Skip to main content
Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1987 Nov;80(11):683–688. doi: 10.1177/014107688708001108

Passive smoking, potential atopy and asthma in the first five years.

C R Kershaw 1
PMCID: PMC1291088  PMID: 3694614

Abstract

Evidence of prolonged exposure to cigarette smoke was sought in a group of 86 children aged five years and under with moderately severe asthma, and in 1199 infants from a mixed background population of Armed Service and civilian families. Asthmatics with a normal serum IgE (less than +1 s.d. for age) made up almost half of the cases and, compared with those with an elevated serum IgE (+1 s.d. for age or more), a greater proportion were male, had experienced prolonged exposure to cigarette smoke, were from Service families and already had fixed chest deformity. It is suggested that, in addition to facilitating the expression of asthma in young potential atopics, passive smoking may be an important contributory cause of the more severe disease reported in the so-called 'intrinsic' group. Perhaps the burden of illness and the extent of exposure noted in this survey will prompt renewed efforts to be made to discourage smoking in families, particularly two years before and for at least five years after the birth of a child.

Full text

PDF
683

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Carson J. L., Collier A. M., Hu S. S. Acquired ciliary defects in nasal epithelium of children with acute viral upper respiratory infections. N Engl J Med. 1985 Feb 21;312(8):463–468. doi: 10.1056/NEJM198502213120802. [DOI] [PubMed] [Google Scholar]
  2. Colley J. R., Holland W. W., Corkhill R. T. Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet. 1974 Nov 2;2(7888):1031–1034. doi: 10.1016/s0140-6736(74)92148-5. [DOI] [PubMed] [Google Scholar]
  3. Conway S. P., Littlewood J. M. Admission to hospital with asthma. Arch Dis Child. 1985 Jul;60(7):636–639. doi: 10.1136/adc.60.7.636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ekwo E. E., Weinberger M. M., Lachenbruch P. A., Huntley W. H. Relationship of parental smoking and gas cooking to respiratory disease in children. Chest. 1983 Dec;84(6):662–668. doi: 10.1378/chest.84.6.662. [DOI] [PubMed] [Google Scholar]
  5. Fergusson D. M., Horwood L. J., Shannon F. T. Parental smoking and respiratory illness in infancy. Arch Dis Child. 1980 May;55(5):358–361. doi: 10.1136/adc.55.5.358. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Godfrey S. What is asthma? Arch Dis Child. 1985 Nov;60(11):997–1000. doi: 10.1136/adc.60.11.997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hart J. T. Wheezing in young children: problems of measurement and management. J R Coll Gen Pract. 1986 Feb;36(283):78–81. [PMC free article] [PubMed] [Google Scholar]
  8. Hide D. W., Guyer B. M. Clinical manifestations of allergy related to breast- and cow's milk-feeding. Pediatrics. 1985 Dec;76(6):973–975. [PubMed] [Google Scholar]
  9. Horwood L. J., Fergusson D. M., Shannon F. T. Social and familial factors in the development of early childhood asthma. Pediatrics. 1985 May;75(5):859–868. [PubMed] [Google Scholar]
  10. Jarvis M. J., Russell M. A., Feyerabend C., Eiser J. R., Morgan M., Gammage P., Gray E. M. Passive exposure to tobacco smoke: saliva cotinine concentrations in a representative population sample of non-smoking schoolchildren. Br Med J (Clin Res Ed) 1985 Oct 5;291(6500):927–929. doi: 10.1136/bmj.291.6500.927. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kjellman N. I. Atopic disease in seven-year-old children. Incidence in relation to family history. Acta Paediatr Scand. 1977 Jul;66(4):465–471. doi: 10.1111/j.1651-2227.1977.tb07928.x. [DOI] [PubMed] [Google Scholar]
