Long-term exposure to high particulate matter pollution and cardiovascular mortality: A 12-year cohort study in four cities in northern China
Epidemiologic studies have demonstrated that long-term exposure to relatively low levels of particulate air pollution is associated with adverse cardiovascular outcomes in Europe and North America. However, few studies have assessed the association with high level air pollutants. We aimed to assess...
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| Veröffentlicht in: | Environment international 2014-01, Vol.62, p.41-47 |
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| creator | Zhang, Li-wen Chen, Xi Xue, Xiao-dan Sun, Min Han, Bin Li, Chang-ping Ma, Jing Yu, Hao Sun, Zeng-rong Zhao, Li-jun Zhao, Bao-xin Liu, Ya-min Chen, Jie Wang, Peizhong Peter Bai, Zhi-peng Tang, Nai-jun |
| description | Epidemiologic studies have demonstrated that long-term exposure to relatively low levels of particulate air pollution is associated with adverse cardiovascular outcomes in Europe and North America. However, few studies have assessed the association with high level air pollutants. We aimed to assess the cardiovascular effects of long-term exposure to high level concentrations of inhalable particulate and to identify the characteristics of the Chinese population that are susceptible to the health effects. A retrospective cohort, containing 39,054 subjects from four cities in northern China, was followed for mortality of all cause and specific cardiovascular diseases from 1998 to 2009. Information on concentrations of PM10 (particulate matter |
| doi_str_mv | 10.1016/j.envint.2013.09.012 |
| format | Article |
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•It is the first retrospective cohort of PM10 and cardiovascular mortality in China.•PM10 increases the mortality of cardiovascular diseases among Chinese people.•Ischemic heart disease is the most significant impact of PM10.•Males, smokers and higher- socioeconomic people are more susceptible.</description><identifier>ISSN: 0160-4120</identifier><identifier>EISSN: 1873-6750</identifier><identifier>DOI: 10.1016/j.envint.2013.09.012</identifier><identifier>PMID: 24161381</identifier><identifier>CODEN: ENVIDV</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Air ; Air Pollutants - analysis ; Air Pollutants - toxicity ; Air pollution ; Air. Soil. Water. Waste. Feeding ; Biological and medical sciences ; Cardiovascular disease ; Cardiovascular Diseases - chemically induced ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - mortality ; China ; China - epidemiology ; Cities - epidemiology ; Cohort Studies ; Diseases ; Environment. Living conditions ; Environmental Monitoring ; Environmental pollutants toxicology ; Europe ; Exposure ; Female ; Heart diseases ; High particulate air pollution ; Humans ; Ischemic heart disease ; Level (quantity) ; Male ; Mathematical models ; Medical sciences ; Middle Aged ; Models, Theoretical ; Mortality ; Particulate Matter - analysis ; Particulate Matter - toxicity ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective cohort ; Retrospective Studies ; Risk ; Time Factors ; Toxicology</subject><ispartof>Environment international, 2014-01, Vol.62, p.41-47</ispartof><rights>2013 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2013 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-884749962542f028529984bb357a38456c628e90b56d055ad8ab56c74457c5ba3</citedby><cites>FETCH-LOGICAL-c458t-884749962542f028529984bb357a38456c628e90b56d055ad8ab56c74457c5ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.envint.2013.09.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28040571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24161381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Li-wen</creatorcontrib><creatorcontrib>Chen, Xi</creatorcontrib><creatorcontrib>Xue, Xiao-dan</creatorcontrib><creatorcontrib>Sun, Min</creatorcontrib><creatorcontrib>Han, Bin</creatorcontrib><creatorcontrib>Li, Chang-ping</creatorcontrib><creatorcontrib>Ma, Jing</creatorcontrib><creatorcontrib>Yu, Hao</creatorcontrib><creatorcontrib>Sun, Zeng-rong</creatorcontrib><creatorcontrib>Zhao, Li-jun</creatorcontrib><creatorcontrib>Zhao, Bao-xin</creatorcontrib><creatorcontrib>Liu, Ya-min</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><creatorcontrib>Wang, Peizhong Peter</creatorcontrib><creatorcontrib>Bai, Zhi-peng</creatorcontrib><creatorcontrib>Tang, Nai-jun</creatorcontrib><title>Long-term exposure to high particulate matter pollution and cardiovascular mortality: A 12-year cohort study in four cities in northern China</title><title>Environment international</title><addtitle>Environ Int</addtitle><description>Epidemiologic studies have demonstrated that long-term exposure to relatively low levels of particulate air pollution is associated with adverse cardiovascular outcomes in Europe and North America. However, few studies have