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Scoping Review—The Association between Asthma and Environmental Chemicals

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  • Tiina Mattila

    (Finnish Institute for Health and Welfare, PO Box 30, 00271 Helsinki, Finland
    Department of Pulmonary Diseases, Heart and Lung Center, Helsinki University Hospital and Helsinki University, Meilahti Triangle Hospital, 6th Floor, PO Box 372, 00029 Helsinki, Finland)

  • Tiina Santonen

    (Finnish Institute of Occupational Health, PO Box 40, 00032 Helsinki, Finland)

  • Helle Raun Andersen

    (Environmental Medicine, Department of Public Health, University of Southern Denmark, DK-5000 Odense, Denmark)

  • Andromachi Katsonouri

    (State General Laboratory, Ministry of Health, PO Box 28648, 2081 Nicosia, Cyprus)

  • Tamás Szigeti

    (National Public Health Center, 1097 Budapest, Hungary)

  • Maria Uhl

    (Environment Agency, 1090 Vienna, Austria)

  • Wojciech Wąsowicz

    (Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland)

  • Rosa Lange

    (German Environment Agency, 14195 Berlin, Germany)

  • Beatrice Bocca

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Flavia Ruggieri

    (Department of Environment and Health, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Marike Kolossa-Gehring

    (German Environment Agency, 14195 Berlin, Germany)

  • Denis A. Sarigiannis

    (Technologies Division, Environmental Engineering Laboratory Department of Chemical Engineering and HERACLES Research Center on the Exposome and Health Center for Interdisciplinary Research and Innovation, Aristotle University, GR-54124 Thessaloniki, Greece)

  • Hanna Tolonen

    (Finnish Institute for Health and Welfare, PO Box 30, 00271 Helsinki, Finland)

Abstract

Asthma is one of the most common chronic diseases worldwide affecting all age groups from children to the elderly. In addition to other factors such as smoking, air pollution and atopy, some environmental chemicals are shown or suspected to increase the risk of asthma, exacerbate asthma symptoms and cause other respiratory symptoms. In this scoping review, we report environmental chemicals, prioritized for investigation in the European Human Biomonitoring Initiative (HBM4EU), which are associated or possibly associated with asthma. The substance groups considered to cause asthma through specific sensitization include: diisocyanates, hexavalent chromium Cr(VI) and possibly p-phenylenediamine (p-PDA). In epidemiological studies, polyaromatic hydrocarbons (PAHs) and organophosphate insecticides are associated with asthma, and phthalates, per- and polyfluoroalkyl substances (PFASs), pyrethroid insecticides, mercury, cadmium, arsenic and lead are only potentially associated with asthma. As a conclusion, exposure to PAHs and some pesticides are associated with increased risk of asthma. Diisocyanates and Cr(VI) cause asthma with specific sensitization. For many environmental chemicals, current studies have provided contradicting results in relation to increased risk of asthma. Therefore, more research about exposure to environmental chemicals and risk of asthma is needed.

Suggested Citation

  • Tiina Mattila & Tiina Santonen & Helle Raun Andersen & Andromachi Katsonouri & Tamás Szigeti & Maria Uhl & Wojciech Wąsowicz & Rosa Lange & Beatrice Bocca & Flavia Ruggieri & Marike Kolossa-Gehring & , 2021. "Scoping Review—The Association between Asthma and Environmental Chemicals," IJERPH, MDPI, vol. 18(3), pages 1-13, February.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1323-:d:491315
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    References listed on IDEAS

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    1. Debangshu Das & Banani Bindhani & Bidisha Mukherjee & Hirak Saha & Priyanka Biswas & Kaustav Dutta & Priyanka Prasad & Dona Sinha & Manas Ray, 2014. "Chronic low-level arsenic exposure reduces lung function in male population without skin lesions," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 655-663, August.
    2. Kristen M. Rappazzo & Evan Coffman & Erin P. Hines, 2017. "Exposure to Perfluorinated Alkyl Substances and Health Outcomes in Children: A Systematic Review of the Epidemiologic Literature," IJERPH, MDPI, vol. 14(7), pages 1-22, June.
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    1. Jun Ueyama & Mai Hayashi & Masaaki Hirayama & Hiroshi Nishiwaki & Mikako Ito & Isao Saito & Yoshio Tsuboi & Tomohiko Isobe & Kinji Ohno, 2022. "Effects of Pesticide Intake on Gut Microbiota and Metabolites in Healthy Adults," IJERPH, MDPI, vol. 20(1), pages 1-13, December.
    2. Szabolcs Lovas & Károly Nagy & János Sándor & Balázs Ádám, 2021. "Presumed Exposure to Chemical Pollutants and Experienced Health Impacts among Warehouse Workers at Logistics Companies: A Cross-Sectional Survey," IJERPH, MDPI, vol. 18(13), pages 1-14, July.

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    Keywords

    asthma; environmental chemicals; exposure; HBM4EU; occupation;
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