Exposure evaluation and risk assessment of polybrominated diphenyl ethers in dust from microenvironments in Nsukka, Nigeria

The health risks of polybrominated diphenyl ethers (PBDEs) to toddlers, children, and adults in creches, nursery schools, cars, and offices in Nsukka, Nigeria, via inhalation, ingestion, and dermal exposure pathways were evaluated. Eight PBDEs congeners (BDE-28, BDE-47, BDE-100, BDE-99, BDE-154, BDE-153, BDE-183, and BDE-209) were determined using gas chromatography-mass spectrometry. This is the first study on PBDEs in creches and nursery schools in Africa. The mean (median) ∑8PBDEs (ng/g) in creches, nursery schools, offices, and cars were 4355 (1850), 2095 (1130), and 37741 (2620) respectively. The concentrations of PBDEs between the three microenvironments were significantly different (p ˂ 0.05), and the highest concentration was found in cars. Ingestion of dust was the predominant pathway of exposure to PBDEs for toddlers and children, while dermal absorption was the dominant pathway for adults. Dermal absorption and ingestion in cars, creches, and nursery schools were of the same magnitude. Toddlers with the highest ingestion rate of PBDEs in creches, nursery schools, and cars are at risk especially from prolonged exposure.

Day care attendance during the first 12 months of life and occurrence of infectious morbidities and symptoms

OBJECTIVE

To investigate the occurrence of infectious morbidities according to day care attendance during the first year of life.

METHODS

This was a cross-sectional analysis of data from the 12-month follow-up of a medium-sized city birth cohort from children born in 2015, in the Southern Brazil. Main exposure variables were day care attendance from 0 to 11 months of age, type of day care center (public or private), and age at entering day care. Health outcomes were classified as follows: "non-specific respiratory symptoms," "upper respiratory tract infection," "lower respiratory tract infection," "flu/cold," "diarrhea," or "no health problem," considering the two weeks prior to the interview administered at 12 months of life. Associations were assessed using Poisson regression adjusted by demographic, behavioral, and socioeconomic variables.

RESULTS

The sample included 4018 children. Day care attendance was associated with all classifications of health outcomes mentioned above, except for flu/cold. These were stronger among children who entered day care at an age closer to the outcome time-point. An example are the results for lower respiratory tract infection and diarrhea, with adjusted prevalence ratios of 2.79 (95% CI: 1.67-4.64) and 2.04 (95% CI: 1.48-2.82), respectively, for those who entered day care after 8 months of age when compared with those who never attended day care.

CONCLUSIONS

The present study consistently demonstrated the association between day care attendance and higher occurrence of infectious morbidities and symptoms at 12 months of life. Hence, measures to prevent infectious diseases should give special attention to children attending day care centers.

Impact of extrinsic factors on fine motor performance of children attending day care

OBJECTIVE

To assess the impact of extrinsic factors on fine motor performance of children aged two years old.

METHODS

73 children attending public and 21 private day care centers were assessed. Day care environment was evaluated using the Infant/Toddler Environment Rating Scale - Revised Edition (ITERS-R), fine motor performance was assessed through the Bayley Scales of Infant and Toddler Development - III (BSITD-III), socioeconomic data, maternal education and time of start at the day care were collected through interviews. Spearman's correlation coefficient was calculated to assess the association between the studied variables.

RESULTS

The time at the day care was positively correlated with the children's performance in some fine motor tasks of the BSITD-III, showing that the activities developed in day care centers were important for the refinement of specific motor skills, while the overall fine motor performance by the scale was associated with maternal education and the ITERS-R scale sub-item "language and understanding".

CONCLUSIONS

Extrinsic factors such as higher maternal education and quality of day care centers are associated with fine motor performance in children attending day care.

[Characterization of anthropometric assessment studies of Brazilian children attending daycare centers]

OBJECTIVE

To obatin an overview of available information on the anthropometric assessment of Brazilian children attending daycare centers.

DATA SOURCE

A literature search was carried out in the PubMed, LILACS and SciELO databases of studies published from 1990 to 2013 in Portuguese and English languages. The following search strategy was used: (nutritional status OR anthropometrics OR malnutrition OR overweight) AND daycare centers, as well as the equivalent terms in Portuguese. In the case of MEDLINE search, the descriptor Brazil was also used.

