Original Research

Traffic-Related air pollution in triggering asthma attacks in children with pre-existing asthma

Abstract

Introduction: Traffic-Related Air Pollution (TRAP) is currently among the priority environmental issues because of the strong correlation it shares with the occurrence of unwanted respiratory effects, particularly in children.
Air pollution exposure to pollutants such as Nitrogen dioxide (NO₂) and Particulate Matters (PM₂.₅) has been linked to heightened asthmatic attacks. The purpose of this research was to explore the short-term relationship
between the exposure to TRAP and the development of asthma attacks in children, and the necessity for specifically targeted interventions.
Materials and methods: Panel study was done among 150 asthmatic children aged 6-12 years residing in high-traffic urban environments. Levels of TRAP exposure were estimated on a day-to-day basis by implementing a land-use regression model that included traffic density, proximity to major roads, and meteorological conditions. Asthma attacks were documented based on symptoms (wheezing, cough, breathlessness) and relief medication, as per the parents' reporting. Fixed effects Poisson regression was used to estimate pollutant exposure and asthma attack relationships.
Results: Higher exposure to TRAP was strongly linked to asthma attacks. Higher exposure to NO₂ and PM₂.₅ by 10 μg/m³ was linked with 5% and 3% higher asthma attacks, respectively. The results demonstrate the increased
respiratory hazards due to short-term pollution exposure among children.
Conclusion: This research highlights the adverse effect of TRAP on childhood asthma and demands active interventions such as tighter emission controls, urban planning reform, and public education campaigns. Additional studies in mechanisms at the biological level and rigorous policy implementation are needed in an attempt to protect children's respiratory health.

1. Almeida FG, Souza MV, Rocha AL, Oliveira MAB, Silva LF. Early-life exposure to air pollution and risk of childhood asthma: A systematic review and meta-analysis. Environ Res. 2022;204:112082.
2. Clark MT, Hanson RL, Baker LN, Schmidt JF, Patel M. Low-level exposure to traffic-related air pollution and asthma development in children: A systematic review and meta-analysis. Environ Int. 2020;141:105794.
3. Garcia EM, Duarte PR, Lin M, Torres AC. Use of land-use regression models to estimate exposure to traffic-related air pollution in children: A review. Sci Total Environ. 2021;764:142790.
4. Kim HS, Lee JH, Park SY, Choi JH, Kang MG. Impact of short-term exposure to nitrogen dioxide on pediatric asthma exacerbations: A case-crossover study. J Allergy Clin Immunol. 2021;148(5):1419-27.
5. Jones RP, Jones SD. Particulate matter (PM2.5) and asthma: Mechanisms and clinical implications. Respir Med. 2021;185:106503.
6. Zhang L, Chen Y, Zhou Y, Wu H, Li X. Traffic-related air pollution and childhood asthma incidence: A longitudinal cohort study. Environ Health Perspect. 2022;130(3):037006.
7. Wong N, Lee M, Tam R, Chan A. Association between personal NO₂ exposure and asthma severity in urban children: A wearable air sampler study. Environ Pollut. 2022;293:118577.
8. Williams PS, Tran Q, Martin FJ, Patel V. Fine particulate matter (PM2.5) exposure and respiratory morbidity in children: A meta-analysis. Int J Environ Res Public Health. 2022;19(4):2047.
9. Lee K, Hong S, Kim E, Yoon Y. Temporal association of traffic-related air pollution with emergency room visits for asthma in children. Sci Total Environ. 2022;823:153697.
10. Chen JM, Lin YC, Kuo CY, Wang SH. Effects of traffic-related air pollution on airway inflammation and oxidative stress biomarkers in children with asthma. Clin Exp Allergy. 2022;52(1):89–99.
11. Park SH, Kim MK. Short-term exposure to traffic pollutants and pediatric asthma exacerbations: A systematic review. Pediatr Pulmonol. 2022;57(6):1256–64.
12. Hernandez D, Lopez A, Rivera R, Sanchez J. Longitudinal analysis of ambient PM2.5 and asthma outcomes in children from urban areas. J Air Waste Manag Assoc. 2022;72(7):818–29.
13. Martinez TE, Nguyen T, Ochoa R, Green J. The role of NO₂ as a predictor of asthma exacerbations in children living near major roads. Sci Total Environ. 2022;817:151741.
14. Silva FG, Alves MS, Costa JN, Fernandes R. Traffic-related air pollution and risk of asthma in children: A meta-analysis. Sci Total Environ. 2021;755:142564.
15. Johnson MA, Davis C, Lee H, Campbell R. Use of land-use regression models to evaluate short-term exposure to TRAP and childhood asthma. Environ Sci Technol. 2022;56(12):7740–9.
Files
IssueVol 10 No 2 (2025): Spring 2025 QRcode
SectionOriginal Research
Keywords
Traffic-Related air pollution; Asthma; Children; Exacerbations

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Selvaraj M, Sivalingam S, Arulsamy A, Palanivel V, Duraippandi S. Traffic-Related air pollution in triggering asthma attacks in children with pre-existing asthma. JAPH. 2025;10(2):283-290.