Second-hand smoke exposure in adulthood and lower respiratory health during 20 year follow up in the European Community Respiratory Health ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-02-14

AUTHORS

Claudia Flexeder, Jan-Paul Zock, Deborah Jarvis, Giuseppe Verlato, Mario Olivieri, Geza Benke, Michael J. Abramson, Torben Sigsgaard, Cecilie Svanes, Kjell Torén, Dennis Nowak, Rain Jõgi, Jesús Martinez-Moratalla, Pascal Demoly, Christer Janson, Thorarinn Gislason, Roberto Bono, Mathias Holm, Karl A. Franklin, Judith Garcia-Aymerich, Valérie Siroux, Bénédicte Leynaert, Sandra Dorado Arenas, Angelo Guido Corsico, Antonio Pereira-Vega, Nicole Probst-Hensch, Isabel Urrutia Landa, Holger Schulz, Joachim Heinrich

ABSTRACT

BackgroundEarly life exposure to tobacco smoke has been extensively studied but the role of second-hand smoke (SHS) for new-onset respiratory symptoms and lung function decline in adulthood has not been widely investigated in longitudinal studies. Our aim is to investigate the associations of exposure to SHS in adults with respiratory symptoms, respiratory conditions and lung function over 20 years.MethodsWe used information from 3011 adults from 26 centres in 12 countries who participated in the European Community Respiratory Health Surveys I-III and were never or former smokers at all three surveys. Associations of SHS exposure with respiratory health (asthma symptom score, asthma, chronic bronchitis, COPD) were analysed using generalised linear mixed-effects models adjusted for confounding factors (including sex, age, smoking status, socioeconomic status and allergic sensitisation). Linear mixed-effects models with additional adjustment for height were used to assess the relationships between SHS exposure and lung function levels and decline.ResultsReported exposure to SHS decreased in all 26 study centres over time. The prevalence of SHS exposure was 38.7% at baseline (1990–1994) and 7.1% after the 20-year follow-up (2008–2011). On average 2.4% of the study participants were not exposed at the first, but were exposed at the third examination. An increase in SHS exposure over time was associated with doctor-diagnosed asthma (odds ratio (OR): 2.7; 95% confidence interval (95%-CI): 1.2–5.9), chronic bronchitis (OR: 4.8; 95%-CI: 1.6–15.0), asthma symptom score (count ratio (CR): 1.9; 95%-CI: 1.2–2.9) and dyspnoea (OR: 2.7; 95%-CI: 1.1–6.7) compared to never exposed to SHS. Associations between increase in SHS exposure and incidence of COPD (OR: 2.0; 95%-CI: 0.6–6.0) or lung function (β: − 49 ml; 95%-CI: -132, 35 for FEV1 and β: − 62 ml; 95%-CI: -165, 40 for FVC) were not apparent.ConclusionExposure to second-hand smoke may lead to respiratory symptoms, but this is not accompanied by lung function changes. More... »

PAGES

33

Journal

TITLE

Respiratory Research

ISSUE

1

VOLUME

20

Author Affiliations

  • Institute of Epidemiology, Helmholtz Zentrum München – German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany
  • CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
  • National Heart and Lung Institute, Imperial College London, London, UK
  • Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy
  • University Hospital of Verona, Verona, Italy
  • School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  • Department of Public Health, Aarhus University, Aarhus, Denmark
  • Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
  • Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
  • Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany
  • Lung Clinic, Tartu University Clinics, Tartu, Estonia
  • Facultad de Medicina de Albacete, Universidad de Castilla – La Mancha, Albacete, Spain
  • Inserm, Sorbonne Université, Equipe EPAR – IPLESP, Paris, France
  • Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
  • Faculty of Medicine, University of Iceland, Reykjavik, Iceland
  • Department of Public Health and Pediatrics, University of Turin, Turin, Italy
  • Department of Surgical and Perioperative Sciences, Surgery, Umea University, Umea, Sweden
  • Institute for Advanced Biosciences, UGA-Inserm U1209-CNRS UMR 5309, Joint Research Center, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Site Santé – Allée des Alpes, 38700 La Tronche, Grenoble, France
  • Inserm, UMR 1152, Pathophysiology and Epidemiology of Respiratory Diseases, Paris, France, UMR 1152, University Paris Diderot Paris, Paris, France
  • Pulmonology Department, Galdakao-Usansolo Hospital, Galdakao, Biscay, Spain
  • Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy
  • Respiratory and Allergy Clinical Unit, Universitary Hospitalary Complex, Huelva, Spain
  • Department of Public Health, University of Basel, Basel, Switzerland
  • Pulmonary Department, Hospital Galdakao, Galdakao, Biscay, Spain
  • Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12931-019-0996-z

    DOI

    http://dx.doi.org/10.1186/s12931-019-0996-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1112139076

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30764884


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    29 schema:description BackgroundEarly life exposure to tobacco smoke has been extensively studied but the role of second-hand smoke (SHS) for new-onset respiratory symptoms and lung function decline in adulthood has not been widely investigated in longitudinal studies. Our aim is to investigate the associations of exposure to SHS in adults with respiratory symptoms, respiratory conditions and lung function over 20 years.MethodsWe used information from 3011 adults from 26 centres in 12 countries who participated in the European Community Respiratory Health Surveys I-III and were never or former smokers at all three surveys. Associations of SHS exposure with respiratory health (asthma symptom score, asthma, chronic bronchitis, COPD) were analysed using generalised linear mixed-effects models adjusted for confounding factors (including sex, age, smoking status, socioeconomic status and allergic sensitisation). Linear mixed-effects models with additional adjustment for height were used to assess the relationships between SHS exposure and lung function levels and decline.ResultsReported exposure to SHS decreased in all 26 study centres over time. The prevalence of SHS exposure was 38.7% at baseline (1990–1994) and 7.1% after the 20-year follow-up (2008–2011). On average 2.4% of the study participants were not exposed at the first, but were exposed at the third examination. An increase in SHS exposure over time was associated with doctor-diagnosed asthma (odds ratio (OR): 2.7; 95% confidence interval (95%-CI): 1.2–5.9), chronic bronchitis (OR: 4.8; 95%-CI: 1.6–15.0), asthma symptom score (count ratio (CR): 1.9; 95%-CI: 1.2–2.9) and dyspnoea (OR: 2.7; 95%-CI: 1.1–6.7) compared to never exposed to SHS. Associations between increase in SHS exposure and incidence of COPD (OR: 2.0; 95%-CI: 0.6–6.0) or lung function (β: − 49 ml; 95%-CI: -132, 35 for FEV1 and β: − 62 ml; 95%-CI: -165, 40 for FVC) were not apparent.ConclusionExposure to second-hand smoke may lead to respiratory symptoms, but this is not accompanied by lung function changes.
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