DATA SYNTHESIS

It was verified that the 33 studies included in the review were comparable from a methodological point of view. The studies, in general, were characterized by their restrictive nature, geographical concentration and dispersion of results in relation to time. Considering the studies published from 2010 onwards, low prevalence of acute malnutrition and significant rates of stunting and overweight were observed.

CONCLUSIONS

Despite the limitations, considering the most recent studies that used the WHO growth curves (2006), it is suggested that the anthropometric profile of Brazilian children attending daycare centers is characterized by a nutritional transition process, with significant prevalence of overweight and short stature. We emphasize the need to develop a multicenter survey that will more accurately define the current anthropometric nutritional status of Brazilian children attending daycare centers.

Impact of extrinsic factors on fine motor performance of children attending day care

OBJECTIVE

To assess the impact of extrinsic factors on fine motor performance of children aged two years old.

METHODS

73 children attending public and 21 private day care centers were assessed. Day care environment was evaluated using the Infant/Toddler Environment Rating Scale - Revised Edition (ITERS-R), fine motor performance was assessed through the Bayley Scales of Infant and Toddler Development - III (BSITD-III), socioeconomic data, maternal education and time of start at the day care were collected through interviews. Spearman's correlation coefficient was calculated to assess the association between the studied variables.

RESULTS

The time at the day care was positively correlated with the children's performance in some fine motor tasks of the BSITD-III, showing that the activities developed in day care centers were important for the refinement of specific motor skills, while the overall fine motor performance by the scale was associated with maternal education and the ITERS-R scale sub-item "language and understanding".

CONCLUSIONS

Extrinsic factors such as higher maternal education and quality of day care centers are associated with fine motor performance in children attending day care.

[Introduction of soft drinks and processed juice in the diet of infants attending public day care centers]

OBJECTIVE

Identifying at what age infants enrolled in public day care centers are introduced to soft drinks and industrialized juice, as well as comparing the nutritional composition of these goods with natural fruit juice.

METHODS

A cross-sectional study with the mothers of 636 children (aged 0 to 36 months) from nurseries of day care centers, who were asked questions about the age of feeding introduction. This study evaluated the proximate composition of soft drinks and artificial juice, comparing them with those of natural fruit juice regarding energy, sugar, fiber, vitamin C, and sodium values. The chemical composition of fruit juice was obtained by consulting the Table of Food Composition and, for industrialized drinks, the average nutritional information on the labels of the five most consumed product brands.

RESULTS

The artificial drinks were consumed before the first year of life by more than half of the children studied, however, approximately 10% consumed them before the age of 6 months. With regard to the comparison among the drinks, artificial fruit juice beverages and soft drinks proved to contain from nine to 13 times higher amounts of sodium, and 15 times less vitamin C than natural juices.

CONCLUSIONS

The introduction of soft drinks and industrialized juice in the diet of infants was inopportune and premature. When compared to natural fruit juice, these have inferior nutritional composition, which suggests the urgent need for measures based on strategies for food and nutrition education in order to promote awareness and the maintenance of healthy eating habits.

Environment and Health in Children Day Care Centres (ENVIRH) - Study rationale and protocol

BACKGROUND

Indoor air quality (IAQ) is considered an important determinant of human health. The association between exposure to volatile organic compounds, particulate matter, house dust mite, molds and bacteria in day care centers (DCC) is not completely clear. The aim of this project was to study these effects.

METHODS - STUDY DESIGN

This study comprised two phases. Phase I included an evaluation of 45 DCCs (25 from Lisbon and 20 from Oporto, targeting 5161 children). In this phase, building characteristics, indoor CO2 and air temperature/relative humidity, were assessed. A children's respiratory health questionnaire derived from the ISAAC (International Study on Asthma and Allergies in Children) was also distributed. Phase II encompassed two evaluations and included 20 DCCs selected from phase I after a cluster analysis (11 from Lisbon and 9 from Oporto, targeting 2287 children). In this phase, data on ventilation, IAQ, thermal comfort parameters, respiratory and allergic health, airway inflammation biomarkers, respiratory virus infection patterns and parental and child stress were collected.

RESULTS

In Phase I, building characteristics, occupant behavior and ventilation surrogates were collected from all DCCs. The response rate of the questionnaire was 61.7% (3186 children). Phase II included 1221 children. Association results between DCC characteristics, IAQ and health outcomes will be provided in order to support recommendations on IAQ and children's health. A building ventilation model will also be developed.

DISCUSSION

This paper outlines methods that might be implemented by other investigators conducting studies on the association between respiratory health and indoor air quality at DCC.