Day care center characteristics and children's respiratory health

Day care centers provide an important exposure arena with potential harmful health effects for children. This study has linked health effect data from a survey among 942 3-5-year-old Oslo children with information on day care center characteristics collected during inspection of the 175 day care centers these children attended. The aim of the study was to estimate associations between dampness problems and other building characteristics and several respiratory health outcomes. Dampness problems (sign of molds, water leakage, damage to floor/wall) were observed in 51% of the day care centers. In multiple logistic regression analyses none of the studied symptoms and diseases (nightly cough, blocked or runny nose without common cold, wheeze, heavy breathing or chest tightness, the common cold, tonsillitis/pharyngitis, otitis media, bronchitis, pneumonia, asthma, and allergic rhinitis) were systematically associated with dampness problems or type of ventilation in day care centers. None of the studied indicators of day care center exposures were found to have a clear effect on day care children's respiratory health. Even so this study does not rule out negative health effects of day care center exposures. The study demonstrates that population-based studies of these relations are demanding with regard to assessment of exposure and health outcomes. PRACTICAL IMPLICATIONS: Simple and easy-to-register indicators of exposures like dampness problems and type of ventilation assessed in 175 day care centers were not related to respiratory health among 3-5-year-old Norwegian children attending the day care centers. The study does not rule out negative health effects of day care center exposures, but demonstrates methodological challenges needed to be addressed in studies of health effects of the day care environment.     

Indoor Climate and the Performance of Ventilation in Finnish Residences

The purpose of the study was to gather information about the actual ventilation and indoor air quality and to evaluate the differences between houses and apartments with different ventilation systems. A sample of 242 dwellings in the Helsinki metropolitan area was studied over periods of no weeks during the 1988-1989 heating season. The mean air-exchange rates had a high variation (average 0.52 l/h, range 0.07-1.55 l/h). The ASHRAE minimum value of 0.35 l/h was not achieved in 28% of the dwellings. The air-exchange rates were significantly her in the houses than in the apartments (averages 0.45/0.64 l/h, p < 0.001); in the natural ventilation systems they, were slightly her than in the mechanical systems. The average temperature in the bedrooms was approximately 22 °C (range 18–27 °C), slightly but significantly higher in the apartment than in the houses. The average dust depositions were higher in the balanced ventilation systems than in the other systems. The median radon concentration was 82 Bq/m³ (range 5-866 Bq/m³); the Finnish target value of 200 Bq/m³ was exceeded in 17% of the houses but in none of the apartment. The measurements indicate that the indoor air quality in Finnish dwellings is not always satisfactory with reference to human health and comfort.     

Breastfeeding, maternal smoking and lower respiratory tract infections

The objective of the study was to assess the relationship between breastfeeding and lower respiratory tract infections (LRTIs) during the first year of life, with special reference to maternal smoking. A cohort of 3,754 children born in 1992-1993 in the City of Oslo, Norway was recruited and data were collected at birth, 6 and 12 months of age. Complete information was obtained from 3,238 children (follow-up rate 86%). The main outcome was an episode of a LRTI, such as pneumonia, bronchitis or bronchiolitis, based on a self-administered questionnaire addressed to parents when the child was 6 and 12 months old. The outcome was specified as physician-diagnosed. In logistic regression analysis adjusting for confounding, maternal smoking increased the risk of LRTIs in children breastfed for 0-6 months (odds ratio (AOR) 1.7; 95% confidence interval (95% CI) 1.2-2.4), but not essentially when the child was breastfed for more than 6 months (AOR 1.1; 95% CI 0.7-1.6). Short-term breastfeeding (0-6 months) and no maternal smoking was related to an adjusted AOR of LRTIs of 1.3 (95% CI 1.0-1.7), and short-term breastfeeding combined with maternal smoking was related to an adjusted AOR of 2.2 (95% CI 1.6-3.1), as compared with long-term breastfeeding and no maternal smoking. The present study indicates a protective effect of long-term breastfeeding on the risk of lower respiratory tract infection during the first year of life. The results suggest that the protective effect is strongest in children exposed to environmental tobacco smoke.     

