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Effects of improved home heating on asthma in community dwelling children: randomised controlled trial

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Authors:
Summary:

These researchers investigated the effects of installing non-polluting, more effective heating (heat pump, wood pellet burner, flued gas) before winter in the homes of 409 children aged 6–12 years with doctor-diagnosed asthma; a control group received a replacement heater at the end of the trial. Although there were no significant improvements in lung function, there were significant reductions in asthma symptoms and time lost from school and reductions in dry cough at night and sleep disturbed by wheeze, among children in the intervention group compared with those in the control group. In addition, the intervention was associated with higher indoor temperatures and lower nitrogen dioxide levels delivered by the heating than measurements taken from the control households.

Comment:
Further evidence from the Wellington School of Medicine about the improvements in health outcomes for children when an effective and non-polluting (compared with open fire for example) heating system was introduced in the home.
Reference: BMJ. 2008;337:a1411
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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