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The Impact of Secondhand Smoke Exposure on Children with Cystic Fibrosis: A Review

Author

Listed:
  • Benjamin T. Kopp

    (Section of Pediatric Pulmonology, Nationwide Children’s Hospital, Columbus, OH 43205, USA
    Center for Microbial Pathogenesis, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Juan Antonio Ortega-García

    (Paediatric Environmental Health Specialty Unit, Department of Pediatrics, Clinical University Hospital Virgen of Arrixaca, Murcia 30120, Spain)

  • S. Christy Sadreameli

    (Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins School of Medicine, Baltimore, MD 20205, USA)

  • Jack Wellmerling

    (Department of Veterinary Biosciences, The Ohio State University, Columbus, OH 43210, USA)

  • Estelle Cormet-Boyaka

    (Department of Veterinary Biosciences, The Ohio State University, Columbus, OH 43210, USA)

  • Rohan Thompson

    (Section of Pediatric Pulmonology, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

  • Sharon McGrath-Morrow

    (Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins School of Medicine, Baltimore, MD 20205, USA)

  • Judith A. Groner

    (Section of Ambulatory Pediatrics, Nationwide Children’s Hospital, Columbus, OH 43205, USA)

Abstract

Secondhand smoke exposure (SHSe) has multiple adverse effects on lung function and growth, nutrition, and immune function in children; it is increasingly being recognized as an important modifier of disease severity for children with chronic diseases such as cystic fibrosis (CF). This review examines what is known regarding the prevalence of SHSe in CF, with the majority of reviewed studies utilizing parental-reporting of SHSe without an objective biomarker of exposure. A wide range of SHSe is reported in children with CF, but under-reporting is common in studies involving both reported and measured SHSe. Additionally, the impact of SHSe on respiratory and nutritional health is discussed, with potential decreases in long-term lung function, linear growth, and weight gain noted in CF children with SHSe. Immunologic function in children with CF and SHSe remains unknown. The impact of SHSe on cystic fibrosis transmembrane conductance regulator (CFTR) function is also examined, as reduced CFTR function may be a pathophysiologic consequence of SHSe in CF and could modulate therapeutic interventions. Finally, potential interventions for ongoing SHSe are delineated along with recommended future areas of study.

Suggested Citation

  • Benjamin T. Kopp & Juan Antonio Ortega-García & S. Christy Sadreameli & Jack Wellmerling & Estelle Cormet-Boyaka & Rohan Thompson & Sharon McGrath-Morrow & Judith A. Groner, 2016. "The Impact of Secondhand Smoke Exposure on Children with Cystic Fibrosis: A Review," IJERPH, MDPI, vol. 13(10), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:1003-:d:80359
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    References listed on IDEAS

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    1. Yvette Weinrauch & Doreen Drujan & Steven D. Shapiro & Jerrold Weiss & Arturo Zychlinsky, 2002. "Neutrophil elastase targets virulence factors of enterobacteria," Nature, Nature, vol. 417(6884), pages 91-94, May.
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    Cited by:

    1. Jiyeon Yang & Shervin Hashemi & Wonseok Han & Yoojin Song & Youngwook Lim, 2022. "Exposure and Risk Assessment of Second- and Third-Hand Tobacco Smoke Using Urinary Cotinine Levels in South Korea," IJERPH, MDPI, vol. 19(6), pages 1-19, March.
    2. Lucy Allen & Lorna Allen & Siobhan B. Carr & Gwyneth Davies & Damian Downey & Marie Egan & Julian T. Forton & Robert Gray & Charles Haworth & Alexander Horsley & Alan R. Smyth & Kevin W. Southern & Ja, 2023. "Future therapies for cystic fibrosis," Nature Communications, Nature, vol. 14(1), pages 1-13, December.

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