Asthma Clinical Trial
Official title:
Impact of Environmental Tobacco Smoke on Exhaled Nitric Oxide and on Biomarkers of Nasal Inflammation in Atopic Asthmatic Children
The allergic respiratory diseases such as asthma or allergic rhinitis are the main chronic
diseases in children. The airway inflammation plays an important role in their
pathophysiology. Several epidemiological studies show that environmental tobacco smoke (ETS)
exacerbates the symptoms of asthma and allergies.
The aim of this study is to assess the impact of environmental tobacco smoke on the
measurement of exhaled nitric oxide (eNO) and biomarkers of nasal inflammation in atopic
asthmatic children.
Type of study :
This study is a epidemiological observation study type exposed or unexposed to environmental
tobacco smoke.
Methods :
The eNO is determined by a method On-line, at a rate expiratory 50 mL / s, using a
chemiluminescence NO analyzer, before the allergy assessment (skin tests and assay of serum
total and specific IgE ) and measurement of lung function (spirometry). Nasal lavage is
performed by using a validated technique . Cells are counted and differentiated after Giemsa
staining. We measured 1-anti-trypsin, neutrophil elastase, albumin, urea, IL4 , IL6, IL8 and
IL13. Exposure to ETS is assessed by questionnaire to the parents. Statistical analysis
include a narrative strand to verify the normality of distribution and an analytical
analysis, including a bivariate followed by a multivariate analysis by multiple linear
regression and / or logistic regression to model concentrations of biomarkers of
inflammation and adjustment variables such as age, sex, atopic status, eosinophilia and
severity of asthma.
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Observational Model: Cohort, Time Perspective: Prospective
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