Evidence map›Paper›PMID 39060431›Full record

ArticleEuropean journal of pediatrics2024

Association of pyrethroids exposure with asthma in US children and adolescents: a nationally representative cross-sectional study.

Yi-Fan Wang, Fei Gao, Yu-Han Jiang, Rui-Wen Xia, Xu Wang, Li Li, Xue-Lin Wang, Ya-Nan Yun, Ying-Xue Zou

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Article in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Pesticides and human health.Jornal de pediatria
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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yi-Fan Wang *Clinical School of Paediatrics, Tianjin Medical University, Tianjin, China.
Fei Gao *Department of Pulmonology, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Machang Campus, 225 Machang Road, Hexi District, Tianjin, 300074, China.
Yu-Han Jiang *Clinical School of Paediatrics, Tianjin Medical University, Tianjin, China.
Rui-Wen XiaClinical School of Paediatrics, Tianjin Medical University, Tianjin, China.
Xu WangClinical School of Paediatrics, Tianjin Medical University, Tianjin, China.
Li LiClinical School of Paediatrics, Tianjin Medical University, Tianjin, China.
Xue-Lin WangDepartment of Pulmonology, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Machang Campus, 225 Machang Road, Hexi District, Tianjin, 300074, China.
Ya-Nan YunDepartment of Pulmonology, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Machang Campus, 225 Machang Road, Hexi District, Tianjin, 300074, China.
Ying-Xue ZouDepartment of Pulmonology, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Machang Campus, 225 Machang Road, Hexi District, Tianjin, 300074, China. tmuzouyingxue@163.com.

Funding

Tianjin Children's Hospital TJYXZDXK-040A
6 · The paper itself

Abstract

Pyrethroids (PYR) are among the most widely used insecticides in households, leading to substantial exposure. Children and adolescents, especially during growth spurts, have a reduced capacity to effectively metabolize these insecticides. The relationship between PYR exposure and asthma in these age groups remains poorly understood, highlighting the need for further research.We used data from the 2007-2014 National Health and Nutrition Examination Survey, which included 1181 children aged 6-11 years and 1258 adolescents aged 12-19 years. The concentration of the PYR metabolite 3-phenoxybenzoic acid (3-PBA) in urine was quantified using solid-phase extraction-high-performance liquid chromatography-heated electrospray ionization tandem mass spectrometry. Asthma was defined based on self-reported doctor diagnoses from the questionnaire. PYR exposure was measured using urine samples collected simultaneously with the questionnaire. We explored the association between PYR exposure and asthma using multiple logistic regression analyses, adjusting for potential confounders.Multiple logistic regression analyses revealed no significant association between PYR exposure and asthma in children and adolescent boys (all P > 0.05). In contrast, PYR exposure was significantly associated with asthma in adolescent girls aged 12-19 years. Specifically, for "ever asthma," the odds ratios (ORs) were 2.49 (95% CI = 1.03-5.97) in the second quartile of PYR exposure and 2.48 (95% CI = 1.04-5.91) in the third quartile, each in comparison to the first quartile. For "current asthma," in comparison to the first quartile, the ORs were 3.99 (95% CI = 1.55-10.26) in the second quartile of PYR exposure, 3.39 (95% CI = 1.32-8.70) in the third quartile, and 2.93 (95% CI = 1.24-6.90) in the fourth quartile.Conclusions:Our study found a significant association between PYR exposure and asthma in adolescent girls, whereas no significant association was observed in children and adolescent boys. These findings suggest potential sex and age differences in susceptibility to PYR exposure. Further research is warranted to confirm these results and elucidate the underlying mechanisms.

Indexed as

AsthmaEnvironmental ExposureNutrition SurveysPyrethrinsAdolescentBenzoatesChildCross-Sectional StudiesFemaleHumansInsecticidesLogistic ModelsMaleUnited StatesYoung Adult3-phenoxybenzoic acidBenzoatesInsecticidesPyrethrins3-Phenoxybenzoic acidAdolescentsAsthmaChildrenPyrethroids

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.