Tag Archives: asthma

National Jewish Health study: African American children respond differently to asthma medications

28 Sep

The Mayo Clinic provides a concise definition of Asthma:

Overview
Asthma attack
Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.
For some people, asthma is a minor nuisance. For others, it can be a major problem that interferes with daily activities and may lead to a life-threatening asthma attack.
Asthma can’t be cured, but its symptoms can be controlled. Because asthma often changes over time, it’s important that you work with your doctor to track your signs and symptoms and adjust treatment as needed. https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653

The National Center for Health Statistics has stats on health related issues.

According to the National Center for Health Statistics:

Asthma
Data are for the U.S.
Morbidity
• Number of adults aged 18 and over who currently have asthma: 19.0 million
• Percent of adults aged 18 and over who currently have asthma: 7.7%
Source: Summary Health Statistics Tables for U.S. Adults: National Health Interview Survey, 2017, tables A-2b, A-2c pdf icon[PDF – 137 KB]
• Number of children under age 18 years who currently have asthma: 6.2 million
• Percent of children under age 18 years who currently have asthma: 8.4%
Source: Summary Health Statistics Tables for U.S. Children: National Health Interview Survey, 2017, tables C-1b, C-1c pdf icon[PDF – 99.8 KB]
Physician office visits
• Percent of visits to office-based physicians with asthma indicated on the medical record: 7.1%
Source: National Ambulatory Medical Care Survey: 2016 National Summary Tables, tables 18 pdf icon[PDF – 793 KB]
Emergency department visits
• Percent of visits to emergency departments with asthma indicated on the medical record: 10.1%
Source: National Hospital Ambulatory Medical Care Survey: 2016 Emergency Department Summary Tables, table 13 pdf icon[PDF – 738 KB]
Mortality
• Number of deaths: 3,564
• Deaths per 100,000 population: 1.1
Source: Deaths: Final Data for 2017, Supplemental Tables, tables I-12, I-13 pdf icon[PDF – 2 MB]
https://www.cdc.gov/nchs/fastats/asthma.htm

According to a study by National Jewish Health, African-American children respond differently to different medications for asthma.

Resources:

Need Help Managing Your Asthma? https://www.asthma.com/?bing=e_&rotation=71700000038361464&banner=58700004208867532&kw=34938313622&cc=6A9489DC2E35&pid=43700012675028871&gclid=CLygyM2c9OQCFYOngQodxLwFHQ&gclsrc=ds
Asthma: Causes, Symptoms, Diagnosis, Treatment https://www.webmd.com/asthma/what-is-asthma

Asthma | National Heart, Lung, and Blood Institute (NHLBI) https://www.nhlbi.nih.gov/health-topics/asthma

Science Daily reported in African American children respond differently to asthma medications:

African Americans suffer asthma more often and more severely than Caucasian patients. However, clinical trials that have shaped treatment guidelines have included few African Americans. A new report demonstrates a shortcoming of that history. Researchers at National Jewish Health and their colleagues around the nation in the National Heart, Lung & Blood Institute’s AsthmaNet report that African American children respond differently than African American adults and Caucasian adults and children to step-up therapies for inadequately controlled asthma.
“Asthma is a tremendously variable disease,” said Michael Wechsler, MD, professor of medicine at National Jewish Health and first author on the study published in the New England Journal of Medicine. “We need to more closely study subgroups of asthma patients, especially those disproportionately burdened by disease, such as African Americans.”
The researchers evaluated 280 children, ages 5-11, and 294 adolescents/adults of African American ancestry whose asthma was inadequately controlled with low doses of inhaled corticosteroids. Treatment guidelines call for adding a long-acting beta agonist as the preferred step-up therapy. Researchers several medication strategies — adding long-acting beta agonists, increasing inhaled steroids alone and both increasing inhaled steroids and adding long-acting beta agonists.
The researchers measured response by evaluating several factors including exacerbations, asthma control days and lung function.
More adult African Americans responded better to adding long-acting beta agonists (49 percent) versus increasing inhaled steroids alone (28 percent). Caucasians have shown a similar response in previous trials.
However, even numbers of African American children responded better to increasing the dose of inhaled corticosteroids along (46 percent) and adding long-acting beta agonists (46 percent).
“These results indicate that asthma treatment guidelines do not necessarily apply to African American children and that physicians should consider alternatives,” said Dr. Wechsler. “We need to do a better job of understanding how different subgroups respond to asthma treatment….” https://www.sciencedaily.com/releases/2019/09/190927135119.htm

