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A prospective study on the role of smoking, environmental tobacco smoke, indoor painting and living in old or new buildings on asthma, rhinitis and respiratory symptoms

Juan Wang, Christer Janson, Rain Jogi, Bertil Forsberg, Thorarinn Gislason, Mathias Holm, Kjell Torén, Andrei Malinovschi, Torben Sigsgaard, Vivi Schlünssen, Cecilie Svanes, Ane Johannessen (+3 others)
2020 Environmental Research  

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We studied associations between tobacco smoke, home environment and respiratory health in a 10 year follow up of a cohort of 11,506 adults in Northern Europe. Multilevel logistic regression models were applied to estimate onset and remission of symptoms. Current smokers at baseline developed more respiratory symptoms (OR=1.39-4.43) and rhinitis symptoms (OR=1.35). Starting smoking during follow up increased the risk of new respiratory symptoms (OR=1.54-1.97) and quitting smoking decreased the
more » ... sk (OR=0.34-0.60). ETS at baseline increased the risk of wheeze (OR=1.26). Combined ETS at baseline or follow up increased the risk of wheeze (OR=1.27) and nocturnal cough (OR=1.22). Wood painting at baseline reduced remission of asthma (OR 95%CI: 0.61, 0.38-0.99). Floor painting at home increased productive cough (OR 95%CI: 1.64, 1.15-2.34) and decreased remission of wheeze (OR 95%CI: 0.63, 0.40-0.996). Indoor painting (OR 95%CI: 1.43, 1.16-1.75) and floor painting (OR 95%CI: 1.77, 1.11-2.82) increased remission of allergic rhinitis. Living in the oldest buildings (constructed before 1960) was associated with higher onset of nocturnal cough and doctor diagnosed asthma. Living in the newest buildings (constructed 1986-2001) was associated with higher onset of nocturnal breathlessness (OR=1.39) and rhinitis (OR=1.34). In conclusion, smoking, ETS and painting indoor can be risk factors for respiratory symptoms. Wood painting and floor painting can reduce remission of respiratory symptoms. Smoking can increase rhinitis. Living in older buildings can be a risk factor for nocturnal cough and doctor diagnosed asthma. Living in new buildings can increase nocturnal dyspnoea and rhinitis.
doi:10.1016/j.envres.2020.110269 pmid:32997968 fatcat:dxyfh5g3pzbdniynnrcxer53xi
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Juan Wang, Christer Janson, Rain Jogi, Bertil Forsberg, Thorarinn Gislason, Mathias Holm, Kjell Torén, Andrei Malinovschi, Torben Sigsgaard, Vivi Schlünssen, Cecilie Svanes, Ane Johannessen, Randi Jacobsen Bertelsen, Karl A. Franklin, Dan Norbäck. "A prospective study on the role of smoking, environmental tobacco smoke, indoor painting and living in old or new buildings on asthma, rhinitis and respiratory symptoms." Environmental Research (2020) 110269