دورية أكاديمية

The association between children's exposure to pesticides and asthma, wheezing, and lower respiratory tract infections. A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: The association between children's exposure to pesticides and asthma, wheezing, and lower respiratory tract infections. A systematic review and meta-analysis.
المؤلفون: Keleb A; Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Daba C; Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Asmare L; Department of Epidemiology and Biostatistics School of Public Health, College of Medicine and Health Science Wollo University, Dessie, Ethiopia., Bayou FD; Department of Epidemiology and Biostatistics School of Public Health, College of Medicine and Health Science Wollo University, Dessie, Ethiopia., Arefaynie M; Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Mohammed A; Department of Epidemiology and Biostatistics School of Public Health, College of Medicine and Health Science Wollo University, Dessie, Ethiopia., Tareke AA; Amref Health in Africa, COVID-19 Vaccine/EPI Technical Assistant at West Gondar Zonal Health Department, Gondar, Ethiopia., Kebede N; Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Tsega Y; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Endawkie A; Department of Epidemiology and Biostatistics School of Public Health, College of Medicine and Health Science Wollo University, Dessie, Ethiopia., Kebede SD; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Abera KM; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Abeje ET; Department of Epidemiology and Biostatistics School of Public Health, College of Medicine and Health Science Wollo University, Dessie, Ethiopia., Enyew EB; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
المصدر: Frontiers in public health [Front Public Health] 2024 May 24; Vol. 12, pp. 1402908. Date of Electronic Publication: 2024 May 24 (Print Publication: 2024).
نوع المنشور: Systematic Review; Meta-Analysis; Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Lausanne : Frontiers Editorial Office
مواضيع طبية MeSH: Asthma*/epidemiology , Asthma*/chemically induced , Respiratory Sounds*/etiology , Pesticides*/adverse effects , Respiratory Tract Infections*/epidemiology , Environmental Exposure*/adverse effects, Humans ; Child ; Child, Preschool ; Adolescent ; Infant
مستخلص: Background: Exposure to pesticides is a global public health problem, especially for children. Its association with chronic respiratory disease among children has attracted considerable attention, but the existing evidence remains inconclusive and cannot be certain. Therefore, this systematic review and meta-analysis aim to determine the global pooled effect size of association with pesticide exposure and asthma, wheezing, and respiratory tract infections among children.
Methods: A comprehensive search was conducted for relevant literature from electronic databases, including PubMed, Google Scholar, Hinari, Semantic Scholar, and Science Direct. Studies that provided effect size on the association between pesticide exposure and childhood asthma, wheezing, and respiratory tract infections in children were included. The articles were screened, data was extracted, and the quality of each study was assessed with four independent reviewers. Random effects models for significant heterogeneity and fixed effect models for homogeneous studies were conducted to estimate pooled effect sizes with 95% confidence intervals using Comprehensive Meta-Analysis version 3.3.070 and MetaXL version 2. Funnel plot and Higgins I 2 statistics were used to determine the heterogeneity of the included studies. Subgroup analyses were computed based on the types of pesticide exposure, study design, sample size category, and outcome assessment technique.
Result: A total of 38 articles with 118,303 children less than 18 years of age were included in this meta-analysis. Pesticide exposure among children increased the risk of asthma by 24%; (OR = 1.24, 95% CI: 1.14-1.35) with extreme heterogeneity ( I 2  = 81%, p  < 0.001). Exposure to pesticides increased the odds of developing wheezing among children by 34% (OR = 1.34, 95% CI: 1.14-1.57), with high heterogeneity ( I 2  = 79%, p  < 0.001) and also increased the risk of developing lower respiratory tract infection by 79% (OR = 1.79, 95% CI: 1.45-2.21) with nonsignificant low heterogeneity ( I 2  = 30%, p -value = 0.18).
Conclusion: This meta-analysis provided valuable evidence supporting the association between childhood asthma, wheezing, and lower respiratory tract infection with pesticide exposure. The findings would contribute to a better understanding of the estimate of the effect of pesticide exposure on respiratory health in children and inform evidence-based preventive strategies and public health interventions.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2024 Keleb, Daba, Asmare, Bayou, Arefaynie, Mohammed, Tareke, Kebede, Tsega, Endawkie, Kebede, Abera, Abeje and Enyew.)
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فهرسة مساهمة: Keywords: asthma; children; chronic respiratory diseases; meta-analysis; pesticide exposure; respiratory tract infection; systematic review
المشرفين على المادة: 0 (Pesticides)
تواريخ الأحداث: Date Created: 20240613 Date Completed: 20240613 Latest Revision: 20240614
رمز التحديث: 20240614
مُعرف محوري في PubMed: PMC11167956
DOI: 10.3389/fpubh.2024.1402908
PMID: 38868160
قاعدة البيانات: MEDLINE
الوصف
تدمد:2296-2565
DOI:10.3389/fpubh.2024.1402908