Citation:

African American children respond differently to asthma medications
BARD trial suggests shortcomings in treatment guidelines and demonstrates need for trials of specific subgroups

Date: September 27, 2019
Source: National Jewish Health
Summary:
African Americans suffer asthma more often and more severely than Caucasian patients. However, clinical trials that have shaped treatment guidelines have included few African Americans. A new report demonstrates a shortcoming of that history. Researchers report that African American children respond differently than African American adults and Caucasian adults and children to step-up therapies for inadequately controlled asthma.

Journal Reference:
Michael E. Wechsler, Stanley J. Szefler, Victor E. Ortega, Jacqueline A. Pongracic, Vernon Chinchilli, John J. Lima, Jerry A. Krishnan, Susan J. Kunselman, David Mauger, Eugene R. Bleecker, Leonard B. Bacharier, Avraham Beigelman, Mindy Benson, Kathryn V. Blake, Michael D. Cabana, Juan-Carlos Cardet, Mario Castro, James F. Chmiel, Ronina Covar, Loren Denlinger, Emily DiMango, Anne M. Fitzpatrick, Deborah Gentile, Nicole Grossman, Fernando Holguin, Daniel J. Jackson, Harsha Kumar, Monica Kraft, Craig F. LaForce, Jason Lang, Stephen C. Lazarus, Robert F. Lemanske, Dayna Long, Njira Lugogo, Fernando Martinez, Deborah A. Meyers, Wendy C. Moore, James Moy, Edward Naureckas, J. Tod Olin, Stephen P. Peters, Wanda Phipatanakul, Loretta Que, Hengameh Raissy, Rachel G. Robison, Kristie Ross, William Sheehan, Lewis J. Smith, Julian Solway, Christine A. Sorkness, Lisa Sullivan-Vedder, Sally Wenzel, Steven White, Elliot Israel. Step-Up Therapy in Black Children and Adults with Poorly Controlled Asthma. New England Journal of Medicine, 2019; 381 (13): 1227 DOI: 10.1056/NEJMoa1905560

Here is the press report from National Jewish Health:

NEWS RELEASE 27-SEP-2019
African American children respond differently to asthma medications
BARD trial suggests shortcomings in treatment guidelines and demonstrates need for trials of specific subgroups
NATIONAL JEWISH HEALTH
African Americans suffer asthma more often and more severely than Caucasian patients. However, clinical trials that have shaped treatment guidelines have included few African Americans. A new report demonstrates a shortcoming of that history. Researchers at National Jewish Health and their colleagues around the nation in the National Heart, Lung & Blood Institute’s AsthmaNet report that African American children respond differently than African American adults and Caucasian adults and children to step-up therapies for inadequately controlled asthma.
“Asthma is a tremendously variable disease,” said Michael Wechsler, MD, professor of medicine at National Jewish Health and first author on the study published in the New England Journal of Medicine. “We need to more closely study subgroups of asthma patients, especially those disproportionately burdened by disease, such as African Americans.”
The researchers evaluated 280 children, ages 5-11, and 294 adolescents/adults of African American ancestry whose asthma was inadequately controlled with low doses of inhaled corticosteroids. Treatment guidelines call for adding a long-acting beta agonist as the preferred step-up therapy. Researchers several medication strategies – adding long-acting beta agonists, increasing inhaled steroids alone and both increasing inhaled steroids and adding long-acting beta agonists.
The researchers measured response by evaluating several factors including exacerbations, asthma control days and lung function.
More adult African Americans responded better to adding long-acting beta agonists (49 percent) versus increasing inhaled steroids alone (28 percent). Caucasians have shown a similar response in previous trials.
However, even numbers of African American children responded better to increasing the dose of inhaled corticosteroids along (46 percent) and adding long-acting beta agonists (46 percent).
“These results indicate that asthma treatment guidelines do not necessarily apply to African American children and that physicians should consider alternatives,” said Dr. Wechsler. “We need to do a better job of understanding how different subgroups respond to asthma treatment.”
The researchers also looked at several biological and genetic factors to determine if any could predict treatment response. However, they did not find that any biomarkers or percentage of African American ancestry was associated treatment response.
###
National Jewish Health is the leading respiratory hospital in the nation. Founded 120 years ago as a nonprofit hospital, National Jewish Health today is the only facility in the world dedicated exclusively to groundbreaking medical research and treatment of patients with respiratory, cardiac, immune and related disorders. Patients and families come to National Jewish Health from around the world to receive cutting-edge, comprehensive, coordinated care. To learn more, visit http://www.njhealth.org.
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

