Parental occupational exposure pre- and post-conception and development of asthma in offspring.

job-exposure matrices Epidemiology air pollutants asthma generation study occupation occupational exposure

Journal

International journal of epidemiology
ISSN: 1464-3685
Titre abrégé: Int J Epidemiol
Pays: England
ID NLM: 7802871

Informations de publication

Date de publication:
23 01 2021
Historique:
accepted: 22 04 2020
pubmed: 16 7 2020
medline: 3 6 2021
entrez: 16 7 2020
Statut: ppublish

Résumé

While direct effects of occupational exposures on an individual's respiratory health are evident, a new paradigm is emerging on the possible effects of pre-conception occupational exposure on respiratory health in offspring. We aimed to study the association between parental occupational exposure starting before conception and asthma in their offspring (at 0-15 years of age). We studied 3985 offspring participating in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Their mothers or fathers (n = 2931) previously participated in the European Community Respiratory Health Survey (ECRHS). Information was obtained from questionnaires on parental job history pre- and post-conception which was linked to an asthma-specific job-exposure matrix (JEM). We assessed the association between parental occupational exposure and offspring asthma, applying logistic regression models, clustered by family and adjusted for study centre, offspring sex, parental characteristics (age, asthma onset, place of upbringing, smoking) and grandparents' level of education. Parental occupational exposure to microorganisms, pesticides, allergens or reactive chemicals pre-conception or both pre- and post-conception was not related to offspring asthma; in general, subgroup analyses confirmed this result. However, maternal exposure both pre- and post-conception to allergens and reactive chemicals was associated with increased odds for early-onset asthma in offspring (0-3 years of age); odds ratio 1.70 (95% CI: 1.02-2.84) and 1.65 (95% CI: 0.98-2.77), respectively. This study did not find evidence that parental occupational exposure, defined by an asthma JEM before conception only or during pre- and post-conception vs non-exposed, was associated with offspring asthma.

Sections du résumé

BACKGROUND
While direct effects of occupational exposures on an individual's respiratory health are evident, a new paradigm is emerging on the possible effects of pre-conception occupational exposure on respiratory health in offspring. We aimed to study the association between parental occupational exposure starting before conception and asthma in their offspring (at 0-15 years of age).
METHODS
We studied 3985 offspring participating in the Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study. Their mothers or fathers (n = 2931) previously participated in the European Community Respiratory Health Survey (ECRHS). Information was obtained from questionnaires on parental job history pre- and post-conception which was linked to an asthma-specific job-exposure matrix (JEM). We assessed the association between parental occupational exposure and offspring asthma, applying logistic regression models, clustered by family and adjusted for study centre, offspring sex, parental characteristics (age, asthma onset, place of upbringing, smoking) and grandparents' level of education.
RESULTS
Parental occupational exposure to microorganisms, pesticides, allergens or reactive chemicals pre-conception or both pre- and post-conception was not related to offspring asthma; in general, subgroup analyses confirmed this result. However, maternal exposure both pre- and post-conception to allergens and reactive chemicals was associated with increased odds for early-onset asthma in offspring (0-3 years of age); odds ratio 1.70 (95% CI: 1.02-2.84) and 1.65 (95% CI: 0.98-2.77), respectively.
CONCLUSIONS
This study did not find evidence that parental occupational exposure, defined by an asthma JEM before conception only or during pre- and post-conception vs non-exposed, was associated with offspring asthma.

Identifiants

pubmed: 32666076
pii: 5871506
doi: 10.1093/ije/dyaa085
pmc: PMC7825962
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1856-1869

Commentaires et corrections

Type : CommentIn

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the International Epidemiological Association.

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Auteurs

Kathrine Pape (K)

National Research Center for the Working Environment, Copenhagen, Denmark.
Department of Public Health, Environment, Work and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Cecile Svanes (C)

Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Department of Occupational Medicine, Haukeland Hospital, Bergen, Norway.

Camilla S Sejbæk (CS)

National Research Center for the Working Environment, Copenhagen, Denmark.

Andrei Malinovschi (A)

Department of Medical Sciences: Clinical Physiology, Uppsala University, Uppsala, Sweden.

Byndis Benediktsdottir (B)

Department of Allergy, Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland.
University of Iceland, Medical Faculty, Reykjavik, Iceland.

Bertil Forsberg (B)

Section of Sustainable Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Christer Janson (C)

Department of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.

Geza Benke (G)

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.

Gro Tjalvin (G)

Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

José Luis Sánchez-Ramos (JL)

Department of Nursing, University of Huelva. Avenida Tres de Marzo, s/n 21071, Huelva, Spain.

Jan-Paul Zock (JP)

ISGlobal, Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.

Kjell Toren (K)

Department of Public Health and Community Medicine at Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.

Lennart Bråbäck (L)

Section of Sustainable Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Mathias Holm (M)

Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.

Rain Jõgi (R)

Tartu University Hospital, Lung Clinic, Tartu, Estonia.

Randi J Bertelsen (RJ)

Department of Clinical Science, University of Bergen, Bergen, Norway.
Oral Health Center of Expertise, Western Norway, Hordaland County, Bergen, Norway.

Thorarin Gíslason (T)

Department of Medical Sciences: Clinical Physiology, Uppsala University, Uppsala, Sweden.
Department of Allergy, Respiratory Medicine and Sleep, Landspitali University Hospital, Reykjavik, Iceland.
University of Iceland, Medical Faculty, Reykjavik, Iceland.
Department of Sleep, Landspitali University Hospital, Reykjavik, Iceland.

Torben Sigsgaard (T)

Department of Public Health, Environment, Work and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Xiaoqin Liu (X)

The National Centre for Register-based Research, Department of Economics and Business Economics, Aarhus University, Aarhus, Denmark.

Karin S Hougaard (KS)

National Research Center for the Working Environment, Copenhagen, Denmark.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Ane Johannessen (A)

Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Caroline Lodge (C)

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.

Shyamali C Dharmage (SC)

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.

Vivi Schlünssen (V)

National Research Center for the Working Environment, Copenhagen, Denmark.
Department of Public Health, Environment, Work and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

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