PMID- 31805225 OWN - NLM STAT- MEDLINE DCOM- 20200903 LR - 20211204 IS - 1099-0496 (Electronic) IS - 8755-6863 (Print) IS - 1099-0496 (Linking) VI - 55 IP - 2 DP - 2020 Feb TI - Annual SO(2) exposure, asthma, atopy, and lung function in Puerto Rican children. PG - 330-337 LID - 10.1002/ppul.24595 [doi] AB - BACKGROUND: Long-term effects of sulfur dioxide (SO(2) ) exposure on children, a vulnerable population, are largely unknown. Further, how long-term SO(2) affects Puerto Rican children living in the island of Puerto Rico, a group with high asthma prevalence, is unclear. We evaluated the effects of annual average 1-hour daily maximum SO(2) average on asthma, atopy, total immunoglobulin E (IgE), and lung function in Puerto Rican children. METHODS: A cohort of 678 children (351 with asthma, 327 without asthma) was recruited in Puerto Rico from 2009 to 2010. Annual average 1-hour daily maximum SO(2) exposure was interpolated utilizing publicly available monitoring data. Multivariable logistic and linear regression was used for the analysis of asthma, atopy (defined as an IgE >/=0.35 IU/mL to at least one of five common aero-allergens), total IgE, and lung function measures (forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], and FEV1/FVC ratio). RESULTS: Annual SO(2) exposure (per 1 ppb) was significantly associated with asthma (odds ratio [OR] = 1.42; 95% confidence interval [CI] = 1.05-1.91) and atopy (OR = 1.35; 95% CI = 1.02-1.78). Such exposure was also significantly associated with lower FEV1/FVC in all children (beta = -1.42; 95% CI = -2.78 to -0.08) and in children with asthma (beta = -2.39; 95% CI= -4.31 to -0.46). Annual SO(2) exposure was not significantly associated with total IgE, FEV1, or FVC. CONCLUSIONS: Among Puerto Rican children in Puerto Rico, long-term SO(2) exposure is linked to asthma and atopy. In these children, long-term SO(2) exposure is also associated with reduced FEV1/FVC, particularly in those with asthma. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Rosser, Franziska AU - Rosser F AUID- ORCID: 0000-0003-1202-044X AD - Division of Pediatric Pulmonary Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Forno, Erick AU - Forno E AUID- ORCID: 0000-0001-6497-9885 AD - Division of Pediatric Pulmonary Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Kurland, Kristen S AU - Kurland KS AD - H John Heinz III College and School of Architecture, Carnegie Mellon University, Pittsburgh, Pennsylvania. FAU - Han, Yueh-Ying AU - Han YY AUID- ORCID: 0000-0002-8409-3077 AD - Division of Pediatric Pulmonary Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania. FAU - Mair, Christina AU - Mair C AUID- ORCID: 0000-0003-3841-3313 AD - Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania. FAU - Acosta-Perez, Edna AU - Acosta-Perez E AUID- ORCID: 0000-0001-7101-3157 AD - Behavioral Sciences Research Institute of Puerto Rico, University of Puerto Rico, San Juan, Puerto Rico. FAU - Canino, Glorisa AU - Canino G AD - Behavioral Sciences Research Institute of Puerto Rico, University of Puerto Rico, San Juan, Puerto Rico. FAU - Celedon, Juan C AU - Celedon JC AUID- ORCID: 0000-0002-6139-5320 AD - Division of Pediatric Pulmonary Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania. LA - eng GR - HL079966/NH/NIH HHS/United States GR - MD011764/NH/NIH HHS/United States GR - HL117191/NH/NIH HHS/United States GR - R01 MD011764/MD/NIMHD NIH HHS/United States GR - R01 HL079966/HL/NHLBI NIH HHS/United States GR - KL2TR001856/NH/NIH HHS/United States GR - KL2 TR001856/TR/NCATS NIH HHS/United States GR - R01 HL117191/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20191205 PL - United States TA - Pediatr Pulmonol JT - Pediatric pulmonology JID - 8510590 RN - 0 (Allergens) RN - 0UZA3422Q4 (Sulfur Dioxide) SB - IM MH - Adolescent MH - Air Pollution/*statistics & numerical data MH - Allergens MH - Asthma/*epidemiology/physiopathology MH - Child MH - Cohort Studies MH - Female MH - Hispanic or Latino MH - Humans MH - Hypersensitivity, Immediate MH - Inhalation Exposure/*statistics & numerical data MH - Lung/physiopathology MH - Male MH - Odds Ratio MH - Prevalence MH - Puerto Rico/epidemiology MH - Respiratory Function Tests MH - Sulfur Dioxide/*analysis MH - Vital Capacity PMC - PMC7122992 MID - NIHMS1570290 OTO - NOTNLM OT - Puerto Rican children OT - SO2 exposure OT - air pollution OT - asthma OT - atopy OT - lung function COIS- Disclosures of interest: Dr. Celedon has received research materials from GSK and Merck (inhaled steroids) and Pharmavite (vitamin D and placebo capsules), in order to provide medications free of cost to participants in NIH-funded studies, unrelated to the current work. The other authors declare no conflicts of interest. EDAT- 2019/12/06 06:00 MHDA- 2020/09/04 06:00 PMCR- 2021/02/01 CRDT- 2019/12/06 06:00 PHST- 2019/08/27 00:00 [received] PHST- 2019/11/20 00:00 [accepted] PHST- 2019/12/06 06:00 [pubmed] PHST- 2020/09/04 06:00 [medline] PHST- 2019/12/06 06:00 [entrez] PHST- 2021/02/01 00:00 [pmc-release] AID - 10.1002/ppul.24595 [doi] PST - ppublish SO - Pediatr Pulmonol. 2020 Feb;55(2):330-337. doi: 10.1002/ppul.24595. Epub 2019 Dec 5.