A positive effect of a short period stay in Alpine environment on lung function in asthmatic children

Aerobiology in alpine environments: Exploring pollen biodiversity and its impacts on human health

This review summarizes methods and relevant outcomes of aerobiological studies carried out in the alpine biome worldwide impacting the knowledge on the occurrence of airborne pollen and their origin, for biodiversity studies, models of transport, forecasts, and climate change scenarios, for the reconstruction of past vegetation, and the potential impacts on human health. Deposition sampling is the method of choice, while volumetric sampling is mostly performed in densely populated mountain ranges. Conventional microscopic identification of pollen of alpine environments is rarely complemented or replaced by molecular methods. The pollen bioaerosol mirrors the surrounding vegetation but includes components from medium and distant source locations. However, there is no uniform understanding on the definition of source-scales - crucial for the interpretation of the bioaerosol constituents - to which we propose an answer. Alpine habitats, with their cold-adapted plant communities, may react to increasing temperatures with shifts in their range. The potential of using pollen as a proxy to monitor such changes in alpine biomes has been exploited in paleoecology but rarely in aerobiology. Health impacts are linked to the low allergen load in the bioaerosol and the overall effect of the alpine climate in a highly natural environment. Generally, the soothing effect is reported for respiratory allergy patients, which may be jeopardized by seasonality and allergens transported from outside. The complex topography of mountain ranges does not allow for general assumptions on the quality and quantity of bioaerosol in alpine environments. We emphasize the importance of monitoring the bioaerosol in alpine environments to evaluate the effects of global change, and to optimize the management of respiratory health issues.

Association between individual sensor behavior of an electronic nose and airways inflammation in children with asthma: a pilot study at alpine altitude climate

BACKGROUND

Markers of airway inflammation can be helpful in the management of childhood asthma. Residential activities, such as intensive asthma camps at alpine altitude climate (AAC), can help reduce bronchial inflammation in patients who fail to achieve optimal control of the disease. Analysis of volatile organic compounds (VOCs) can be obtained using electronic devices such as e-Noses. We aimed to identify alterations in urinary e-Nose sensors among children with asthma participating in an intensive camp at AAC and to investigate associations between urinary e-Nose analysis and airway inflammation.

METHODS

We analyzed data collected in children with asthma recruited between July and September 2020. All children were born and resided at altitudes below 600 m asl. Urinary VOCs (measured using the Cyranose 320® VOC analyzer), Fractional exhaled Nitric Oxide (FeNO) and spirometry were evaluated upon children's arrival at the Istituto Pio XII, Misurina (BL), Italy, at 1756 m asl (T0), and after 7 (T1) and 15 days (T2) of stay.

RESULTS

Twenty-two patients (68.2% males; median age: 14.5 years) were enrolled. From T0 to T1 and T2, the negative trend for FeNO was significant (p < .001). Significant associations were observed between e-Nose sensors S7 (p = .002), S12 (p = .013), S16 (p = .027), S17 (p = .017), S22 (p = .029), S29 (p = .021), S31 (p = .009) and ΔFeNO at T0-T1. ΔFeNO at T0-T2 was significantly associated with S17 (p = .015), S19 (p = .004), S21 (p = .020), S24 (p = .012), S25 (p = .018), S26 (p = .008), S27 (p = .002), S29 (p = .007), S30 (p = .013).

CONCLUSIONS

We showed that a decrease in FeNO levels after a short sojourn at AAC is associated with behaviors of individual urinary e-Nose sensors in children with asthma.

Pediatric asthma and altitude: a complex interplay between different environmental factors

Asthma is one of the most common non-communicable diseases, and its prevalence and morbidity are influenced by a wide array of factors that are only partially understood. In addition to individual predisposition linked to genetic background and early life infections, environmental factors are crucial in determining the impact of asthma both on an individual patient and on a population level.Several studies have examined the role of the environment where asthmatic subjects live in the pathogenesis of asthma. This review aims to investigate the differences in the prevalence and characteristics of asthma between the pediatric population residing at higher altitudes and children living at lower altitudes, trying to define factors that potentially determine such differences. For this purpose, we reviewed articles from the literature concerning observational studies assessing the prevalence of pediatric asthma in these populations and its characteristics, such as spirometric and laboratory parameters and associated sensitization to aeroallergens.Despite the heterogeneity of the environments examined, the hypothesis of a beneficial effect of residing at a higher altitude on the prevalence of pediatric asthma could be confirmed, as well as a good profile on airway inflammation in asthmatic children. However, the possibility of a higher hospitalization risk for asthma in children living at higher altitudes was demonstrated. Moreover, a positive association between residing at a higher altitude and sensitization to pollens and between lower altitude and sensitization to house dust mites could be confirmed in some pediatric patients, even if the results are not homogeneous, probably due to the different geographical and climatic regions considered. Nonetheless, further studies, e.g., extensive and international works, need to be conducted to better understand the complex interplay between different environmental factors, such as altitude, and the pathogenesis of asthma and how its prevalence and characteristics could vary due to climate change.