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Indoor Environmental Exposures and Exacerbation of Asthma: An Update to the 2000 Review by the Institute of Medicine

Journal Article · · Environmental Health Perspectives
DOI:https://doi.org/10.1289/ehp.1307922· OSTI ID:1627111
 [1];  [2];  [3];  [4];  [3]
  1. Boston Children’s Hospital, Boston, MA (United States).Division of Allergy and Immunology; Harvard Medical School, Boston, MA (United States); Mahidol Univ., Bangkok (Thailand). Ramathibodi Hospital. Dept. of Pediatrics; DOE/OSTI
  2. California Department of Public Health, Richmond, CA (United States). Indoor Air Quality Program; Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Indoor Environment Group
  3. Boston Children’s Hospital, Boston, MA (United States).Division of Allergy and Immunology; Harvard Medical School, Boston, MA (United States)
  4. American Institutes for Research, San Mateo, CA (United States)
Background: Previous research has found relationships between specific indoor environmental exposures and exacerbation of asthma. Objectives: In this review we provide an updated summary of knowledge from the scientific literature on indoor exposures and exacerbation of asthma. Methods: Peer-reviewed articles published from 2000 to 2013 on indoor exposures and exacerbation of asthma were identified through PubMed, from reference lists, and from authors’ files. Articles that focused on modifiable indoor exposures in relation to frequency or severity of exacerbation of asthma were selected for review. Research findings were reviewed and summarized with consideration of the strength of the evidence. Results: Sixty-nine eligible articles were included. Major changed conclusions include a causal relationship with exacerbation for indoor dampness or dampness-related agents (in children); associations with exacerbation for dampness or dampness-related agents (in adults), endotoxin, and environmental tobacco smoke (in preschool children); and limited or suggestive evidence for association with exacerbation for indoor culturable Penicillium or total fungi, nitrogen dioxide, rodents (nonoccupational), feather/down pillows (protective relative to synthetic bedding), and (regardless of specific sensitization) dust mite, cockroach, dog, and dampness-related agents. Discussion: This review, incorporating evidence reported since 2000, increases the strength of evidence linking many indoor factors to the exacerbation of asthma. Conclusions should be considered provisional until all available evidence is examined more thoroughly. Conclusion: Multiple indoor exposures, especially dampness-related agents, merit increased attention to prevent exacerbation of asthma, possibly even in nonsensitized individuals. Additional research to establish causality and evaluate interventions is needed for these and other indoor exposures.
Research Organization:
Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
Sponsoring Organization:
USDOE Office of Science (SC)
Grant/Contract Number:
AC02-05CH11231
OSTI ID:
1627111
Journal Information:
Environmental Health Perspectives, Journal Name: Environmental Health Perspectives Journal Issue: 1 Vol. 123; ISSN 0091-6765
Publisher:
National Institute of Environmental Health SciencesCopyright Statement
Country of Publication:
United States
Language:
English

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A Comparison between Temperature-Controlled Laminar Airflow Device and a Room Air-Cleaner in Reducing Exposure to Particles While Asleep journal November 2016
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Health Hazards in the Home: An Assessment of a Southern Nevada Community journal February 2017
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Asthma and Allergies in the School Environment journal May 2019
Quantitative assessment of microbes from samples of indoor air and dust
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Building upon current knowledge and techniques of indoor microbiology to construct the next era of theory into microorganisms, health, and the built environment journal July 2019
Microbiology of the built environment journal August 2018
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CARsomes inhibit airway allergic inflammation in mice by inducing antigen‐specific Th2 cell apoptosis journal February 2020
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Indoor fungi: companions and contaminants journal January 2015
Observation‐based metrics for residential dampness and mold with dose–response relationships to health: A review journal October 2016
An emerging paradox: Toward a better understanding of the potential benefits and adversity of microbe exposures in the indoor environment journal December 2016
Microbial characteristics in homes of asthmatic and non-asthmatic adults in the ECRHS cohort journal October 2017
Early age exposure to moisture damage and systemic inflammation at the age of 6 years journal March 2018
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