The Relationship Between PM2.5 and Indoor TVOCs Exposure, Physical Environmental Factors, and Atopy History and allergic Asthma Complaints in 13-14 Years old Children at a Full-Day School in Surabaya

  • I Dewa Gede Deva Pradnyana Putra Department of Environmental Health, Faculty of Public Health, Airlangga University, Surabaya
  • Megara Maritza Tabina Department of Environmental Health, Faculty of Public Health, Airlangga University, Surabaya
  • Winarko Department of Environmental Health, Poltekkes Kemenkes Surabaya, Indonesia
Keywords: Allergic Asthma Complaints, Atopic History, Indoor Air Quality, School

Abstract

Introduction: Indoor air pollutants can cause respiratory irritants and trigger allergic asthma complaints, especially in children with a history of atopy. Previous research has found that air pollutants, including PM2.5 and TVOCs, pose risks to respiratory allergy complaints in children. Children spend a significant amount of time at school, so the air quality in classrooms affects their health and productivity. The study was conducted at SMPN 19 Surabaya, located alongside a major road and with a variety of classroom types, potentially exacerbating asthma complaints in children. The research aimed to identify the relationship between exposure to PM2.5, TVOCs, physical environmental factors, and atopy history with asthma complaints in 13-14-year-old children at SMPN 19 Surabaya.

Objective: The study aimed to identify the relationship between exposure to PM2.5, TVOCs, physical environmental factors, and atopy history with asthma complaints in 13-14-year-old children at SMPN 19 Surabaya.

Method: The research was a quantitative study with an analytical observational design using a cross-sectional approach. The sample size for the study was 69 students aged 13-14 years, selected through purposive sampling from two different characteristic classes, at SMPN 19 Surabaya. An air quality detector was used to measure PM2.5, TVOCs, temperature, and humidity in both classes as well as observe the class's physical condition. Data was collected from student interviews using the ISAAC questionnaire. Data analysis used a bivariate test.

Result: The research results showed a relationship between a history of atopy and allergic asthma complaints in children aged 13-14 years in classes 7G and 8A at SMPN 19 Surabaya (p=0.000) and (OR=23.368). However, for indoor pollutant levels PM2.5 (OR= 1.710), TVOCs (OR=1.710), and physical environmental factors such as temperature and humidity did not show a relationship with allergic asthma complaints.

Conclusion: It can be concluded that a family history of atopy is associated with asthma complaints in classes at SMPN 19 Surabaya. Therefore, increased awareness and supervision of children with a history of atopy are necessary to prevent or manage potential asthma complaints.