It is important to seek competent medical advice for the diagnosis or treatment of asthma.

The Mayo Clinic explained the diagnosis of asthma:

Diagnosis

Physical exam

To rule out other possible conditions — such as a respiratory infection or chronic obstructive pulmonary disease (COPD) — your doctor will do a physical exam and ask you questions about your signs and symptoms and about any other health problems.
Tests to measure lung function
You may also be given lung (pulmonary) function tests to determine how much air moves in and out as you breathe. These tests may include:
• Spirometry. This test estimates the narrowing of your bronchial tubes by checking how much air you can exhale after a deep breath and how fast you can breathe out.
• Peak flow. A peak flow meter is a simple device that measures how hard you can breathe out. Lower than usual peak flow readings are a sign your lungs may not be working as well and that your asthma may be getting worse. Your doctor will give you instructions on how to track and deal with low peak flow readings.
Lung function tests often are done before and after taking a medication called a bronchodilator (brong-koh-DIE-lay-tur), such as albuterol, to open your airways. If your lung function improves with use of a bronchodilator, it’s likely you have asthma.
Additional tests
Other tests to diagnose asthma include:
• Methacholine challenge. Methacholine is a known asthma trigger that, when inhaled, will cause mild constriction of your airways. If you react to the methacholine, you likely have asthma. This test may be used even if your initial lung function test is normal.
• Nitric oxide test. This test, though not widely available, measures the amount of the gas, nitric oxide, that you have in your breath. When your airways are inflamed — a sign of asthma — you may have higher than normal nitric oxide levels.
• Imaging tests. A chest X-ray and high-resolution computerized tomography (CT) scan of your lungs and nose cavities (sinuses) can identify any structural abnormalities or diseases (such as infection) that can cause or aggravate breathing problems.
• Allergy testing. This can be performed by a skin test or blood test. Allergy tests can identify allergy to pets, dust, mold and pollen. If important allergy triggers are identified, this can lead to a recommendation for allergen immunotherapy.
• Sputum eosinophils. This test looks for certain white blood cells (eosinophils) in the mixture of saliva and mucus (sputum) you discharge during coughing. Eosinophils are present when symptoms develop and become visible when stained with a rose-colored dye (eosin).
• Provocative testing for exercise and cold-induced asthma. In these tests, your doctor measures your airway obstruction before and after you perform vigorous physical activity or take several breaths of cold air.
How asthma is classified
To classify your asthma severity, your doctor considers your answers to questions about symptoms (such as how often you have asthma attacks and how bad they are), along with the results of your physical exam and diagnostic tests.
Determining your asthma severity helps your doctor choose the best treatment. Asthma severity often changes over time, requiring treatment adjustments.
Asthma is classified into four general categories:
Asthma classification Signs and symptoms
Mild intermittent Mild symptoms up to two days a week and up to two nights a month
Mild persistent Symptoms more than twice a week, but no more than once in a single day
Moderate persistent Symptoms once a day and more than one night a week
Severe persistent Symptoms throughout the day on most days and frequently at night
More Information
https://www.mayoclinic.org/diseases-conditions/asthma/diagnosis-treatment/drc-20369660

