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- W3172432018 abstract "Background/AimThe association between specific microbial agents such as mold within the indoor environment and adverse respiratory outcome among children under-five years of age has been widely reported but none have investigated the risk of exposure to the microbiome within the indoor environment. The aim of this review is to summarize published association between exposure to the microbiome within the indoor environment and respiratory endpoints among under-five children (U5-C).MethodsElectronic scientific repositories; PUBMED, WEB OF SCIENCE, GREENFILE, EMBASE and Cochrane library were searched and screened through January 2020 for published reports for inclusion in the meta-analysis. Studies were eligible for inclusion if it reported an adjusted measure of risk for any of the respiratory outcomes associated with exposure to indoor microbiome, including the relative risk (RR) or odds ratio (OR) and CI. The pooled effective estimates was computed using inverse of variance method for weighting. Sensitivity analysis was used to evaluate the potential effect of individual studies on the overall estimates, while heterogeneity was evaluated by I2 statistics using RevMan 5.3.ResultsFifteen studies were eligible for inclusion in our meta-analysis. Exposure to a higher concentration of indoor microbiome was associated with an increased risk of wheeze [1.20 (1.03, 1.41), P < 0.02,I2 = 76%], allergic rhinitis [1.25 (1.02, 1.54), P = 0.03,I2 = 65%] and acute respiratory infections [1.35 (1.12, 1.62), P = 0.002,I2 = 59%] among under-five children. The risk was stronger with exposure to fungi/molds [1.42 (1.27, 1.59), P < 0.00001;I2 = 31%] than endotoxins [1.09 (0.93, 1.29), P = 0.29;I2 = 72%].ConclusionsThe pooled effect estimate indicates an increased risk of adverse respiratory outcomes among U-5C. Therefore, interventions addressing exposure to microbiome within the indoor environment should be considered in the management of respiratory outcomes among under-five children." @default.
- W3172432018 created "2021-06-22" @default.
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- W3172432018 date "2020-10-26" @default.
- W3172432018 modified "2023-09-28" @default.
- W3172432018 title "Respiratory health effect of exposure to Indoor Microbiome on children under-five: a meta-analysis" @default.
- W3172432018 doi "https://doi.org/10.1289/isee.2020.virtual.p-0272" @default.
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