Effects of replacing grass silage with barley silage in dairy cow diets

This study examined the effects of gradually replacing grass silage with whole-crop barley silage on feed intake, ruminal and total tract digestibility, and milk yield in lactating dairy cows. Four dairy cows in early lactation, equipped with rumen cannulas, were fed 4 diets over four 21-d periods. The diets consisted of 4 forage mixtures of grass silage and whole-crop barley silage supplemented with 8.9 kg/d of concentrates [dry matter (DM) basis]. The proportion of barley silage in the forage was adjusted to 0, 0.20, 0.40, and 0.60 kg/kg of DM. Ruminal nutrient metabolism was measured on the basis of digesta flow entering the omasal canal. Ammonia concentrations and volatile fatty acid profiles were determined in the rumen fluid. Ruminal digestion and passage kinetics were assessed by the rumen evacuation technique. Replacement of grass silage with barley silage had no effect on DM, digestible organic matter, or neutral detergent fiber (NDF) intake, but starch intake increased, whereas nitrogen and digestible NDF (dNDF) intake decreased. Increases in the proportion of barley silage linearly decreased milk yield, and the molar proportion of acetate in the rumen, and increased that of propionate, butyrate, and valerate. Decreases in milk yield due to inclusion of barley silage were attributed to decreases in diet digestibility and nutrient supply to the animal. Barley silage linearly decreased organic matter digestibility in the total tract and NDF and dNDF digestibility in the rumen and the total tract, and decreased nonammonia N flow entering the omasal canal. No significant differences between diets were noted in the digestion rate of dNDF or passage rate of indigestible NDF from the rumen. Decreases in organic matter and NDF digestibility were attributed to the higher indigestible NDF concentration of barley silage compared with that of grass silage and to the smaller pool size of dNDF in the rumen.     

Effect of incremental amounts of camelina oil on milk fatty acid composition in lactating cows fed diets based on a mixture of grass and red clover silage and concentrates containing camelina expeller

Camelina is an ancient oilseed crop that produces an oil rich in cis-9,cis-12 18:2 (linoleic acid, LA) and cis-9,cis-12,cis-15 18:3 (α-linolenic acid, ALA); however, reports on the use of camelina oil (CO) for ruminants are limited. The present study investigated the effects of incremental CO supplementation on animal performance, milk fatty acid (FA) composition, and milk sensory quality. Eight Finnish Ayrshire cows (91 d in milk) were used in replicated 4 × 4 Latin squares with 21-d periods. Treatments comprised 4 concentrates (12 kg/d on an air-dry basis) based on cereals and camelina expeller containing 0 (control), 2, 4, or 6% CO on an air-dry basis. Cows were offered a mixture of grass and red clover silage (RCS; 1:1 on a dry matter basis) ad libitum. Incremental CO supplementation linearly decreased silage and total dry matter intake, and linearly increased LA, ALA, and total FA intake. Treatments had no effect on whole-tract apparent organic matter or fiber digestibility and did not have a major influence on rumen fermentation. Supplements of CO quadratically decreased daily milk and lactose yields and linearly decreased milk protein yield and milk taste panel score from 4.2 to 3.6 [on a scale of 1 (poor) to 5 (excellent)], without altering milk fat yield. Inclusion of CO linearly decreased the proportions of saturated FA synthesized de novo (4:0 to 16:0), without altering milk fat 18:0, cis-9 18:1, LA, and ALA concentrations. Milk fat 18:0 was low (<5 g/100 g of FA) across all treatments. Increases in CO linearly decreased the proportions of total saturates from 58 to 45 g/100 g of FA and linearly enriched trans-11 18:1, cis-9,trans-11 18:2, and trans-11,cis-15 18:2 from 5.2, 2.6, and 1.7 to 11, 4.3, and 5.8 g/100 g of FA, respectively. Furthermore, CO quadratically decreased milk fat trans-10 18:1 and linearly decreased trans-10,cis-12 18:2 concentration. Overall, milk FA composition on all treatments suggested that one or more components in camelina seeds may inhibit the complete reduction of 18-carbon unsaturates in the rumen. In conclusion, CO decreased the secretion of saturated FA in milk and increased those of the trans-11 biohydrogenation pathway or their desaturation products. Despite increasing the intake of 18-carbon unsaturated FA, CO had no effect on the secretions of 18:0, cis-9 18:1, LA, or ALA in milk. Concentrates containing camelina expeller and 2% CO could be used for the commercial production of low-saturated milk from grass- and RCS-based diets without major adverse effects on animal performance.