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Effects of aeroallergens on the lung function of primary school children at two contrasting sites in South-East England

机译:空气过敏原对英格兰东南部两个不同地点的小学生肺功能的影响

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It is well known that airborne pollen can affect lung function and general well-being. This is particularly true for individuals predisposed to respiratory complications (for example sufferers from hay fever and asthma). Globally, there is evidence that asthma incidence is increasing in children over 2 years of age, and, within the UK, the south-east of England has the highest incidence for all ages in the population. Variations in lung function of school children (measured as peak expiratory volume) with associated changes in airborne pollen and pollution loads at two contrasting sites (one urban, the other rural) within the Medway Towns in south-east England were measured during the pollen season in 1998. Children of similar ages and social backgrounds participated in the studies, and account was taken of children with known respiratory problems. Pollen, pollution and weather data were collected at each site. A picture has been obtained of how changes in local and regional aeroallergen levels, as well as other environmental factors, effect public health in this region of England. Children at the urban site produced consistently better average lung function results, although more pollen was caught there. At the rural site there was generally no relationship between pollen counts and lung function. As expected, lung function was lower on anticyclonic days when there was less mixing in the air. There is strong evidence that episodes of air pollution were more important in promoting reduced peak expiratory flows than specific aeroallergen levels alone. Whilst this requires further investigation, it confirms that attributing changes in lung function solely to pollen levels may sometimes be misleading.
机译:众所周知,空气中的花粉会影响肺功能和总体健康。对于易患呼吸道并发症的个体(例如花粉症和哮喘患者)尤其如此。在全球范围内,有证据表明2岁以上儿童的哮喘发病率正在增加,并且在英国,英格兰东南部所有年龄段的儿童中哮喘发病率最高。在花粉季节中,测量了英格兰东南部梅德韦镇内两个对立地点(一个城市,另一个农村)小学生的肺功能变化(以呼气量峰值来衡量),以及空气中的花粉和污染负荷的相关变化1998年。年龄和社会背景相似的儿童参加了研究,并考虑了已知呼吸系统疾病的儿童。在每个站点收集花粉,污染和天气数据。已获得一张图片,了解当地和区域的空气过敏原水平以及其他环境因素的变化如何影响英格兰该地区的公共卫生。尽管在该处发现了更多的花粉,但市区儿童的平均肺功能检查结果始终如一。在农村地区,花粉计数与肺功能之间通常没有关系。正如预期的那样,在空气中混合较少的情况下,抗气旋天的肺功能较低。有充分的证据表明,空气污染的发作比单独的特定空气过敏原水平对促进减少峰值呼气流量更重要。尽管这需要进一步调查,但可以肯定,将肺功能的变化仅归因于花粉水平有时可能会产生误导。

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