assessed the association with high level air pollutants. We aimed to assess the cardiovascular effects of long-term exposure to high level concentrations of inhalable particulate and to identify the characteristics of the Chinese population that are susceptible to the health effects. A retrospective cohort, containing 39,054 subjects from four cities in northern China, was followed for mortality of all cause and specific cardiovascular diseases from 1998 to 2009. Information on concentrations of PM10 (particulate matter<10μm in aerodynamic diameter) was collected from the local Environmental Monitoring Centers. The estimated exposure for the study participants was the mean concentration of PM10 over their surviving years during the cohort period. Relative risk values were obtained using Cox proportional hazards regression models after adjusting for potential confounding factors. For each 10μg/m3 increase in PM10, the relative risk ratios (RRs) of all-cause mortality, cardiovascular disease mortality, ischemic heart disease mortality, heart failure disease mortality, and cerebrovascular disease mortality were 1.24 (95% CI, 1.22–1.27), 1.23 (95% CI, 1.19–1.26), 1.37 (95% CI, 1.28–1.47), 1.11(95% CI, 1.05–1.17), and 1.23(95% CI:1.18–1.28), respectively. Results from stratified analyses suggest that the effects of PM10 on cardiovascular mortality were more pronounced in males, smokers and people with a higher socioeconomic status. Long-term exposure to PM10 increases mortality from cardiovascular disease, especially from ischemic heart disease and this association seemed to be modified by other factors. Further research that focuses on exploring dose–response relationship and inter-population comparisons is warranted.
•It is the first retrospective cohort of PM10 and cardiovascular mortality in China.•PM10 increases the mortality of cardiovascular diseases among Chinese people.•Ischemic heart disease is the most significant impact of PM10.•Males, smokers and higher- socioeconomic people are more susceptible.</description><subject>Adult</subject><subject>Air</subject><subject>Air Pollutants - analysis</subject><subject>Air Pollutants - toxicity</subject><subject>Air pollution</subject><subject>Air. Soil. Water. Waste. Feeding</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - chemically induced</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - mortality</subject><subject>China</subject><subject>China - epidemiology</subject><subject>Cities - epidemiology</subject><subject>Cohort Studies</subject><subject>Diseases</subject><subject>Environment. Living conditions</subject><subject>Environmental Monitoring</subject><subject>Environmental pollutants toxicology</subject><subject>Europe</subject><subject>Exposure</subject><subject>Female</subject><subject>Heart diseases</subject><subject>High particulate air pollution</subject><subject>Humans</subject><subject>Ischemic heart disease</subject><subject>Level (quantity)</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Theoretical</subject><subject>Mortality</subject><subject>Particulate Matter - analysis</subject><subject>Particulate Matter - toxicity</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective cohort</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Time Factors</subject><subject>Toxicology</subject><issn>0160-4120</issn><issn>1873-6750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2v1CAUhhuj8Y5X_4ExbEzctB4oX3VhcjPxK5nEja4JpfSWSQsj0InzI_zPMplRd-oKeHkO54Snqp5jaDBg_nrfWH90PjcEcNtA1wAmD6oNlqKtuWDwsNoUDGqKCdxUT1LaAwChkj2ubgjFHLcSb6ofu-Dv62zjguz3Q0hrtCgHNLn7CR10zM6ss84WLToXCB3CPK_ZBY-0H5DRcXDhqNMZimgJMevZ5dMbdIcwqU-2hCZMJUYpr8MJOY_GsJbQZWfT-ejL5WSjR9vJef20ejTqOdln1_W2-vr-3Zftx3r3-cOn7d2uNpTJXEtJBe06ThglIxDJSNdJ2vctE7qVlHHDibQd9IwPwJgepC5bIyhlwrBet7fVq8u7hxi-rTZltbhk7Dxrb8OaFOaSiQ6EgP9ABS99MbB_o5SToofgtqD0gpoYUop2VIfoFh1PCoM661V7ddGrznoVdKroLWUvrh3WfrHD76JfPgvw8goUKXoeo_bGpT-cBApl2MK9vXC2_PLR2aiScdYbO7hoTVZDcH-f5CfJesT1</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Zhang, Li-wen</creator><creator>Chen, Xi</creator><creator>Xue, Xiao-dan</creator><creator>Sun, Min</creator><creator>Han, Bin</creator><creator>Li, Chang-ping</creator><creator>Ma, Jing</creator><creator>Yu, Hao</creator><creator>Sun, Zeng-rong</creator><creator>Zhao, Li-jun</creator><creator>Zhao, Bao-xin</creator><creator>Liu, Ya-min</creator><creator>Chen, Jie</creator><creator>Wang, Peizhong Peter</creator><creator>Bai, Zhi-peng</creator><creator>Tang, Nai-jun</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7ST</scope><scope>7T2</scope><scope>7TV</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>SOI</scope><scope>7SU</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>201401</creationdate><title>Long-term exposure to high particulate matter pollution and cardiovascular mortality: A 12-year cohort study in four cities in northern China</title><author>Zhang, Li-wen ; Chen, Xi ; Xue, Xiao-dan ; Sun, Min ; Han, Bin ; Li, Chang-ping ; Ma, Jing ; Yu, Hao ; Sun, Zeng-rong ; Zhao, Li-jun ; Zhao, Bao-xin ; Liu, Ya-min ; Chen, Jie ; Wang, Peizhong Peter ; Bai, Zhi-peng ; Tang, Nai-jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-884749962542f028529984bb357a38456c628e90b56d055ad8ab56c74457c5ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Air</topic><topic>Air Pollutants - analysis</topic><topic>Air Pollutants - toxicity</topic><topic>Air pollution</topic><topic>Air. Soil. Water. Waste. Feeding</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - chemically induced</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - mortality</topic><topic>China</topic><topic>China - epidemiology</topic><topic>Cities - epidemiology</topic><topic>Cohort Studies</topic><topic>Diseases</topic><topic>Environment. Living conditions</topic><topic>Environmental Monitoring</topic><topic>Environmental pollutants toxicology</topic><topic>Europe</topic><topic>Exposure</topic><topic>Female</topic><topic>Heart diseases</topic><topic>High particulate air pollution</topic><topic>Humans</topic><topic>Ischemic heart disease</topic><topic>Level (quantity)</topic><topic>Male</topic><topic>Mathematical models</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Theoretical</topic><topic>Mortality</topic><topic>Particulate Matter - analysis</topic><topic>Particulate Matter - toxicity</topic><topic>Public health. Hygiene</topic><topic>Public health. 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However, few studies have assessed the association with high level air pollutants. We aimed to assess the cardiovascular effects of long-term exposure to high level concentrations of inhalable particulate and to identify the characteristics of the Chinese population that are susceptible to the health effects. A retrospective cohort, containing 39,054 subjects from four cities in northern China, was followed for mortality of all cause and specific cardiovascular diseases from 1998 to 2009. Information on concentrations of PM10 (particulate matter<10μm in aerodynamic diameter) was collected from the local Environmental Monitoring Centers. The estimated exposure for the study participants was the mean concentration of PM10 over their surviving years during the cohort period. Relative risk values were obtained using Cox proportional hazards regression models after adjusting for potential confounding factors. For each 10μg/m3 increase in PM10, the relative risk ratios (RRs) of all-cause mortality, cardiovascular disease mortality, ischemic heart disease mortality, heart failure disease mortality, and cerebrovascular disease mortality were 1.24 (95% CI, 1.22–1.27), 1.23 (95% CI, 1.19–1.26), 1.37 (95% CI, 1.28–1.47), 1.11(95% CI, 1.05–1.17), and 1.23(95% CI:1.18–1.28), respectively. Results from stratified analyses suggest that the effects of PM10 on cardiovascular mortality were more pronounced in males, smokers and people with a higher socioeconomic status. Long-term exposure to PM10 increases mortality from cardiovascular disease, especially from ischemic heart disease and this association seemed to be modified by other factors. Further research that focuses on exploring dose–response relationship and inter-population comparisons is warranted.
•It is the first retrospective cohort of PM10 and cardiovascular mortality in China.•PM10 increases the mortality of cardiovascular diseases among Chinese people.•Ischemic heart disease is the most significant impact of PM10.•Males, smokers and higher- socioeconomic people are more susceptible.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>24161381</pmid><doi>10.1016/j.envint.2013.09.012</doi><tpages>7</tpages></addata></record> |
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| ispartof | Environment international, 2014-01, Vol.62, p.41-47 |
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| subjects | Adult Air Air Pollutants - analysis Air Pollutants - toxicity Air pollution Air. Soil. Water. Waste. Feeding Biological and medical sciences Cardiovascular disease Cardiovascular Diseases - chemically induced Cardiovascular Diseases - epidemiology Cardiovascular Diseases - mortality China China - epidemiology Cities - epidemiology Cohort Studies Diseases Environment. Living conditions Environmental Monitoring Environmental pollutants toxicology Europe Exposure Female Heart diseases High particulate air pollution Humans Ischemic heart disease Level (quantity) Male Mathematical models Medical sciences Middle Aged Models, Theoretical Mortality Particulate Matter - analysis Particulate Matter - toxicity Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective cohort Retrospective Studies Risk Time Factors Toxicology |
| title | Long-term exposure to high particulate matter pollution and cardiovascular mortality: A 12-year cohort study in four cities in northern China |
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