  12. Kjellman N. I. Effect of parental smoking on IgE levels in children. Lancet. 1981 May 2;1(8227):993–994. doi: 10.1016/s0140-6736(81)91749-9. [DOI] [PubMed] [Google Scholar]
  13. Kjellman N. I. Predictive value of high IgE levels in children. Acta Paediatr Scand. 1976 Jul;65(4):465–471. doi: 10.1111/j.1651-2227.1976.tb04915.x. [DOI] [PubMed] [Google Scholar]
  14. Levy M., Bell L. General practice audit of asthma in childhood. Br Med J (Clin Res Ed) 1984 Oct 27;289(6452):1115–1116. doi: 10.1136/bmj.289.6452.1115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Mok J. Y., Simpson H. Symptoms, atopy, and bronchial reactivity after lower respiratory infection in infancy. Arch Dis Child. 1984 Apr;59(4):299–305. doi: 10.1136/adc.59.4.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Nicoll A. Contraindications to whooping-cough immunisation--myths or realities? Lancet. 1985 Mar 23;1(8430):679–681. doi: 10.1016/s0140-6736(85)91337-6. [DOI] [PubMed] [Google Scholar]
  17. Pedreira F. A., Guandolo V. L., Feroli E. J., Mella G. W., Weiss I. P. Involuntary smoking and incidence of respiratory illness during the first year of life. Pediatrics. 1985 Mar;75(3):594–597. [PubMed] [Google Scholar]
  18. Pengelly L. D., Kerigan A. T., Goldsmith C. H., Inman E. M. The Hamilton study: distribution of factors confounding the relationship between air quality and respiratory health. J Air Pollut Control Assoc. 1984 Oct;34(10):1039–1043. doi: 10.1080/00022470.1984.10465852. [DOI] [PubMed] [Google Scholar]
  19. Powell J., Machin D., Kershaw C. R. Unexpected sudden infant deaths in Gosport--some comparisons between service and civilian families. J R Nav Med Serv. 1983 Winter;69(3):141–150. [PubMed] [Google Scholar]
  20. Pullan C. R., Toms G. L., Martin A. J., Gardner P. S., Webb J. K., Appleton D. R. Breast-feeding and respiratory syncytial virus infection. Br Med J. 1980 Oct 18;281(6247):1034–1036. doi: 10.1136/bmj.281.6247.1034. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Rowntree S., Cogswell J. J., Platts-Mills T. A., Mitchell E. B. Development of IgE and IgG antibodies to food and inhalant allergens in children at risk of allergic disease. Arch Dis Child. 1985 Aug;60(8):727–735. doi: 10.1136/adc.60.8.727. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Smith N., Austen J., Rolles C. J. Tertiary smoking by the fetus. Lancet. 1982 May 29;1(8283):1252–1253. doi: 10.1016/s0140-6736(82)92382-0. [DOI] [PubMed] [Google Scholar]
  23. Soul J. O. Smoking cessation: experience at sea using nicotine chewing gum and including a period of active service. J R Nav Med Serv. 1984 Summer;70(2):91–93. [PubMed] [Google Scholar]
  24. Tager I. B., Weiss S. T., Muñoz A., Rosner B., Speizer F. E. Longitudinal study of the effects of maternal smoking on pulmonary function in children. N Engl J Med. 1983 Sep 22;309(12):699–703. doi: 10.1056/NEJM198309223091204. [DOI] [PubMed] [Google Scholar]
  25. Tashkin D. P., Clark V. A., Simmons M., Reems C., Coulson A. H., Bourque L. B., Sayre J. W., Detels R., Rokaw S. The UCLA population studies of chronic obstructive respiratory disease. VII. Relationship between parental smoking and children's lung function. Am Rev Respir Dis. 1984 Jun;129(6):891–897. doi: 10.1164/arrd.1984.129.6.891. [DOI] [PubMed] [Google Scholar]
  26. Verity C. M., Vanheule B., Carswell F., Hughes A. O. Bronchial lability and skin reactivity in siblings of asthmatic children. Arch Dis Child. 1984 Sep;59(9):871–876. doi: 10.1136/adc.59.9.871. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Webb M. S., Henry R. L., Milner A. D., Stokes G. M., Swarbrick A. S. Continuing respiratory problems three and a half years after acute viral bronchiolitis. Arch Dis Child. 1985 Nov;60(11):1064–1067. doi: 10.1136/adc.60.11.1064. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press

RESOURCES