Resources:

Asthma: Treatment & Care – WebMD                                http://www.webmd.com/asthma/guide/asthma-treatment-care

Asthma – Management and Treatment | CDC https://www.cdc.gov/asthma/management.html

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
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http://drwildareviews.wordpress.com/

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University of Exeter study: Asthma attacks reduced in tree-lined urban neighborhoods

19 Nov

The Centers for Disease Control and Prevention describe how to tell if you have asthma:

How Can You Tell if You Have Asthma?
It can be hard to tell if someone has asthma, especially in children under age 5. Having a doctor check how well your lungs work and check for allergies can help you find out if you have asthma.
During a checkup, the doctor will ask if you cough a lot, especially at night, and whether your breathing problems are worse after physical activity or at certain times of year. The doctor will also ask about chest tightness, wheezing, and colds lasting more than 10 days. They will ask whether anyone in your family has or has had asthma, allergies, or other breathing problems, and they will ask questions about your home. The doctor will also ask if you have missed school or work and about any trouble you may have doing certain things.
The doctor will also do a breathing test, called spirometry, to find out how well your lungs are working. The doctor will use a computer with a mouthpiece to test how much air you can breathe out after taking a very deep breath. The spirometer can measure airflow before and after you use asthma medicine.
What Is an Asthma Attack?
An asthma attack may include coughing, chest tightness, wheezing, and trouble breathing. The attack happens in your body’s airways, which are the paths that carry air to your lungs. As the air moves through your lungs, the airways become smaller, like the branches of a tree are smaller than the tree trunk. During an asthma attack, the sides of the airways in your lungs swell and the airways shrink. Less air gets in and out of your lungs, and mucous that your body makes clogs up the airways even more.
You can control your asthma by knowing the warning signs of an asthma attack, staying away from things that cause an attack, and following your doctor’s advice. When you control your asthma:
• you won’t have symptoms such as wheezing or coughing,
• you’ll sleep better,
• you won’t miss work or school,
• you can take part in all physical activities, and
• you won’t have to go to the hospital.
What Causes an Asthma Attack?
An asthma attack can happen when you are exposed to “asthma triggers”. Your triggers can be very different from those of someone else with asthma. Know your triggers and learn how to avoid them. Watch out for an attack when you can’t avoid the triggers. Some of the most common triggers are tobacco smoke, dust mites, outdoor air pollution, cockroach allergen, pets, mold, and smoke from burning wood or grass…. http://www.cdc.gov/asthma/faqs.htm

Urban trees can affect the quality of life and health.

The Nature Conservancy published How Urban Trees Can Save Lives:

The Planting Healthy Air report documents which cities stand to benefit most from tree plantings, in terms of both heat and PM reduction, and how much investment would be required to achieve meaningful benefits.
The analysis found that investing just US$4 per resident in each of these cities in tree planting efforts could improve the health of millions of people, and that trees are as cost-effective as many other common solutions.
Most of the cooling and filtering effects created by trees are fairly localized, so densely populated cities—as well as those with higher overall pollution levels—tend to see the highest overall return on investment (ROI) from tree plantings…. https://global.nature.org/content/healthyair

Exeter University reported that asthma attacks were reduced in tree-lined urban areas.

