Low-Level Ozone Exposure and Respiratory Symptoms in Infants
2006

Impact of Low-Level Ozone on Infant Respiratory Health

Sample size: 691 publication 10 minutes Evidence: moderate

Author Information

Author(s): Triche Elizabeth W., Gent Janneane F., Holford Theodore R., Belanger Kathleen, Bracken Michael B., Beckett William S., Naeher Luke, McSharry Jean-ellen, Leaderer Brian P.

Primary Institution: Yale University School of Medicine

Hypothesis

Does low-level ozone exposure increase respiratory symptoms in infants, particularly those with asthmatic mothers?

Conclusion

Infants, especially those with asthmatic mothers, are at increased risk of respiratory symptoms from low-level ozone exposure.

Supporting Evidence

  • Infants whose mothers had asthma were more likely to experience respiratory symptoms.
  • Same-day 24-hr average ozone exposure increased the likelihood of wheeze by 59%.
  • Only 8% of infants wheezed at least once during the study period.
  • Ambient ozone levels were below U.S. EPA standards during the study.
  • Infants were followed for a total of 52,421 infant-days.

Takeaway

Breathing in ozone, even at low levels, can make babies cough and wheeze, especially if their moms have asthma.

Methodology

The study followed 691 infants for respiratory symptoms while measuring ozone levels in the air.

Potential Biases

Mothers with asthma may have been more likely to report symptoms in their infants.

Limitations

The study was limited to infants from Virginia, and results may not apply to other regions; also, the number of infants with asthmatic mothers was small.

Participant Demographics

Approximately half of the infants were boys; mothers were mostly married and white, with varied education levels.

Statistical Information

P-Value

0.05

Confidence Interval

95% CI, 1.01–2.70 for wheeze; 95% CI, 1.42–3.20 for difficulty breathing

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.8559

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