Secondhand Smoke Impairs Vital Cough Reflex

Photo: Cigarette smoke interferes a child

Children are exposed to more
secondhand smoke than non-
smoking adults;© panther- risteski

The findings may help to explain why children of smokers are more likely to develop pneumonia, bronchitis and other diseases and also are more likely to experiment with smoking during adolescence.

"Cough protects our lungs from potentially damaging environmental threats, such as chemicals and dust. Living with a parent who smokes weakens this reflex, one of the most vital of the human body," said Julie Mennella.

Children are exposed to more secondhand smoke than nonsmoking adults, with 60 percent of U.S. children aged 3-11 years and 18 million youth aged 12-19 years exposed to tobacco smoke on a regular basis.

Adult smokers are known to have a less sensitive cough reflex relative to non-smokers, meaning that it takes more irritation to elicit a cough in the smokers. The research team conducted the current study to ask if the cough reflex of children and adolescents who are regularly exposed to secondhand smoke is affected in a similar fashion.

In the study, which appears in Tobacco and Nicotine Research, 38 healthy children aged 10-17 years old inhaled increasing concentrations of capsaicin from a nebulizer. Capsaicin is the burning ingredient in chili peppers and a potent chemical stimulus for cough. Seventeen of the youth were regularly exposed to smoke in the home, while 21 were never exposed to smoke at home. Parents also were tested.

The amount of capsaicin in the nebulizer was increased after each inhalation until the subject coughed twice. The capsaicin concentration that induced the two coughs was labeled as the individual's cough threshold.

Youth regularly exposed to secondhand smoke required twice as much capsaicin to trigger cough as did non-exposed children, meaning that the exposed children were less sensitive to the irritating environmental stimulus. A similar finding was true for the parents, confirming earlier findings.

The findings highlight a previously unrecognized public health risk from exposure to secondhand smoke. An insensitive cough reflex could make exposed children less able to cope with environmental threats, which could in turn play a role in their increased risk for developing respiratory illness.; Source: Monell Center