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Association between PM10 exposure and sleep of Egyptian school children

Abstract

Purpose

This study aims to investigate the potential association between exposure to particulate matter with an aerodynamic diameter <10 μm (PM10) and sleep disturbances among Egyptian school children.

Methods

In this cross-sectional study, parents of school children from four elementary schools in areas with different PM10 exposures filled out the Sleep Disturbance Scale for Children questionnaire in Arabic. Air pollution data were obtained from the Egyptian Environmental Affairs Agency.

Results

The sample consisted of 276 children, 121 (44 %) of them were boys with a mean age of 9.26 ± 1.96 years. Disorders of initiating and maintaining sleep (DIMS), disorders of excessive somnolence, and the total score were reported in the clinical range (T score > 70) in 19.9, 24.3, and 24.3 % of the sample, respectively. A generalized additive model with adjustment for potential confounding factors was used to examine the association between PM10 exposure and sleep disturbances. There were statistically significant associations between PM10 exposure and DIMS and sleep hyperhidrosis (P < 0.05).

Conclusions

Air pollution exposure has a negative impact on children’s sleep with significant association between exposure to PM10 and sleep disturbances.

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References

  1. 1.

    World Health Organization (2006) WHO Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide. Global Update 2005. Available at http://whqlibdoc.who.int/hq/2006/WHO_SDE_PHE_OEH_06.02_eng.pdf. Accessed 7 May 2011

  2. 2.

    Weinmayr G, Romeo E, De Sario M, Weiland SK, Forastiere F (2010) Short-term effects of PM10 and NO2 on respiratory health among children with asthma or asthma-like symptoms: a systematic review and meta-analysis. Environ Health Perspect 118:449–457

  3. 3.

    Moshammer H, Hutter HP, Hauck H, Neuberger M (2006) Low levels of air pollution induce changes of lung function in a panel of schoolchildren. Eur Respir J 27:1138–1143

  4. 4.

    Linares B, Guizar JM, Amador N, Garcia A, Miranda V, Perez JR, Chapela R (2010) Impact of air pollution on pulmonary function and respiratory symptoms in children. Longitudinal repeated-measures study. BMC Pulm Med 10:62

  5. 5.

    Simkhovich BZ, Kleinman MT, Kloner RA (2008) Air pollution and cardiovascular injury epidemiology, toxicology, and mechanisms. J Am Coll Cardiol 52:719–726

  6. 6.

    Orazzo F, Nespoli L, Ito K, Tassinari D, Giardina D, Funis M, Cecchi A, Trapani C, Forgeschi G, Vignini M, Nosetti L, Pigna S, Zanobetti A (2009) Air pollution, aeroallergens, and emergency room visits for acute respiratory diseases and gastroenteric disorders among young children in six Italian cities. Environ Health Perspect 117:1780–1785

  7. 7.

    Zanobetti A, Redline S, Schwartz J, Rosen D, Patel S, O’Connor GT, Lebowitz M, Coull BA, Gold DR (2010) Associations of PM10 with sleep and sleep-disordered breathing in adults from seven U.S. urban areas. Am J Respir Crit Care Med 182:819–825

  8. 8.

    Salvi S (2007) Health effects of ambient air pollution in children. Paediatr Respir Rev 8:275–280

  9. 9.

    Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, Giannotti F (1996) The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res 5:251–261

  10. 10.

    Abou-Khadra MK (2009) Sleep patterns and sleep problems among Egyptian school children living in urban, suburban, and rural areas. Sleep Biol Rhythms 7:84–92

  11. 11.

    Zhang JJ, Hu W, Wei F, Wu G, Korn LR, Chapman RS (2002) Children’s respiratory morbidity prevalence in relation to air pollution in four Chinese cities. Environ Health Perspect 110:961–967

  12. 12.

    Hwang BF, Lee YL, Lin YC, Jaakkola JJ, Guo YL (2005) Traffic related air pollution as a determinant of asthma among Taiwanese school children. Thorax 60:467–473

  13. 13.

