ReviewEnvironmental health perspectives2009
Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations.
Review in Environmental health perspectives, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed.
- Water Disinfection Systems for Pools and Spas: Advantages, Disadvantages, and Consumer Views in the US.ACS ES&T water · 2025Review
- Effects of exposure to trihalomethanes in swimming pool waters on metabolomics profile: a randomized parallel design trial.Journal of environmental health science & engineering · 2024Article
- Effect of exposure to disinfection by-products during swimming exercise on asthma-related immune responses.Journal of water and health · 2024Article
- The urinary metabolites of volatile organic compounds and asthma in young children: NHANES 2011-2018.Heliyon · 2024Article
- Novel approach to studying effects of inhalational exposure on lung function in civilians exposed to the World Trade Center disaster.Scientific reports · 2023Article
- Exposure to Sodium Hypochlorite or Cigarette Smoke Induces Lung Injury and Mechanical Impairment in Wistar Rats.Inflammation · 2022Article
- Impact of habitual swimming on the success of lacrimal surgery.Japanese journal of ophthalmology · 2021Article
- Evaluation of the occurrence of pathogenic free-living amoeba and bacteria in 20 public indoor swimming pool facilities.MicrobiologyOpen · 2021Article
- The Occurrence ofEnvironmental health insights · 2021Review
- Analysis of the Kinetics of Swimming Pool Water Reaction in Analytical Device Reproducing Its Circulation on a Small Scale.Sensors (Basel, Switzerland) · 2020Article
- Article
- A matrix for bridging the epidemiology and risk assessment gap.Global epidemiology · 2019Article
- Low dose of chlorine exposure exacerbates nasal and pulmonary allergic inflammation in mice.Scientific reports · 2018Article
- Early life swimming pool exposure and asthma onset in children - a case-control study.Environmental health : a global access science source · 2018Article
- Selective citation in the literature on swimming in chlorinated water and childhood asthma: a network analysis.Research integrity and peer review · 2017Article
- Health-Related Behaviors in Swimming Pool Users: Influence of Knowledge of Regulations and Awareness of Health Risks.International journal of environmental research and public health · 2016Article
- Predicting human exposure and risk from chlorinated indoor swimming pool: a case study.Environmental monitoring and assessment · 2015Article
- Swimming pool attendance is related to asthma among atopic school children: a population-based study.Environmental health : a global access science source · 2015Article
- Exercise and asthma: an overview.European clinical respiratory journal · 2015Article
- Swimming pool attendance, respiratory symptoms and infections in the first year of life.European journal of pediatrics · 2013Article
Corrections and comments
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRecent 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.
conclusionsCurrent 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.
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