Science Daily reported in Asthma attacks reduced in tree-lined urban neighborhoods:

People living in polluted urban areas are far less likely to be admitted to hospital with asthma when there are lots of trees in their neighbourhood, a study by the University of Exeter’s medical school has found.
The study into the impact of urban greenery on asthma suggests that respiratory health can be improved by the expansion of tree cover in very polluted urban neighbourhoods.
The study, published in the journal Environment International, looked at more than 650,000 serious asthma attacks over a 15 year period. Emergency hospitalisations were compared across 26,000 urban neighbourhoods in England.
In the most polluted urban areas, trees had a particularly strong association with fewer emergency asthma cases. In relatively unpolluted urban neighbourhoods trees did not have the same impact.
In a typical urban area with a high level of background air pollution — for example, around 15 micrograms of fine particulate matter (PM2.5) per cubic metre, or a nitrogen dioxide concentration around 33 micrograms per cubic metre — an extra 300 trees per square kilometre was associated with around 50 fewer emergency asthma cases per 100,000 residents over the 15 year study period.
The findings could have important implications for planning and public health policy, and suggest that tree planting could play a role in reducing the effects of air pollution from cars.
Over 5.4 million people receive treatment for asthma in the UK with an annual cost to the NHS of around £1 billion. 18 per cent of adults report asthma in the previous 12 months, and a quarter of 13-14 year olds report symptoms. Asthma causes over a thousand deaths a year.
The study led by Dr Ian Alcock, research fellow at the University of Exeter’s Medical School, found that trees and green space were both related to a decrease in people admitted to hospital with asthma…. https://www.sciencedaily.com/releases/2017/11/171117103814.htm

Citation:

Asthma attacks reduced in tree-lined urban neighborhoods
Date: November 17, 2017
Source: University of Exeter
Summary:
People living in polluted urban areas are far less likely to be admitted to hospital with asthma when there are lots of trees in their neighborhood, a new study has found.
Journal Reference:
1. Ian Alcock, Mathew White, Mark Cherrie, Benedict Wheeler, Jonathon Taylor, Rachel McInnes, Eveline Otte im Kampe, Sotiris Vardoulakis, Christophe Sarran, Ireneous Soyiri, Lora Fleming. Land cover and air pollution are associated with asthma hospitalisations: A cross-sectional study. Environment International, 2017; 109: 29 DOI: 10.1016/j.envint.2017.08.009

Here is the press release from the University of Exeter:

Asthma attacks reduced in tree-lined urban neighbourhoods
People living in polluted urban areas are far less likely to be admitted to hospital with asthma when there are lots of trees in their neighbourhood, a study by the University of Exeter’s medical school has found.
The study into the impact of urban greenery on asthma suggests that respiratory health can be improved by the expansion of tree cover in very polluted urban neighbourhoods.
The study, published in the journal Environment International, looked at more than 650,000 serious asthma attacks over a 15 year period. Emergency hospitalisations were compared across 26,000 urban neighbourhoods in England.
In the most polluted urban areas, trees had a particularly strong association with fewer emergency asthma cases. In relatively unpolluted urban neighbourhoods trees did not have the same impact.
In a typical urban area with a high level of background air pollution – for example, around 15 micrograms of fine particulate matter (PM2.5) per cubic metre, or a nitrogen dioxide concentration around 33 micrograms per cubic metre – an extra 300 trees per square kilometre was associated with around 50 fewer emergency asthma cases per 100,000 residents over the 15 year study period.
The findings could have important implications for planning and public health policy, and suggest that tree planting could play a role in reducing the effects of air pollution from cars.
Over 5.4 million people receive treatment for asthma in the UK with an annual cost to the NHS of around £1 billion. 18 per cent of adults report asthma in the previous 12 months, and a quarter of 13-14 year olds report symptoms. Asthma causes over a thousand deaths a year.
The study led by Dr Ian Alcock, research fellow at the University of Exeter’s Medical School, found that trees and green space were both related to a decrease in people admitted to hospital with asthma.
Dr Alcock said:
“We wanted to clarify how urban vegetation may be related to respiratory health. We know that trees remove the air pollutants which can bring on asthma attacks, but in some situations they can also cause localised build-ups of particulates by preventing their dispersion by wind. And vegetation can also produce allergenic pollen which exacerbates asthma.
We found that on balance, urban vegetation appears to do significantly more good than harm. However, effects were not equal everywhere. Greenspace and gardens were associated with reductions in asthma hospitalisation at lower pollutant levels, but not in the most polluted urban areas. With trees it was the other way round. It may be that grass pollens become more allergenic when combined with air pollutants so that the benefits of greenspace diminish as pollution increases. In contrast, trees can effectively remove pollutants from the air, and this may explain why they appear to be most beneficial where concentrations are high.”
Co-author Dr Rachel McInnes, Senior Climate Impacts Scientist at the Met Office, added: “This finding that the effects of different types of vegetation – green space and gardens, and tree cover – differ at both very high and very low air pollution levels is particularly relevant for public health and urban planning policies. We also know that the interaction between pollen and air pollution, and the effect on health and asthma is highly complex and this study confirms that more research is required in this area. Large collaborative research projects, like this from the NIHR Health Protection Research Unit in Environmental Change and Health are a very effective way to carry out this type of cross-disciplinary work.”
Date: 17 November 2017 http://www.exeter.ac.uk/news/university/title_622600_en.html

