Secondhand Smoke Exposure and Its Impact on Pediatric Lung Function, Aerobic Fitness, and Body Mass: Evidence from a Cross-Sectional Study.

IF 2 4区医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-10-17 DOI:10.3390/children11101250

Ivan Pavić, Iva Topalušić, Tamara Poljičanin, Ozana Hofmann Jaeger, Sara Žaja, Asja Stipić Marković

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Abstract

Background: Several studies have documented the detrimental impacts of secondhand smoke (SHS) exposure to a range of pediatric respiratory conditions, including asthma, bronchitis, and reduced lung function. The aim of the study was to investigate the influence of SHS exposure on lung function, physical fitness, and body mass index (BMI) in children aged 10 to 14 years.

Methods: This cross-sectional study included children aged 10 to 14 years at the Elementary School "Trilj" in Trilj, Croatia. Data on SHS exposure were collected using a questionnaire. Antropometric and spirometry measurements were performed. Physical fitness was assessed using the shuttle run (BEEP) test.

Results: This study included 157 children, 89 (56.69%) boys and 68 (43.31%) girls. Children exposed to every day SHS in households had significantly lower values of forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, peak expiratory flow (PEF) (p < 0.001) and higher z-score BMI levels (p = 0.018) in comparison to unexposed children. Logistic regression showed that children unexposed to SHS had higher odds for better results in the BEEP test (OR 62.45, 95% CI 21.26-179.24, p < 0.001). Children with poorer physical fitness, expressed by lower BEEP score levels, had significantly lower FVC, FEV1, FEV1/FVC, and PEF (p < 0.001).

Conclusions: Every day SHS exposure in children was associated with poorer lung function, higher BMI, and poorer physical fitness.

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二手烟暴露及其对小儿肺功能、有氧健身和体重的影响：一项横断面研究的证据。

背景：多项研究表明，接触二手烟（SHS）对一系列儿科呼吸系统疾病（包括哮喘、支气管炎和肺功能减退）有不利影响。本研究旨在调查接触二手烟对 10 至 14 岁儿童肺功能、体能和体重指数（BMI）的影响：这项横断面研究包括克罗地亚特里日 "特里日 "小学 10 至 14 岁的儿童。通过问卷调查收集了有关接触 SHS 的数据。进行了反比测量和肺活量测量。通过穿梭跑（BEEP）测试对体能进行评估：这项研究包括 157 名儿童，其中有 89 名男孩（56.69%）和 68 名女孩（43.31%）。与未暴露的儿童相比，家庭中每天暴露于二氧化硫的儿童的用力肺活量（FVC）、一秒钟用力呼气量（FEV1）、FEV1/FVC、呼气峰值流量（PEF）值明显较低（p < 0.001），Z-score BMI 水平较高（p = 0.018）。逻辑回归显示，未接触过 SHS 的儿童在 BEEP 测试中取得更好成绩的几率更高（OR 62.45，95% CI 21.26-179.24，p <0.001）。体能较差的儿童（以较低的 BEEP 分数水平表示）的 FVC、FEV1、FEV1/FVC 和 PEF 明显较低（P < 0.001）：结论：儿童每天接触 SHS 与肺功能较差、体重指数较高和体质较差有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Children-Basel PEDIATRICS-

CiteScore

2.70

自引率

16.70%

发文量

1735

审稿时长

6 weeks

期刊介绍： Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.