGill University (CA)
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2019-06
Volume
199
Issue
12
Pages
1487-1495
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2917538622
Cited by
92
References
0
Citations by year
2026: 5 · 2025: 5 · 2024: 16 · 2023: 6 · 2022: 13 · 2021: 21 · 2020: 15 · 2019: 10
FWCI
6.37
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Respiratory and Critical Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Funders
Medical Research Council (MR/R013349/1)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Keywords
ultrafine particles, childhood asthma, prenatal exposure, PM2.5, nitrogen dioxide, asthma incidence, lung development, spatiotemporal variation, birth registry
MeSH terms
Air Pollutants, Asthma, Canada, Child, Child, Preschool, Environmental Exposure, Female, Humans, Infant, Infant, Newborn, Male, Pregnancy, Cohort Studies, Incidence, Maternal Exposure, Particulate Matter, Spatio-Temporal Analysis

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