Pascal Mittermaier wrote in Why Plant Trees in Cities? Because They Protect Our Most Vulnerable Residents:

So how do we make cities cooler and healthier? Urban planners and public health officials are grappling with the best way to approach this issue. But there’s one solution we can implement now: plant more trees. Trees and other vegetation naturally cool the air around them by shading surfaces and releasing water vapor. While the effects are local—most of the improvement is within 100 meters—they can still be meaningful, reducing temperatures by up to 2°C.
Trees also provide another significant public health benefit: they reduce fine particulate matter air pollution, a problem that contributes to 5 percent of all deaths worldwide each year. Our organization, The Nature Conservancy, has carried out a study of 245 cities around the world that stand to benefit from tree-planting initiatives, assessing their efficiency and return on investment. Compared to other ways to cool outdoor air temperatures and reduce fine particle matter, trees deliver similar benefits per dollar spent—and, planting trees is the only intervention that addresses both air pollution and heat…. https://newcities.org/perspectives-why-plant-trees-in-cities-because-they-protect-our-most-vulnerable-residents/

One program which all residents of urban areas can participate is the planting of urban trees and encouraging public officials to expand and protect tree canopy.

Resources:

Asthma.com
http://www.asthma.com/additional-resources.html

Asthma Health Center
http://www.webmd.com/asthma/guide/asthma-support-resources

Asthma Resources
http://www.webmd.com/asthma/asthma-resources

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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University of Bergen study: Smoking fathers increase asthma-risk in future offspring

3 Oct

There are numerous reasons why smoking is considered bad for an individual and there are numerous research studies which list the reasons. Studies are showing how bad second hand smoke is for children. A MNT article, Smoking During Pregnancy May Lower Your Child’s Reading Scores:

Babies born to mothers who smoke more than a pack of cigarettes a day while pregnant have lower reading scores and a harder time with reading tests, compared with children whose mothers do not smoke.
This is the conclusion of a recent study conducted by researchers at Yale School of Medicine and published in The Journal of Pediatrics in November 2012. The reading tests measured how well children read out loud and understood what they were reading.

This isn’t the first study to suggest that smoking in pregnancy may affect a child’s future health and development. A study released in August 2012 said that smoking during pregnancy increases a child’s risk of asthma. In addition, a 2009 study linked smoking during pregnancy to behavioral problems among 3 and 4 year olds boys…. http://www.medicalnewstoday.com/articles/253100.php

An Inserm and Pierre and Marie Curie University study adds behavior problems to the list of woes children of smokers suffer.

Science Daily reported in Early exposure to tobacco can cause behavioral problems in children:

Researchers from Inserm and Pierre and Marie Curie University (UPMC), in collaboration with the university hospitals of 6 French cities, have analysed data on pre- and postnatal exposure to tobacco in the homes of 5,200 primary school children. They show that this exposure is associated with a risk of behavioural disorders in children, particularly emotional and conduct disorders. The association is stronger when exposure takes place both during pregnancy and after birth. These data show the risk associated with smoking in early life and its behavioural repercussions when the child is of school-going age.These results are published in the journal PLOS ONE.