    Latzin P, Röösli M, Huss A, Kuehni CE, Frey U (2009) Air pollution during pregnancy and lung function in newborns: a birth cohort study. Eur Respir J 33:594–603

  14. 14.

    Block ML, Calderón-Garcidueñas L (2009) Air pollution: mechanisms of neuroinflammation and CNS disease. Trends Neurosci 32:506–516

  15. 15.

    Calderón-Garcidueñas L, Franco-Lira M, Torres-Jardón R, Henriquez-Roldán C, Barragán-Mejía G, Valencia-Salazar G, González-Maciel A, Reynoso-Robles R, Villarreal-Calderón R, Reed W (2007) Pediatric respiratory and systemic effects of chronic air pollution exposure: nose, lung, heart, and brain pathology. Toxicol Pathol 35:154–162

  16. 16.

    Wang S, Zhang J, Zeng X, Zeng Y, Wang S, Chen S (2009) Association of traffic-related air pollution with children’s neurobehavioral functions in Quanzhou, China. Environ Health Perspect 117:1612–1618

  17. 17.

    Freire C, Ramos R, Puertas R, Lopez-Espinosa MJ, Julvez J, Aguilera I, Cruz F, Fernandez MF, Sunyer J, Olea N (2010) Association of traffic-related air pollution with cognitive development in children. J Epidemiol Community Health 64:223–228

  18. 18.

    Siddique S, Banerjee M, Ray MR, Lahiri T (2011) Attention-deficit hyperactivity disorder in children chronically exposed to high level of vehicular pollution. Eur J Pediatr 170:923–929

  19. 19.

    Guxens M, Sunyer J (2012) A review of epidemiological studies on neuropsychological effects of air pollution. Swiss Med Wkly 141:w13322

  20. 20.

    Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A, Kiyama M, Imano H, Ohira T, Sato S, Sankai T, Iso H, Investigators CIRCS (2011) Risk factors for snoring among Japanese men and women: a community-based cross-sectional study. Sleep Breath 15:63–69

  21. 21.

    Johansson A, Ludvigsson J, Hermansson G (2008) Adverse health effects related to tobacco smoke exposure in a cohort of three-year olds. Acta Paediatr 97:354–357

  22. 22.

    Yolton K, Xu Y, Khoury J, Succop P, Lanphear B, Beebe DW, Owens J (2010) Associations between secondhand smoke exposure and sleep patterns in children. Pediatrics 125:e261–e268

  23. 23.

    Eitner S, Urschitz MS, Guenther A, Urschitz-Duprat PM, Bohnhorst B, Schlaud M, Poets CF (2007) Sleep problems and daytime somnolence in a German population-based sample of snoring school-aged children. J Sleep Res 16:96–101

  24. 24.

    Liukkonen K, Virkkula P, Aronen ET, Kirjavainen T, Pitkäranta A (2008) All snoring is not adenoids in young children. Int J Pediatr Otorhinolaryngol 72:879–884

  25. 25.

    Brooks LJ (2005) Obstructive sleep apnea syndrome in infants and children: clinical features and pathophysiology. In: Sheldon SH, Ferber R, Kryger MH (eds) Principles and practice of pediatric sleep medicine. Elsevier Saunders, Philadelphia, pp 223–229

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Acknowledgments

The author would like to thank all the children and parents for their participation in this study and Professor AM Elabbasi of the Institute of Statistical Studies and Research, Cairo University for assisting in the statistical analysis.

Conflict of interest

The author declares that she has no conflict of interest.

Author information

Correspondence to Maha K. Abou-Khadra.

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Cite this article

Abou-Khadra, M.K. Association between PM10 exposure and sleep of Egyptian school children. Sleep Breath 17, 653–657 (2013). https://doi.org/10.1007/s11325-012-0738-7

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Keywords

  • Air pollution
  • Sleep problems