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Swimming pool attendance is related to asthma among atopic school children: a population-based study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. The OLIN Studies, Norrbotten County Council, Luleå, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. The OLIN Studies, Norrbotten County Council, Luleå, Sweden. (Arcum)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (Arcum)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. (Arcum)
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2015 (English)In: Environmental health, ISSN 1476-069X, E-ISSN 1476-069X, Vol. 14, no 14, 37Article in journal (Refereed) Published
Abstract [en]

Background: By-products of water disinfectants have been suggested to cause asthma, especially in atopic children. However, studies on indoor swimming pool attendance and asthma in children have presented conflicting results. The present study examined the relationship between indoor swimming pool attendance and asthma among sensitized and non-sensitized children aged 11-12 years.

Methods: An extended ISAAC questionnaire was sent to the families of all children attending fifth or sixth grade, aged 11-12 years, in two municipalities in Northern Sweden in 2010. A total of 1866 participated (96% of those invited) in the questionnaire study and 1652 (89%) also participated in skin prick testing for 10 standard airborne allergens. Asthma was defined as physician-diagnosed asthma in combination with wheeze or use of asthma medication in the last 12 months. Current swimming pool attendance was reported as >= 1/week or <1/week. Logistic regression models were used for data analysis.

Results: The prevalence of current asthma was 8.9% (10.0% of boys; 7.9% of girls) and 14% had attended indoor pools >= 1/week. Children currently attending swimming pools >= 1/week had an increased risk of current asthma. Stratified analyses for allergic sensitization adjusted for sex, parental smoking, parental asthma, and damp housing, showed a statistically significant association for current asthma only among sensitized subjects (OR 95% CI 1.90 1.09-3.32). No association was found between current pool attendance and wheeze, sensitization, rhinitis or eczema.

Conclusions: The present study supports the proposed link between indoor swimming pool attendance and asthma in sensitized children.

Place, publisher, year, edition, pages
2015. Vol. 14, no 14, 37
Keyword [en]
Asthma, Children, Swimming pools, Trichloramines, Sensitization
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:umu:diva-103215DOI: 10.1186/s12940-015-0023-xISI: 000353534400001OAI: oai:DiVA.org:umu-103215DiVA: diva2:812598
Available from: 2015-05-19 Created: 2015-05-18 Last updated: 2017-12-04Bibliographically approved

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Andersson, MartinHedman, LinnéaNordberg, GunnarForsberg, BertilEriksson, KåreRönmark, Eva
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