The consequences of tobacco exposure are widely documented. It leads to many illnesses, including asthma. However, the potential role of environmental tobacco smoke (ETS) is much less well known in terms of its link to behavioural problems in children. In this context, the team led by Isabella Annesi-Maesano, Inserm Research Director at Unit 1136, “Pierre Louis Public Health Institute” (Inserm/UPMC) examined the association between pre- and postnatal ETS exposure and behavioural problems in children….

These observations seem to confirm those carried out in animals, i.e. that the nicotine contained in tobacco smoke may have a neurotoxic effect on the brain. During pregnancy, nicotine in tobacco smoke stimulates acetylcholine receptors, and causes structural changes in the brain. In the first months of life, exposure to tobacco smoke generates a protein imbalance that leads to altered neuronal growth….. http://www.sciencedaily.com/releases/2015/09/150928103029.htm?utm_source=dlvr.it&utm_medium=facebook

Steven Reinberg reported in the Health Day article, Secondhand Smoke in Infancy May Harm Kids’ Teeth.  http://consumer.healthday.com/kids-health-information-23/cavities-and-dental-news-118/secondhand-smoke-in-infancy-may-harm-kids-teeth-704482.html

Science Daily reported in Smoking fathers increase asthma-risk in future offspring:

A Norwegian study shows that asthma is three times more common in those who had a father who smoked in adolescence than offspring who didn’t.

It is well known that a mother’s environment plays a key role in child health. However, recent research, including more than 24,000 offspring, suggests that this may also be true for fathers.

“Offspring with a father who smoked only prior to conception had over three times more early-onset asthma than those whose father had never smoked,” says Professor Cecilie Svanes at the Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen (UiB).

Early debut increases risk

The study shows that both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This is equally true with mutual adjustment, and adjusting for the number of cigarettes smoked and years since quitting smoking.

“The greatest increased risk for their children having asthma was found for fathers having their smoking debut before age 15. Interestingly, time of quitting before conception was not independently associated with offspring asthma,” Svanes says.

Smoking fathers may influence gene control in children

Concerning mother’s smoking, the research found more offspring asthma if the mother smoked around pregnancy, consistent with previous studies. However, no effect of maternal smoking only prior to conception was identified. The difference from father’s smoking suggests effects through male sperm cells.

“Smoking is known to cause genetic and epigenetic damage to spermatozoa, which are transmissible to offspring and have the potential to induce developmental abnormalities,” explains Svanes.

It is previously known that nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring. Father’s lifestyle and age appear, however, to be reflected in molecules that control gene function.

“There is growing evidence from animal studies for so called epigenetic programming, a mechanism whereby the father’s environment before conception could impact on the health of future generations,” Svanes says….                                                                                                       https://www.sciencedaily.com/releases/2016/09/160928135903.htm

Citation:

Smoking fathers increase asthma-risk in future offspring

Date:         September 28, 2016

Source:     University of Bergen

Summary:

Offspring with a father who smoked prior to conception had more than three times higher chance of early-onset asthma than children whose father had never smoked. Both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This suggests that not only the mother’s environment plays a key role in child health, but also the father’s lifestyle, shows a new study including 24,000 children.

Journal Reference:

  1. Cecilie Svanes, Jennifer Koplin, Svein Magne Skulstad, Ane Johannessen, Randi Jakobsen Bertelsen, Byndis Benediktsdottir, Lennart Bråbäck, Anne Elie Carsin, Shyamali Dharmage, Julia Dratva, Bertil Forsberg, Thorarinn Gislason, Joachim Heinrich, Mathias Holm, Christer Janson, Deborah Jarvis, Rain Jögi, Susanne Krauss-Etschmann, Eva Lindberg, Ferenc Macsali, Andrei Malinovschi, Lars Modig, Dan Norbäck, Ernst Omenaas, Eirunn Waatevik Saure, Torben Sigsgaard, Trude Duelien Skorge, Øistein Svanes, Kjell Torén, Carl Torres, Vivi Schlünssen, Francisco Gomez Real. Father’s environment before conception and asthma risk in his children: a multi-generation analysis of the Respiratory Health In Northern Europe study. International Journal of Epidemiology, 2016; dyw151 DOI: 10.1093/ije/dyw151

Here is the press release from the University of Bergen:

Smoking fathers increase asthma-risk in future offspring.

