Final answer:
Exposure to environmental tobacco smoke is the factor that puts a child at increased risk for asthma-related death. While genetic predisposition contributes to the likelihood of developing the condition, environmental triggers such as tobacco smoke intensify its severity.
Step-by-step explanation:
Asthma is a chronic respiratory condition characterized by the inflammation and narrowing of bronchioles, making breathing difficult. It is influenced by both genetic predispositions, like a family history of asthma, and environmental factors.
The option that increases the risk for asthma-related death the most is Option 3: Exposure to environmental tobacco smoke. This is because environmental tobacco smoke, like other air pollutants and allergens, can trigger asthma exacerbation in individuals who already have a predisposition to the disease. On the contrary, Options 1 and 4, family history of asthma and allergies, and a diet rich in fruits and vegetables, respectively, while they may contribute to the likelihood of developing asthma, they do not directly increase the risk of asthma-related death. Option 2, involving regular physical activity, is generally beneficial for health, including for those with asthma, provided that the asthma is well-controlled.