The acute effects of particulate matter air pollution on ambulatory blood pressure: A multicenter analysis at the hourly level

Bibliographic Details
Title: The acute effects of particulate matter air pollution on ambulatory blood pressure: A multicenter analysis at the hourly level
Authors: Jialu Hu, Xiaowei Xue, Min Xiao, Weidong Wang, Ya Gao, Haidong Kan, Junbo Ge, Zhaoqiang Cui, Renjie Chen
Source: Environment International, Vol 157, Iss , Pp 106859- (2021)
Publisher Information: Elsevier, 2021.
Publication Year: 2021
Collection: LCC:Environmental sciences
Subject Terms: Air pollution, Fine particulate matter, Coarse particulate matter, Blood pressure, Multicenter study, Environmental sciences, GE1-350
More Details: Epidemiological evidence from ambulatory blood pressure monitoring is needed to clarify the associations of particulate air pollution with blood pressure and potential lag patterns. We examined the associations of fine and coarse particulate matter (PM2.5, PM2.5–10) with ambulatory blood pressure among 7108 non-hypertensive participants from 7 Chinese cities between April 2016 and November 2020. Hourly concentrations of PM2.5 and PM2.5–10 were obtained from the nearest monitoring stations. We measured four blood pressure indicators, including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP). Linear mixed-effect models combined with distributed lag models were applied to analyze the data. Generally, very short-term exposure to PM2.5 was significantly associated with elevated blood pressure. These effects occurred on the same hour of blood pressure measurement, attenuated gradually, and became insignificant approximately at lag 12 h. An interquartile range (IQR, 33 μg/m3) increase of PM2.5 was significantly associated with cumulative increments of 0.58 mmHg for SBP, 0.31 mmHg for DBP, 0.38 mmHg for MAP, and 0.33 mmHg for PP over lag 0 to 12 h. The exposure–response relationship curves were almost linear without thresholds, but tended to be flat at very high concentrations. No significant associations were observed for PM2.5–10. Our study provides independent and robust associations between transient PM2.5 exposure and elevated blood pressure within the first 12 h, and reinforces the evidence for a linear and non-threshold exposure–response relationship, which may have implications for blood pressure management and hypertension prevention in susceptible population.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0160-4120
Relation: http://www.sciencedirect.com/science/article/pii/S0160412021004840; https://doaj.org/toc/0160-4120
DOI: 10.1016/j.envint.2021.106859
Access URL: https://doaj.org/article/f8c2a04d6c014a10ae5803e00f32cddc
Accession Number: edsdoj.f8c2a04d6c014a10ae5803e00f32cddc
Database: Directory of Open Access Journals
More Details
ISSN:01604120
DOI:10.1016/j.envint.2021.106859
Published in:Environment International
Language:English