A Norwegian study shows that asthma is three times more common in those who had a father who smoked in adolescence than offspring who didn’t.

SMOKING FATHERS: If you smoke as a young man, your future offspring will have a higher risk of getting asthma.

By Kim E. AndreassenPublished: 22.09.2016 (Last updated: 28.09.2016)

It is well known that a mother’s environment plays a key role in child health. However, recent research, including more than 24,000 offspring, suggests that this may also be true for fathers.

“Offspring with a father who smoked only prior to conception had over three times more early-onset asthma than those whose father had never smoked,” says Professor Cecilie Svanes at the Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen (UiB).

Early debut increases risk

The study shows that both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This is equally true with mutual adjustment, and adjusting for the number of cigarettes smoked and years since quitting smoking.

“The greatest increased risk for their children having asthma was found for fathers having their smoking debut before age 15. Interestingly, time of quitting before conception was not independently associated with offspring asthma,” Svanes says.

The study is published in the scientific magazine International Journal of Epidemiology

Smoking fathers may influence gene control in children

Concerning mother’s smoking, the research found more offspring asthma if the mother smoked around pregnancy, consistent with previous studies. However, no effect of maternal smoking only prior to conception was identified. The difference from father’s smoking suggests effects through male sperm cells.

“Smoking is known to cause genetic and epigenetic damage to spermatozoa, which are transmissible to offspring and have the potential to induce developmental abnormalities,” explains Svanes.

It is previously known that nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring. Father’s lifestyle and age appear, however, to be reflected in molecules that control gene function.

“There is growing evidence from animal studies for so called epigenetic programming, a mechanism whereby the father’s environment before conception could impact on the health of future generations,” Svanes says.

Welding increases risk

Svanes and her team also investigated whether parental exposure to welding influenced asthma risk in offspring, with a particular focus on exposures in fathers prior to conception.

The study shows that paternal welding increased offspring asthma risk even if the welding stopped prior to conception. Smoking and welding independently increased offspring asthma risk, and mutual adjustment did not alter the estimates of either.

“For smoking and welding starting after puberty, exposure duration appeared to be the most important determinant for the asthma risk in offspring,” says Cecilie Svanes.

FACTS

Smoking fathers study

  • Cecilie Svanes investigated whether parental smoking and exposure to welding influenced asthma risk in offspring, with a particular focus on exposures in fathers prior to conception.
  • The study was conducted on a population-based cohort from seven Northern European research centres (RHINE study).
  • The experiences of more than 24,000 offspring, of which over 6000 had smoking and/or welding fathers, were included in the study The participants were from Norway, Sweden, Denmark, Iceland, Estonia.
  • The researches wanted to identify  vulnerable periods during male reproductive development by addressing whether potential preconception effects were related to exposure age, exposure duration, and time from quitting exposure until conception.
  • This research is part of the ECRHS study, and contributes to the large EU funded project “Ageing Lungs in European Cohorts.

http://www.uib.no/en/news/100994/smoking-fathers-increase-asthma-risk-future-offspring

See, Prenatal care fact sheet http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Resources:

  1. A History of Tobacco
    http://archive.tobacco.org/History/Tobacco_History.html
  2. American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
    African Americans and Tobacco Use
    American Indians/Alaska Natives and Tobacco Use
    Hispanics and Tobacco Use
    Asian Americans/Pacific Islanders and Tobacco Use
    Military and Tobacco Use
    Children/Teens and Tobacco Use
    Older Adults and Tobacco Use
    http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html
  3. Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html
  4. Kroger Resources Teens and Smoking
    http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/
  5. Teens Health’s Smoking
    http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html
  6. Quit Smoking Support.com
    http://www.quitsmokingsupport.com/teens.htm

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