Acute effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018
Air pollutants’ effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people’s outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants’ high concentrations as well as people’s outd...
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| Veröffentlicht in: | Environmental science and pollution research international 2022-06, Vol.29 (27), p.41617-41627 |
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| creator | Zhao, Zemeng Guo, Moning An, Ji Zhang, Licheng Tan, Peng Tian, Xue Zhao, Yuhan Liu, Lulu Wang, Xiaonan Liu, Xiangtong Guo, Xiuhua Luo, Yanxia |
| description | Air pollutants’ effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people’s outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants’ high concentrations as well as people’s outdoor periods. We conducted a time-series study and used the generalized additive model to analyze peak-hour concentrations’ acute effect. A total of 315,499 IS patients comorbid with hypertension were admitted to secondary and above hospitals in Beijing from 2014 to 2018. A 10 µg/m
3
(
CO
: 1 mg/m
3
) increase of the peak-hour concentrations was positively associated with IS hospital admissions among hypertension patients. The maximum effect sizes were as follows: for PM
2.5
, 0.17% (95% confidence interval [CI]: 0.10–0.24%) at Lag0 and 0.22% (95%
CI
: 0.12–0.33%) at Lag0–5; for PM
10
, 0.09% (95%
CI
: 0.05–0.13%) at Lag5 and 0.17% (95%
CI
: 0.09–0.26%) at Lag0–5; for SO
2
, 0.87% (95%
CI
: 0.46–1.29%) at Lag5; for NO
2
, 0.83% (95%
CI
: 0.62–1.04%) at Lag0 and 0.86% (95%
CI
: 0.59–1.13%) at Lag0–1; for CO 1.23% (95%
CI
: 0.66–1.80%) at Lag0 and 1.33% (95%
CI
: 0.33–2.35%) at Lag0–5; for O
3
0.23% (95%
CI
: 0.12–0.35%) at Lag0 and 0.20% (95%
CI
: 0.05–0.34%) at Lag0–1. The effect sizes of PM
2.5
, NO
2
, and O
3
remained significant after adjusting daily mean. Larger effect sizes were observed for PM
2.5
and PM
10
in cool season and for O
3
in warm season. As significant exposure indicators of air pollution, peak-hour concentrations exposure increased the risk of IS hospital admissions among hypertension patients and it is worthy of consideration in relative environmental standard. It is suggested for hypertension patients to avoid outdoor activity during peak hours. More relevant searches are required to further illustrate air pollutant’s effect on chronic disease population. |
| doi_str_mv | 10.1007/s11356-021-18208-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2624199415</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2624199415</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-cf6c46dd92f83f1377648c054dd86e5b9ee6f166926ab1035c936595126b24363</originalsourceid><addsrcrecordid>eNp9kbtuFDEUhi0EIkvgBSiQJRqKDPg-4zJZcZMi0UA98nqOd72ZsQfbU6TjNWh5NJ4ETzaAREF1JJ_vfD72j9BzSl5TQto3mVIuVUMYbWjHSNfIB2hDFRVNK7R-iDZEC9FQLsQZepLzkRBGNGsfozMua4spvkE_Lu1SAINzYAuODhuf8BzHcSkmlPzz23c8g7lpDnFJ2MZgIZRkio8h4xiwz_YAk7c4lxRvAB9inn0xIzbD5HO-w8wUwx4fbmdIBcJ6hudqqKKMfcBX4I8-7C_w9uCDucAuxQkzQgUuca3dU_TImTHDs_t6jr68e_t5-6G5_vT-4_byurG8laWxTlmhhkEz13FHedsq0VkixTB0CuROAyhHldJMmR0lXFrNldSSMrVjgit-jl6dvHOKXxfIpa9PsDCOJkBccs8UE1RrQWVFX_6DHuv_hLpdpZRuO0bblWInyqaYcwLXz8lPJt32lPRrgv0pwb4m2N8l2K9DL-7Vy26C4c_I78gqwE9Arq2wh_T37v9ofwFiw6eA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2669782175</pqid></control><display><type>article</type><title>Acute effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018</title><source>SpringerLink Journals - AutoHoldings</source><creator>Zhao, Zemeng ; Guo, Moning ; An, Ji ; Zhang, Licheng ; Tan, Peng ; Tian, Xue ; Zhao, Yuhan ; Liu, Lulu ; Wang, Xiaonan ; Liu, Xiangtong ; Guo, Xiuhua ; Luo, Yanxia</creator><creatorcontrib>Zhao, Zemeng ; Guo, Moning ; An, Ji ; Zhang, Licheng ; Tan, Peng ; Tian, Xue ; Zhao, Yuhan ; Liu, Lulu ; Wang, Xiaonan ; Liu, Xiangtong ; Guo, Xiuhua ; Luo, Yanxia</creatorcontrib><description>Air pollutants’ effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people’s outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants’ high concentrations as well as people’s outdoor periods. We conducted a time-series study and used the generalized additive model to analyze peak-hour concentrations’ acute effect. A total of 315,499 IS patients comorbid with hypertension were admitted to secondary and above hospitals in Beijing from 2014 to 2018. A 10 µg/m
