Evidence map›Paper›PMID 40834214›Full record

SynthesisRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo2025

Asthma risk in young people who attended chlorinated swimming pools in early childhood.

Cristiano de Lima Silvestre, Ricardo Freitas-Dias, Emília Chagas Costa, Marcos André Moura Dos Santos, Jânio Luiz Correia Júnior, Décio Medeiros Peixoto, Edil de Albuquerque Rodrigues Filho, Marco Aurélio de Valois Correia Júnior

Abstract readSystematic Review
In one paragraph

Synthesis in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cristiano de Lima SilvestreUniversidade de Pernambuco, Programa de Pós-Graduação em Hebiatria - Recife (PE), Brazil.ORCID http://orcid.org/0009-0002-9659-3105
Ricardo Freitas-DiasUniversidade de Pernambuco, Programa de Pós-Graduação em Hebiatria - Recife (PE), Brazil.ORCID http://orcid.org/0000-0003-4846-9951
Emília Chagas CostaUniversidade Federal de Pernambuco, Programa de Pós-Graduação em Nutrição - Recife (PE), Brazil.ORCID http://orcid.org/0000-0002-7664-5994
Marcos André Moura Dos SantosUniversidade de Pernambuco, Programa de Pós-Graduação em Hebiatria - Recife (PE), Brazil.ORCID http://orcid.org/0000-0002-2734-8416
Jânio Luiz Correia JúniorUniversidade de Pernambuco, Programa de Pós-Graduação em Hebiatria - Recife (PE), Brazil.ORCID http://orcid.org/0000-0001-7122-4923
Décio Medeiros PeixotoUniversidade Federal de Pernambuco, Centro de Pesquisas em Alergia e Imunologia, Hospital das Clínicas - Recife (PE), Brazil.ORCID http://orcid.org/0000-0003-1779-5762
Edil de Albuquerque Rodrigues FilhoUniversidade Federal de Pernambuco, Núcleo de Educação Física e Ciências do Esporte - Vitória de Santo Antão (PE), Brazil.ORCID http://orcid.org/0000-0001-6203-3658
Marco Aurélio de Valois Correia JúniorUniversidade de Pernambuco, Programa de Pós-Graduação em Hebiatria - Recife (PE), Brazil.ORCID http://orcid.org/0000-0003-0386-5256

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the association between exposure to volatile chlorination by-products from swimming during early childhood and the subsequent development of asthma. DATA SOURCE: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under CRD42021291850. Searches were carried out in the following electronic databases: PubMed, Cochrane Library, Google Scholar, and ScienceDirect, using the terms "children in early childhood," "swimming in a chlorinated pool," "exposed and unexposed," and "asthma risk," covering studies published between 2003 and 2020. The review included cohort and cross-sectional studies of individuals who swam in chlorinated pools during early childhood. The methodological quality of the studies was evaluated for risk of bias. DATA SYNTHESIS: Out of 6865 studies screened, six met the inclusion criteria, involving 4058 subjects and 310 asthma events (2365 in the exposure group and 1693 in the control group). The combined effect, expressed as an odds ratio for asthma risk in all included studies, was 1.09 (95%CI 0.67-1.77; p=0.740).

conclusionsThis is the first systematic review to comprehensively evaluate the association between swimming in chlorinated pools and the risk of developing asthma. No association was found between childhood swimming in chlorinated pools and the risk of asthma development.

Indexed as

AsthmaChlorineDisinfectantsEnvironmental ExposureSwimmingSwimming PoolsChildChild, PreschoolCross-Sectional StudiesHalogenationHumansRisk FactorsChlorineDisinfectants

Identifiers

PMID40834214
PMCPMC12360697

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.