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      El uso frecuente de productos de limpieza en los primeros meses de vida incrementa el riesgo de sibilancias recurrentes a los tres años Translated title: Frequent use of household cleaning products in the first months of life increases the risk of recurrent wheezing at three years

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          Abstract

          Resumen Conclusiones de los autores del estudio: el uso frecuente de productos de limpieza en los hogares de lactantes está asociado con un riesgo aumentado de sibilantes y asma, pero no con atopia, a los tres años, indicando un posible efecto inflamatorio en las vías respiratorias, no una respuesta alérgica adquirida. Comentario de los autores de la revisión: los datos de este estudio sugieren que la limpieza con productos domésticos se asocia con una mayor incidencia de sibilancias recurrentes y asma en uno de cada tres niños de tres años. Pero la calidad media del estudio deja abierta la incógnita para la ulterior investigación sobre si los productos domésticos comunes puedan preparar las vías respiratorias para una futura enfermedad pulmonar alérgica.

          Translated abstract

          abstract Authors' conclusions: frequent use of household cleaning products in the home in early infancy is associated to an increased risk of wheezing and asthma in children, but not of atopy, at three years, showing a possible inflammatory effect in the respiratory tract, not an allergic acquired response. Reviewers' conclusions: the study results suggest that the use of cleaning products is associated with a higher incidence of recurrent wheezing and asthma in one in three children at the age of three years. But the medium level of quality of the study leaves the question open for further research, to try to clarify if common cleaning products could be preparing respiratory tract for future allergies.

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          Trends in the prevalence of asthma.

          The asthma epidemic of the last few decades may have peaked; studies suggest that the incidence and prevalence of asthma has decreased in some countries in the last few years, although other studies suggest continuing small increases in prevalence. Increasing awareness and changing diagnostic habits make precise evaluation of epidemiologic trends difficult in the absence of a gold-standard test for asthma, and on a global basis uncertainty persists. Trends in prevalence in some populations (eg, immigrants, farming communities) suggest both adverse and beneficial effects of specific environmental factors. Although the effects of indoor allergens, dampness, and mold and of outdoor air pollutants, especially traffic related, have traditionally dominated risk-factor research, more recent epidemiologic and clinical studies have focused on metabolic and nutritional factors, including maternal obesity and vitamin D levels, mode of delivery and its effect on the infant microbiome, fetal and infant growth, the psychosocial environment, and medication use by mother and infant. It is likely that changes in incidence and prevalence are due to multiple factors, each contributing a relatively small effect. Longitudinal studies from pregnancy through childhood to adulthood will yield greater insights into the complex pathways leading to asthma.
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            Allergy in children in hand versus machine dishwashing.

            The hygiene hypothesis stipulates that microbial exposure during early life induces immunologic tolerance via immune stimulation, and hence reduces the risk of allergy development. Several common lifestyle factors and household practices, such as dishwashing methods, may increase microbial exposure. The aim of this study was to investigate if such lifestyle factors are associated with allergy prevalence.
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              Frequent use of chemical household products is associated with persistent wheezing in pre-school age children.

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                Author and article information

                Journal
                pap
                Pediatría Atención Primaria
                Rev Pediatr Aten Primaria
                Asociación Española de Pediatría de Atención Primaria (Madrid, Madrid, Spain )
                1139-7632
                March 2021
                : 23
                : 89
                : 99-101
                Affiliations
                [1] orgnamegrupo de Pediatría Basada en la Evidencia España
                Article
                S1139-76322021000100018 S1139-7632(21)02308900018
                6aa5cebd-afa9-42c5-860a-20b61b0a4ddc

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 3, Pages: 3
                Product

                SciELO Spain

                Categories
                Pediatría Basada en la Evidencia

                Asma,Preescolar,Productos domésticos,Asthma,Early childhood,Household products

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