Allergy Asthma Respir Dis.  2015 May;3(3):206-212. 10.4168/aard.2015.3.3.206.

Indoor air pollutants and atopic dermatitis in socioeconomically disadvantaged children

Affiliations
  • 1Environmental Health Center for Childhood Asthma, Korea University Anam Hospital, Seoul, Korea. yoolina@korea.ac.kr
  • 2Korea Environmental Industry & Technology Institute, Seoul, Korea.
  • 3Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.
  • 4Allergy and Immunology Center, Korea University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
The aims of this study were to examine indoor concentrations of air pollutants in socioeconomically disadvantaged houses and to investigate relationships between indoor air pollutant levels and the severity of atopic dermatitis (AD).
METHODS
A total of 54 children who had a past history or current symptoms of AD were enrolled in the study. To evaluate the levels of indoor air pollutants, we measured concentrations of CO2, total volatile organic compounds (TVOC), formaldehyde, particulate matter with diameter less than 10 microm (PM10), airborne mold and numbers of house dust mite (HDM) in dust of the children's houses. All studied subjects completed physical examination for the severity of AD and blood tests.
RESULTS
Although the mean (+/-standard deviation [SD]) concentration of indoor CO2 (600.6+/-179.4 ppm) was lower than the standard recommended levels of multiplex buildings in Korea, there was a significant correlation between CO2 concentrations and the severity of AD (r=0.302, P=0.030). The geometric means (range of 1 SD) of TVOC (42.5 microg/m3 [22.2-81.5]), formaldehyde (24.3 microg/m3 [15.0-39.9]), PM10 (26.6 microg/m3 [14.6-48.4]), and airborne mold (49.9 CFU [colony forming unit]/m3 [26.3-94.6]) were not significantly higher than the standard recommended levels of multiplex buildings. Two-thirds of the subjects were sensitized to at least 1 of the common allergens.
CONCLUSION
Generally, indoor air pollution was not serious in socioeconomically disadvantaged households. However, indoor CO2 concentrations are closely related to the severity of AD in children living in socioeconomically disadvantaged houses. Environmental amelioration targeting vulnerable population may improve the quality of life and decrease the prevalence of environmental allergic diseases.

Keyword

Atopic dermatitis; Child; Indoor air pollution

MeSH Terms

Air Pollutants*
Air Pollution, Indoor
Allergens
Child*
Dermatitis, Atopic*
Dust
Family Characteristics
Formaldehyde
Fungi
Hematologic Tests
Humans
Korea
Particulate Matter
Physical Examination
Prevalence
Pyroglyphidae
Quality of Life
Volatile Organic Compounds
Vulnerable Populations*
Air Pollutants
Allergens
Dust
Formaldehyde
Particulate Matter
Volatile Organic Compounds

Figure

  • Fig. 1 Correlations between indoor CO2 concentrations and SCORAD index in socioeconomically disadvantaged children. SCORAD, SCORing Atopic Dermatitis.


Cited by  1 articles

Air pollution and childhood allergic disease
Young Yoo
Allergy Asthma Respir Dis. 2016;4(4):248-256.    doi: 10.4168/aard.2016.4.4.248.


Reference

1. Baek JO, Hong S, Son DK, Lee JR, Roh JY, Kwon HJ. Analysis of the prevalence of and risk factors for atopic dermatitis using an ISAAC questionnaire in 8,750 Korean children. Int Arch Allergy Immunol. 2013; 162:79–85.
Article
2. Bakke JV, Wieslander G, Norback D, Moen BE. Eczema increases susceptibility to PM10 in office indoor environments. Arch Environ Occup Health. 2012; 67:15–21.
3. Ahn K. The role of air pollutants in atopic dermatitis. J Allergy Clin Immunol. 2014; 134:993–999.
Article
4. Seo S, Kim D, Paul C, Yoo Y, Choung JT. Exploring household-level risk factors for self-reported prevalence of allergic diseases among low-income households in Seoul, Korea. Allergy Asthma Immunol Res. 2014; 6:421–427.
Article
5. Wen HJ, Chen PC, Chiang TL, Lin SJ, Chuang YL, Guo YL. Predicting risk for early infantile atopic dermatitis by hereditary and environmental factors. Br J Dermatol. 2009; 161:1166–1172.
Article
6. Matsunaga I, Miyake Y, Yoshida T, Miyamoto S, Ohya Y, Sasaki S, et al. Ambient formaldehyde levels and allergic disorders among Japanese pregnant women: baseline data from the Osaka maternal and child health study. Ann Epidemiol. 2008; 18:78–84.
Article
7. Ou CQ, Hedley AJ, Chung RY, Thach TQ, Chau YK, Chan KP, et al. Socioeconomic disparities in air pollution-associated mortality. Environ Res. 2008; 107:237–244.
Article
8. O'Neill MS, Jerrett M, Kawachi I, Levy JI, Cohen AJ, Gouveia N, et al. Health, wealth, and air pollution: advancing theory and methods. Environ Health Perspect. 2003; 111:1861–1870.
9. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol (Stockh). 1980; 2:44–47.
10. Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology. 1993; 186:23–31.
11. Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007; 175:1304–1345.
Article
12. Dweik RA, Boggs PB, Erzurum SC, Irvin CG, Leigh MW, Lundberg JO, et al. An official ATS clinical practice guideline: interpretation of exhaled nitric oxide levels (FENO) for clinical applications. Am J Respir Crit Care Med. 2011; 184:602–615.
Article
13. Seo SC, Dong SH, Kang IS, Yeun KN, Choung JT, Yoo Y, et al. The clinical effects of forest camp on children with atopic dermatitis. J Korean Ins For Recreation. 2012; 6:21–31.
14. Kang MS. A survey of biological contaminations in a residential environment of the selected disadvantaged households [dissertation]. Seoul: Korea University;2011.
15. Dei-Cas I, Dei-Cas P, Acuna K. Atopic dermatitis and risk factors in poor children from Great Buenos Aires, Argentina. Clin Exp Dermatol. 2009; 34:299–303.
Article
16. Kim HO, Kim JH, Cho SI, Chung BY, Ahn IS, Lee CH, et al. Improvement of atopic dermatitis severity after reducing indoor air pollutants. Ann Dermatol. 2013; 25:292–297.
Article
17. Dust mite allergens and asthma: a worldwide problem. J Allergy Clin Immunol. 1989; 83(2 Pt 1):416–427.
18. World Health Organization. Environment and health risks: a review of the influence and effects of social inequalities. Geneva: World Health Organization;2010.
19. Cho YM, Ryu SH, Choi MS, Seo SC, Choung JT, Choi JW. Airborne fungi concentrations and related factors in the home. J Environ Health Sci. 2013; 39:438–446.
Article
20. Seo SC, Cho YM, Ryu SH, Lee SK, Lee JY, Choung JT. Evaluation of effectiveness for an atopy prevention program operated by a local government. J Environ Health Sci. 2013; 39:383–390.
Article
Full Text Links
  • AARD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr