Dynamic Changes in Long-Term Exposure to Ambient Particulate Matter and Incidence of Hypertension in Adults
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AbstractMany countries dedicated in mitigation of air pollution in the past several decades. However, little is known about how air quality improvement affects health. Therefore, we conducted current study to investigate dynamic changes in long-term exposure to ambient particulate matter (PM2.5) and incidence of hypertension in a large longitudinal cohort. We recruited 134 978 adults aged 18 years or above between 2001 and 2014. All the participants received a series of standard medical examinations, including measurements of blood pressure. The PM2.5 concentration was estimated using a satellite-based spatiotemporal model at a high resolution (1x1 km(2)). The change in long-term exposure to PM2.5 (Delta PM2.5) was defined as the difference between the values measured during follow-up and during the immediately preceding visit, and a negative value indicated an improvement in PM2.5 air quality. Time-varying Cox model was used to examine the associations between Delta PM2.5 and the development of hypertension. The results show that PM2.5 concentrations increased in 2002, 2003, and 2004, but began to decrease in 2005. Every 5 mu g/m(3) change in exposure to PM2.5 (ie, a Delta PM2.5 of 5 mu g/m(3)) was associated with a 16% change in the incidence of hypertension (hazard ratio, 0.84; 95% CI, 0.82-0.86). Both stratified and sensitivity analyses generally yielded similar results. We found that an improvement in PM2.5 exposure is associated with a decreased incidence of hypertension. Our findings demonstrate that air pollution mitigation is an effective strategy to reduce the risk of cardiovascular disease.
All Author(s) ListYacong Bo, Cui Guo, Changqing Lin, Ly-yun Chang, Ta-Chien Chan, Bo Huang, Kam-Pui Lee, Tony Tam, Alexis K.H. Lau, Xiang Qian Lao, Eng-Kiong Yeoh
Journal nameHypertension
Year2019
Month9
Volume Number74
Issue Number3
PublisherNLM (Medline)
Pages669 - 677
ISSN0194-911X
eISSN1524-4563
LanguagesEnglish-United Kingdom
Keywordsblood pressure, hypertension, risk, particulate matter, quality improvement

Last updated on 2020-20-09 at 00:48