Abstract
OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21-23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.
| Original language | English |
|---|---|
| Pages (from-to) | 500-507 |
| Number of pages | 8 |
| Journal | Environmental Health Perspectives |
| Volume | 117 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2009 |
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Weisel, C. P., Richardson, S. D., Nemery, B., Aggazzotti, G., Baraldi, E., Blatchley, E. R., Blount, B. C., Carlsen, K. H., Eggleston, P. A., Frimmel, F. H., Goodman, M., Gordon, G., Grinshpun, S. A., Heederik, D. J. J., Kogevinas, M., LaKind, J. S., Nieuwenhuijsen, M. J., Piper, F. C., & Sattar, S. A. (2009). Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations. Environmental Health Perspectives, 117(4), 500-507. https://doi.org/10.1289/ehp.11513
Weisel, C.P. ; Richardson, S.D. ; Nemery, B. et al. / Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations. In: Environmental Health Perspectives. 2009 ; Vol. 117, No. 4. pp. 500-507.
@article{3afd40ecb374409aa702217f5f4faa26,
title = "Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations.",
abstract = "OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21-23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.",
author = "C.P. Weisel and S.D. Richardson and B. Nemery and G. Aggazzotti and E. Baraldi and E.R. Blatchley and B.C. Blount and K.H. Carlsen and P.A. Eggleston and F.H. Frimmel and M. Goodman and G. Gordon and S.A. Grinshpun and D.J.J. Heederik and M. Kogevinas and J.S. LaKind and M.J. Nieuwenhuijsen and F.C. Piper and S.A. Sattar",
year = "2009",
doi = "10.1289/ehp.11513",
language = "English",
volume = "117",
pages = "500--507",
journal = "Environmental Health Perspectives",
issn = "0091-6765",
publisher = "Public Health Services, US Dept of Health and Human Services",
number = "4",
}
Weisel, CP, Richardson, SD, Nemery, B, Aggazzotti, G, Baraldi, E, Blatchley, ER, Blount, BC, Carlsen, KH, Eggleston, PA, Frimmel, FH, Goodman, M, Gordon, G, Grinshpun, SA, Heederik, DJJ, Kogevinas, M, LaKind, JS, Nieuwenhuijsen, MJ, Piper, FC & Sattar, SA 2009, 'Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations.', Environmental Health Perspectives, vol. 117, no. 4, pp. 500-507. https://doi.org/10.1289/ehp.11513
Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations. / Weisel, C.P.; Richardson, S.D.; Nemery, B. et al.
In: Environmental Health Perspectives, Vol. 117, No. 4, 2009, p. 500-507.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations.
AU - Weisel, C.P.
AU - Richardson, S.D.
AU - Nemery, B.
AU - Aggazzotti, G.
AU - Baraldi, E.
AU - Blatchley, E.R.
AU - Blount, B.C.
AU - Carlsen, K.H.
AU - Eggleston, P.A.
AU - Frimmel, F.H.
AU - Goodman, M.
AU - Gordon, G.
AU - Grinshpun, S.A.
AU - Heederik, D.J.J.
AU - Kogevinas, M.
AU - LaKind, J.S.
AU - Nieuwenhuijsen, M.J.
AU - Piper, F.C.
AU - Sattar, S.A.
PY - 2009
Y1 - 2009
N2 - OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21-23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.
AB - OBJECTIVES: Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue. DATA SOURCES: A workshop was held in Leuven, Belgium, 21-23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs. SYNTHESIS: Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection. CONCLUSIONS: Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.
U2 - 10.1289/ehp.11513
DO - 10.1289/ehp.11513
M3 - Article
SN - 0091-6765
VL - 117
SP - 500
EP - 507
JO - Environmental Health Perspectives
JF - Environmental Health Perspectives
IS - 4
ER -
Weisel CP, Richardson SD, Nemery B, Aggazzotti G, Baraldi E, Blatchley ER et al. Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations. Environmental Health Perspectives. 2009;117(4):500-507. doi: 10.1289/ehp.11513
