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Impact of Air Pollution on Asthma Outcomes

Author

Listed:
  • Angelica I. Tiotiu

    (Department of Pulmonology, University Hospital of Nancy, 54395 Nancy, France
    Development of Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control (EA 3450 DevAH), University of Lorraine, 54395 Nancy, France)

  • Plamena Novakova

    (Clinic of Clinical Allergy, Medical University, 1000 Sofia, Bulgaria)

  • Denislava Nedeva

    (Medical University Sofia, 1000 Sofia, Bulgaria)

  • Herberto Jose Chong-Neto

    (Division of Allergy and Immunology, Department of Pediatrics, Federal University of Paraná, Curitiba 80000-000, Brazil)

  • Silviya Novakova

    (Allergy Unit, Internal Consulting Department, University Hospital “St. George”, 4000 Plovdiv, Bulgaria)

  • Paschalis Steiropoulos

    (Department of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana, 68100 Alexandroupolis, Greece
    Equal contribution.)

  • Krzysztof Kowal

    (Department of Allergology and Internal Medicine, Medical University of Bialystok, 15-037 Bialystok, Poland
    Equal contribution.)

Abstract

Asthma is a chronic respiratory disease characterized by variable airflow obstruction, bronchial hyperresponsiveness, and airway inflammation. Evidence suggests that air pollution has a negative impact on asthma outcomes in both adult and pediatric populations. The aim of this review is to summarize the current knowledge on the effect of various outdoor and indoor pollutants on asthma outcomes, their burden on its management, as well as to highlight the measures that could result in improved asthma outcomes. Traffic-related air pollution, nitrogen dioxide and second-hand smoking (SHS) exposures represent significant risk factors for asthma development in children. Nevertheless, a causal relation between air pollution and development of adult asthma is not clearly established. Exposure to outdoor pollutants can induce asthma symptoms, exacerbations and decreases in lung function. Active tobacco smoking is associated with poorer asthma control, while exposure to SHS increases the risk of asthma exacerbations, respiratory symptoms and healthcare utilization. Other indoor pollutants such as heating sources and molds can also negatively impact the course of asthma. Global measures, that aim to reduce exposure to air pollutants, are highly needed in order to improve the outcomes and management of adult and pediatric asthma in addition to the existing guidelines.

Suggested Citation

  • Angelica I. Tiotiu & Plamena Novakova & Denislava Nedeva & Herberto Jose Chong-Neto & Silviya Novakova & Paschalis Steiropoulos & Krzysztof Kowal, 2020. "Impact of Air Pollution on Asthma Outcomes," IJERPH, MDPI, vol. 17(17), pages 1-29, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6212-:d:404700
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