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References

  1. Dewi WC, Raharjo M, Wahyuningsih NE. Literatur Review : Hubungan Antara Kualitas Udara Ruang
  2. Dengan Gangguan Kesehatan Pada Pekerja. An-Nadaa J Kesehat Masy. 2021;8(1):88.
  3. Becerril-Ángeles M, Vargas MH, Medina-Reyes IS, Rascón-Pacheco RA. Trends (2007–2019) of major
  4. atopic diseases throughout the life span in a large Mexican population. World Allergy Organ J [Internet].
  5. ;16(1):100732. Available from: https://doi.org/10.1016/j.waojou.2022.100732
  6. Paciência I, Cavaleiro Rufo J. Urban-level environmental factors related to pediatric asthma. Porto Biomed
  7. J. 2020;5(1):e57.
  8. Abdel-Salam MMM. Assessment of children’s exposure to air pollutants in urban residences during the
  9. COVID-19 pandemic. Front Environ Sci. 2022;10(October):1–16.
  10. Anake WU, Nnamani EA. Indoor air quality in day-care centres: a global review. Air Qual Atmos Heal
  11. [Internet]. 2023;16(5):997–1022. Available from: https://doi.org/10.1007/s11869-023-01320-5
  12. Vornanen-Winqvist C, Salonen H, Järvi K, Andersson MA, Mikkola R, Marik T, et al. Effects of ventilation
  13. improvement on measured and perceived indoor air quality in a school building with a hybrid ventilation
  14. system. Int J Environ Res Public Health. 2018;15(7):1–18.
  15. Haryanto B, Resosoedarmo B, Utami STB, Hartono B, Hermawati E. Effect of Ambient Particulate Matter
  16. 5 Micrometer (PM2.5) to Prevalence of Impaired Lung Function and Asthma in Tangerang and Makassar.
  17. Kesmas Natl Public Heal J. 2016;10(4):145.
  18. Khalili R, Bartell SM, Hu X, Liu Y, Chang HH, Belanoff C, et al. Early-life exposure to PM2.5 and risk of
  19. acute asthma clinical encounters among children in Massachusetts: A case-crossover analysis. Environ Heal
  20. A Glob Access Sci Source. 2018;17(1):1–9.
  21. Nur RA, Suwondo A, Jayanti S, Keselamatan B, Masyarakat FK. Hubungan Paparan Debu Pm2.5Terhadap
  22. Gangguan Fungsi Paru Pada Pengemudi Bus Rapid Transit(Brt) Semarang. J Kesehat Masy. 2019;7(3):140–
  23. Zhou J, Lei R, Xu J, Peng L, Ye X, Yang D, et al. The Effects of Short-Term PM2.5 Exposure on
  24. Pulmonary Function among Children with Asthma—A Panel Study in Shanghai, China. Int J Environ Res
  25. Public Health. 2022;19(18).
  26. Qian L, Mehrabi Nasab E, Athari SM, Athari SS. Mitochondria Signaling Pathways in Allergic Asthma. J
  27. Investig Med. 2022;70(4):863–82.
  28. Momtazmanesh S, Moghaddam SS, Ghamari SH, Rad EM, Rezaei N, Shobeiri P, et al. Global burden of
  29. chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease
  30. Study 2019. eClinicalMedicine. 2023;59(10).
  31. Nurmatov UB, Tagiyeva N, Semple S, Devereux G, Sheikh A. Volatile Organic Compounds and Risk of
  32. Asthma and Allergy: A Systematic Review. Eur Respir Rev. 2015;24(135):92–101.
  33. Kurniawati AD. Dengan Kejadian Serangan Asma Anak Di Kota Semarang 2005 Program Pascasarjana
  34. Universitas Diponegoro Semarang. 2006;
  35. Gostner JM, Zeisler J, Alam MT, Gruber P, Fuchs D, Becker K, et al. Cellular reactions to long-term
  36. volatile organic compound (VOC) exposures. Sci Rep [Internet]. 2016;6(December 2016):1–14. Available
  37. from: http://dx.doi.org/10.1038/srep37842
  38. Kwon JW, Park HW, Kim WJ, Kim MG, Lee SJ. Exposure To Volatile Organic Compounds And Airway
  39. Inflammation. Environ Heal A Glob Access Sci Source. 2018;17(1):1–8.
  40. Kahar K, Karmini M, Kamaludin A. Ekstrak Lidah Mertua (Sansevieria sp.) Efektif dalam Mereduksi
  41. Volatile Organic Compound (VOC)-Benzena Dalam Ruang. J Kesehat Lingkung J dan Apl Tek Kesehat
  42. Lingkung. 2022;19(1):1–6.
  43. Zhong L, Su FC, Batterman S. Volatile Organic Compounds (VOCs) in Conventional and High
  44. Performance School Buildings in the U.S. Int J Environ Res Public Health. 2017;14(1).
  45. Zauli-Sajani S, Marchesi S, Boselli G, Broglia E, Angella A, Maestri E, et al. Effectiveness of a Protocol to
  46. Reduce Children’s Exposure to Particulate Matter and NO2 in Schools during Alert Days. Int J Environ Res
  47. Public Health. 2022;19(17).
  48. Lim CL. Fundamental concepts of human thermoregulation and adaptation to heat: A review in the context
  49. of global warming. Int J Environ Res Public Health. 2020;17(21):1–33.
  50. Chipps BE, Soong W, Panettieri RA, Carr W, Gandhi H, Zhou W, et al. Number of patient-reported asthma
  51. triggers predicts uncontrolled disease among specialist-treated patients with severe asthma. Ann Allergy,
  52. Asthma Immunol. 2023;130(6):784-790.e5.
  53. Wei Y, Dong Z, Fan W, Xu K, Tang S, Wang Y, et al. A narrative review on the role of temperature and
  54. humidity in COVID-19: Transmission, persistence, and epidemiological evidence. Eco-Environment Heal.
  55. ;1(2):73–85.
  56. Fan Y, Wang J, Obradovich N, Zheng S. Intraday adaptation to extreme temperatures in outdoor activity.
  57. Sci Rep. 2023;13(1):1–11.
  58. He L, Evans S, Norris C, Barkjohn K, Cui X, Li Z, et al. Associations between personal apparent
  59. temperature exposures and asthma symptoms in children with asthma. PLoS One [Internet]. 2023;18(11
  60. November):1–14. Available from: http://dx.doi.org/10.1371/journal.pone.0293603
  61. Yaneva M, Darlenski R. The link between atopic dermatitis and asthma- immunological imbalance and
  62. beyond. Asthma Res Pract. 2021;7(1):1–8.
  63. Chu DK, Schneider L, Asiniwasis RN, Boguniewicz M, De Benedetto A, Ellison K, et al. Atopic dermatitis
  64. (eczema) guidelines: 2023 American Academy of Allergy, Asthma and Immunology/American College of
  65. Allergy, Asthma and Immunology Joint Task Force on Practice Parameters GRADE– and Institute of
  66. Medicine–based recommendations. Ann Allergy, Asthma Immunol [Internet]. 2024;132(3):274–312.
  67. Available from: https://doi.org/10.1016/j.anai.2023.11.009
  68. Venter C, Palumbo MP, Sauder KA, Glueck DH, Liu AH, Yang I V., et al. Incidence and timing of
  69. offspring asthma, wheeze, allergic rhinitis, atopic dermatitis, and food allergy and association with maternal
  70. history of asthma and allergic rhinitis. World Allergy Organ J. 2021;14(3):100526.
  71. O’Connor C, Livingstone V, Hourihane JOB, Irvine AD, Boylan G, Murray D. Parental atopy and risk of
  72. atopic dermatitis in the first two years of life in the BASELINE birth cohort study. Pediatr Dermatol.
  73. ;39(6):896–902.
  74. Kansen HM, Le TM, Uiterwaal CSPM, van Ewijk BE, Balemans WAF, Gorissen DMW, et al. Prevalence
  75. and predictors of uncontrolled asthma in children referred for asthma and other atopic diseases. J Asthma
  76. Allergy. 2020;13:67–75.
Published
2024-08-12
How to Cite
Pradnyana Putra, I. D. G. D., Megara Maritza Tabina, & Winarko. (2024). The Relationship Between PM2.5 and Indoor TVOCs Exposure, Physical Environmental Factors, and Atopy History and allergic Asthma Complaints in 13-14 Years old Children at a Full-Day School in Surabaya. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(8), 2098-2108. https://doi.org/10.56338/mppki.v7i8.5537
Section
Research Article