View in EDS PDF Full Text

Childhood Asthma and Environmental Exposures at Swimming Pools: State of the Science and Research Recommendations.

Saved in:
Bibliographic Details
Title: Childhood Asthma and Environmental Exposures at Swimming Pools: State of the Science and Research Recommendations.
Authors: Weisel, Clifford P.1 weisel@eohsi.rutgers.edu, Richardson, Susan D.2, Nemery, Benoit3, Aggazzotti, Gabriella4, Baraldi, Eugenio5, Blatchley III, Ernest R.6, Blount, Benjamin C.7, Carlsen, Kai-Håkon8, Eggleston, Peyton A.9, Frimmel, Fritz H.10, Goodman, Michael11, Gordon, Gilbert12, Grinshpun, Sergey A.13, Heederik, Dirk14, Kogevinas, Manolis15,16,17,18, LaKind, Judy S.19, Nieuwenhuijsen, Mark J.20, Piper, Fontaine C.21, Sattar, Syed A.22
Source: Environmental Health Perspectives. Apr2009, Vol. 117 Issue 4, p500-507. 8p. 3 Charts.
Subject Terms: *Public health research, *Water disinfection, *Disinfection by-product, Asthma in children, Swimming pools, Bronchial diseases
Abstract: OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21--23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: GreenFILE
FullText Links:
  – Type: pdflink
Text:
  Availability: 0
Header DbId: 8gh
DbLabel: GreenFILE
An: 38897036
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Childhood Asthma and Environmental Exposures at Swimming Pools: State of the Science and Research Recommendations.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Weisel%2C+Clifford+P%2E%22">Weisel, Clifford P.</searchLink><relatesTo>1</relatesTo><i> weisel@eohsi.rutgers.edu</i><br /><searchLink fieldCode="AR" term="%22Richardson%2C+Susan+D%2E%22">Richardson, Susan D.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Nemery%2C+Benoit%22">Nemery, Benoit</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Aggazzotti%2C+Gabriella%22">Aggazzotti, Gabriella</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Baraldi%2C+Eugenio%22">Baraldi, Eugenio</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Blatchley+III%2C+Ernest R%2E%22">Blatchley III, Ernest R.</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Blount%2C+Benjamin+C%2E%22">Blount, Benjamin C.</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Carlsen%2C+Kai-Håkon%22">Carlsen, Kai-Håkon</searchLink><relatesTo>8</relatesTo><br /><searchLink fieldCode="AR" term="%22Eggleston%2C+Peyton+A%2E%22">Eggleston, Peyton A.</searchLink><relatesTo>9</relatesTo><br /><searchLink fieldCode="AR" term="%22Frimmel%2C+Fritz+H%2E%22">Frimmel, Fritz H.</searchLink><relatesTo>10</relatesTo><br /><searchLink fieldCode="AR" term="%22Goodman%2C+Michael%22">Goodman, Michael</searchLink><relatesTo>11</relatesTo><br /><searchLink fieldCode="AR" term="%22Gordon%2C+Gilbert%22">Gordon, Gilbert</searchLink><relatesTo>12</relatesTo><br /><searchLink fieldCode="AR" term="%22Grinshpun%2C+Sergey+A%2E%22">Grinshpun, Sergey A.</searchLink><relatesTo>13</relatesTo><br /><searchLink fieldCode="AR" term="%22Heederik%2C+Dirk%22">Heederik, Dirk</searchLink><relatesTo>14</relatesTo><br /><searchLink fieldCode="AR" term="%22Kogevinas%2C+Manolis%22">Kogevinas, Manolis</searchLink><relatesTo>15,16,17,18</relatesTo><br /><searchLink fieldCode="AR" term="%22LaKind%2C+Judy S%2E%22">LaKind, Judy S.</searchLink><relatesTo>19</relatesTo><br /><searchLink fieldCode="AR" term="%22Nieuwenhuijsen%2C+Mark+J%2E%22">Nieuwenhuijsen, Mark J.</searchLink><relatesTo>20</relatesTo><br /><searchLink fieldCode="AR" term="%22Piper%2C+Fontaine+C%2E%22">Piper, Fontaine C.</searchLink><relatesTo>21</relatesTo><br /><searchLink fieldCode="AR" term="%22Sattar%2C+Syed+A%2E%22">Sattar, Syed A.</searchLink><relatesTo>22</relatesTo>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Environmental+Health+Perspectives%22">Environmental Health Perspectives</searchLink>. Apr2009, Vol. 117 Issue 4, p500-507. 8p. 3 Charts.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Public+health+research%22">Public health research</searchLink><br />*<searchLink fieldCode="DE" term="%22Water+disinfection%22">Water disinfection</searchLink><br />*<searchLink fieldCode="DE" term="%22Disinfection+by-product%22">Disinfection by-product</searchLink><br /><searchLink fieldCode="DE" term="%22Asthma+in+children%22">Asthma in children</searchLink><br /><searchLink fieldCode="DE" term="%22Swimming+pools%22">Swimming pools</searchLink><br /><searchLink fieldCode="DE" term="%22Bronchial+diseases%22">Bronchial diseases</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21--23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=8gh&AN=38897036
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1289/ehp.11513
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 500
    Subjects:
      – SubjectFull: Public health research
        Type: general
      – SubjectFull: Water disinfection
        Type: general
      – SubjectFull: Disinfection by-product
        Type: general
      – SubjectFull: Asthma in children
        Type: general
      – SubjectFull: Swimming pools
        Type: general
      – SubjectFull: Bronchial diseases
        Type: general
    Titles:
      – TitleFull: Childhood Asthma and Environmental Exposures at Swimming Pools: State of the Science and Research Recommendations.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Weisel, Clifford P.
      – PersonEntity:
          Name:
            NameFull: Richardson, Susan D.
      – PersonEntity:
          Name:
            NameFull: Nemery, Benoit
      – PersonEntity:
          Name:
            NameFull: Aggazzotti, Gabriella
      – PersonEntity:
          Name:
            NameFull: Baraldi, Eugenio
      – PersonEntity:
          Name:
            NameFull: Blatchley III, Ernest R.
      – PersonEntity:
          Name:
            NameFull: Blount, Benjamin C.
      – PersonEntity:
          Name:
            NameFull: Carlsen, Kai-Håkon
      – PersonEntity:
          Name:
            NameFull: Eggleston, Peyton A.
      – PersonEntity:
          Name:
            NameFull: Frimmel, Fritz H.
      – PersonEntity:
          Name:
            NameFull: Goodman, Michael
      – PersonEntity:
          Name:
            NameFull: Gordon, Gilbert
      – PersonEntity:
          Name:
            NameFull: Grinshpun, Sergey A.
      – PersonEntity:
          Name:
            NameFull: Heederik, Dirk
      – PersonEntity:
          Name:
            NameFull: Kogevinas, Manolis
      – PersonEntity:
          Name:
            NameFull: LaKind, Judy S.
      – PersonEntity:
          Name:
            NameFull: Nieuwenhuijsen, Mark J.
      – PersonEntity:
          Name:
            NameFull: Piper, Fontaine C.
      – PersonEntity:
          Name:
            NameFull: Sattar, Syed A.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2009
              Type: published
              Y: 2009
          Identifiers:
            – Type: issn-print
              Value: 00916765
          Numbering:
            – Type: volume
              Value: 117
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Environmental Health Perspectives
              Type: main
ResultId 1