Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou

ObjectiveClimate and environmental change is a well-known factor causing bronchial asthma in children. After the outbreak of coronavirus disease (COVID-19), climate and environmental changes have occurred. The present study investigated the relationship between climate changes (meteorological and en...

Full description

Bibliographic Details
Main Authors: Suyu Guo, Dongmei Chen, Jiawei Chen, Canhong Zhu, Li Huang, Zhengrong Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1090474/full
_version_ 1811176983706468352
author Suyu Guo
Dongmei Chen
Jiawei Chen
Canhong Zhu
Li Huang
Zhengrong Chen
author_facet Suyu Guo
Dongmei Chen
Jiawei Chen
Canhong Zhu
Li Huang
Zhengrong Chen
author_sort Suyu Guo
collection DOAJ
description ObjectiveClimate and environmental change is a well-known factor causing bronchial asthma in children. After the outbreak of coronavirus disease (COVID-19), climate and environmental changes have occurred. The present study investigated the relationship between climate changes (meteorological and environmental factors) and the number of hospitalizations for pediatric bronchial asthma in Suzhou before and after the COVID-19 pandemic.MethodsFrom 2017 to 2021, data on daily inpatients diagnosed with bronchial asthma at Children's Hospital of Soochow University were collected. Suzhou Meteorological and Environmental Protection Bureau provided daily meteorological and environmental data. To assess the relationship between bronchial asthma-related hospitalizations and meteorological and environmental factors, partial correlation and multiple stepwise regression analyses were used. To estimate the effects of meteorological and environmental variables on the development of bronchial asthma in children, the autoregressive integrated moving average (ARIMA) model was used.ResultsAfter the COVID-19 outbreak, both the rate of acute exacerbation of bronchial asthma and the infection rate of pathogenic respiratory syncytial virus decreased, whereas the proportion of school-aged children and the infection rate of human rhinovirus increased. After the pandemic, the incidence of an acute asthma attack was negatively correlated with monthly mean temperature and positively correlated with PM2.5. Stepwise regression analysis showed that monthly mean temperature and O3 were independent covariates (risk factors) for the rate of acute asthma exacerbations. The ARIMA (1, 0, 0) (0, 0, 0) 12 model can be used to predict temperature changes associated with bronchial asthma.ConclusionMeteorological and environmental factors are related to bronchial asthma development in children. The influence of meteorological and environmental factors on bronchial asthma may be helpful in predicting the incidence and attack rates.
first_indexed 2024-04-10T20:00:52Z
format Article
id doaj.art-e128eb2e36554ec8adc7a651da76045c
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-04-10T20:00:52Z
publishDate 2023-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-e128eb2e36554ec8adc7a651da76045c2023-01-27T06:37:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011110.3389/fpubh.2023.10904741090474Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in SuzhouSuyu GuoDongmei ChenJiawei ChenCanhong ZhuLi HuangZhengrong ChenObjectiveClimate and environmental change is a well-known factor causing bronchial asthma in children. After the outbreak of coronavirus disease (COVID-19), climate and environmental changes have occurred. The present study investigated the relationship between climate changes (meteorological and environmental factors) and the number of hospitalizations for pediatric bronchial asthma in Suzhou before and after the COVID-19 pandemic.MethodsFrom 2017 to 2021, data on daily inpatients diagnosed with bronchial asthma at Children's Hospital of Soochow University were collected. Suzhou Meteorological and Environmental Protection Bureau provided daily meteorological and environmental data. To assess the relationship between bronchial asthma-related hospitalizations and meteorological and environmental factors, partial correlation and multiple stepwise regression analyses were used. To estimate the effects of meteorological and environmental variables on the development of bronchial asthma in children, the autoregressive integrated moving average (ARIMA) model was used.ResultsAfter the COVID-19 outbreak, both the rate of acute exacerbation of bronchial asthma and the infection rate of pathogenic respiratory syncytial virus decreased, whereas the proportion of school-aged children and the infection rate of human rhinovirus increased. After the pandemic, the incidence of an acute asthma attack was negatively correlated with monthly mean temperature and positively correlated with PM2.5. Stepwise regression analysis showed that monthly mean temperature and O3 were independent covariates (risk factors) for the rate of acute asthma exacerbations. The ARIMA (1, 0, 0) (0, 0, 0) 12 model can be used to predict temperature changes associated with bronchial asthma.ConclusionMeteorological and environmental factors are related to bronchial asthma development in children. The influence of meteorological and environmental factors on bronchial asthma may be helpful in predicting the incidence and attack rates.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1090474/fullbronchial asthmaepidemiologyCOVID-19meteorologicalenvironment
spellingShingle Suyu Guo
Dongmei Chen
Jiawei Chen
Canhong Zhu
Li Huang
Zhengrong Chen
Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
Frontiers in Public Health
bronchial asthma
epidemiology
COVID-19
meteorological
environment
title Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
title_full Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
title_fullStr Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
title_full_unstemmed Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
title_short Relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma: Comparative study before and after COVID-19 in Suzhou
title_sort relationship between meteorological and environmental factors and acute exacerbation for pediatric bronchial asthma comparative study before and after covid 19 in suzhou
topic bronchial asthma
epidemiology
COVID-19
meteorological
environment
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1090474/full
work_keys_str_mv AT suyuguo relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou
AT dongmeichen relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou
AT jiaweichen relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou
AT canhongzhu relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou
AT lihuang relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou
AT zhengrongchen relationshipbetweenmeteorologicalandenvironmentalfactorsandacuteexacerbationforpediatricbronchialasthmacomparativestudybeforeandaftercovid19insuzhou