Adverse early-life environmental exposures and their repercussions on adult respiratory health

被引:13
|
作者
Mocelin, Helena Teresinha [1 ,2 ]
Fischer, Gilberto Bueno [1 ,2 ,3 ]
Bush, Andrew [4 ,5 ]
机构
[1] Univ Fed Ciencias Saude Porto Alegre UFCSPA, Dept Pediat, Porto Alegre, RS, Brazil
[2] Hosp Crianca Santo Antonio, Secao Pneumol Pediat, Porto Alegre, RS, Brazil
[3] Univ Fed Ciencias Saude Porto Alegre UFCSPA, Programa Posgrad Pediat, Porto Alegre, RS, Brazil
[4] Imperial Coll London, Fac Med, Natl Heart & Lung Inst, Sect Paediat, London, England
[5] Royal Brompton Hosp, Dept Paediat Resp Med, London, England
关键词
Environmental exposures; Early childhood exposures; Early disease origin; Air pollution; Respiratory diseases; Lung function; OBSTRUCTIVE PULMONARY-DISEASE; LUNG-FUNCTION; CHILDHOOD ASTHMA; MATERNAL SMOKING; NICOTINE; COHORT; DETERMINANTS; ASSOCIATION; HISTORY; BIRTH;
D O I
10.1016/j.jped.2021.11.005
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To review in the literature the environmental problems in early life that impact the respiratory health of adults. Sources: Non-systematic review including articles in English. Search filters were not used in relation to the publication date, but the authors selected mainly publications from the last five years. Summary of the findings: In this review, the authors present the exposure pathways and how the damage occurs depending on the child's stage of development; the authors describe the main environmental pollutants - tobacco smoke, particulate matter, air pollution associated with traffic, adverse childhood experiences and socioeconomic status; the authors present studies that evaluated the repercussions on the respiratory system of adults resulting from exposure to adverse environmental factors in childhood, such as increased incidence of Chronic Obstructive Pulmonary Disease (COPD), asthma and allergies; and, a decline in lung function. The authors emphasize that evidence demonstrates that adult respiratory diseases almost always have their origins in early life. Finally, the authors emphasize that health professionals must know, diagnose, monitor, and prevent toxic exposure among children and women. Conclusion: The authors conclude that it is necessary to recognize risk factors and intervene in the period of greatest vulnerability to the occurrence of harmful effects of environmental exposures, to prevent, delay the onset or modify the progression of lung disease throughout life and into adulthood. (C) 2021 Published by Elsevier Editora Ltda. on behalf of Sociedade Brasileira de Pediatria.
引用
收藏
页码:S86 / S95
页数:10
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