3
(
CO
: 1 mg/m
3
) increase of the peak-hour concentrations was positively associated with IS hospital admissions among hypertension patients. The maximum effect sizes were as follows: for PM
2.5
, 0.17% (95% confidence interval [CI]: 0.10–0.24%) at Lag0 and 0.22% (95%
CI
: 0.12–0.33%) at Lag0–5; for PM
10
, 0.09% (95%
CI
: 0.05–0.13%) at Lag5 and 0.17% (95%
CI
: 0.09–0.26%) at Lag0–5; for SO
2
, 0.87% (95%
CI
: 0.46–1.29%) at Lag5; for NO
2
, 0.83% (95%
CI
: 0.62–1.04%) at Lag0 and 0.86% (95%
CI
: 0.59–1.13%) at Lag0–1; for CO 1.23% (95%
CI
: 0.66–1.80%) at Lag0 and 1.33% (95%
CI
: 0.33–2.35%) at Lag0–5; for O
3
0.23% (95%
CI
: 0.12–0.35%) at Lag0 and 0.20% (95%
CI
: 0.05–0.34%) at Lag0–1. The effect sizes of PM
2.5
, NO
2
, and O
3
remained significant after adjusting daily mean. Larger effect sizes were observed for PM
2.5
and PM
10
in cool season and for O
3
in warm season. As significant exposure indicators of air pollution, peak-hour concentrations exposure increased the risk of IS hospital admissions among hypertension patients and it is worthy of consideration in relative environmental standard. It is suggested for hypertension patients to avoid outdoor activity during peak hours. More relevant searches are required to further illustrate air pollutant’s effect on chronic disease population.</description><identifier>ISSN: 0944-1344</identifier><identifier>EISSN: 1614-7499</identifier><identifier>DOI: 10.1007/s11356-021-18208-5</identifier><identifier>PMID: 35094263</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Air pollution ; Air pollution effects ; Aquatic Pollution ; Atmospheric Protection/Air Quality Control/Air Pollution ; Carbon monoxide ; Chronic illnesses ; Confidence intervals ; Cool season ; Earth and Environmental Science ; Ecotoxicology ; Environment ; Environmental Chemistry ; Environmental Health ; Environmental indicators ; Environmental science ; Hypertension ; Ischemia ; Nitrogen dioxide ; Particulate matter ; Patient admissions ; Patients ; Pollutants ; Research Article ; Stroke ; Sulfur dioxide ; Waste Water Technology ; Water Management ; Water Pollution Control</subject><ispartof>Environmental science and pollution research international, 2022-06, Vol.29 (27), p.41617-41627</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-cf6c46dd92f83f1377648c054dd86e5b9ee6f166926ab1035c936595126b24363</citedby><cites>FETCH-LOGICAL-c375t-cf6c46dd92f83f1377648c054dd86e5b9ee6f166926ab1035c936595126b24363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11356-021-18208-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11356-021-18208-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35094263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhao, Zemeng</creatorcontrib><creatorcontrib>Guo, Moning</creatorcontrib><creatorcontrib>An, Ji</creatorcontrib><creatorcontrib>Zhang, Licheng</creatorcontrib><creatorcontrib>Tan, Peng</creatorcontrib><creatorcontrib>Tian, Xue</creatorcontrib><creatorcontrib>Zhao, Yuhan</creatorcontrib><creatorcontrib>Liu, Lulu</creatorcontrib><creatorcontrib>Wang, Xiaonan</creatorcontrib><creatorcontrib>Liu, Xiangtong</creatorcontrib><creatorcontrib>Guo, Xiuhua</creatorcontrib><creatorcontrib>Luo, Yanxia</creatorcontrib><title>Acute effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018</title><title>Environmental science and pollution research international</title><addtitle>Environ Sci Pollut Res</addtitle><addtitle>Environ Sci Pollut Res Int</addtitle><description>Air pollutants’ effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people’s outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants’ high concentrations as well as people’s outdoor periods. We conducted a time-series study and used the generalized additive model to analyze peak-hour concentrations’ acute effect. A total of 315,499 IS patients comorbid with hypertension were admitted to secondary and above hospitals in Beijing from 2014 to 2018. A 10 µg/m
3
(
CO
: 1 mg/m
3
) increase of the peak-hour concentrations was positively associated with IS hospital admissions among hypertension patients. The maximum effect sizes were as follows: for PM
2.5
, 0.17% (95% confidence interval [CI]: 0.10–0.24%) at Lag0 and 0.22% (95%
CI
: 0.12–0.33%) at Lag0–5; for PM
10
, 0.09% (95%
CI
: 0.05–0.13%) at Lag5 and 0.17% (95%
CI
: 0.09–0.26%) at Lag0–5; for SO
2
, 0.87% (95%
CI
: 0.46–1.29%) at Lag5; for NO
2
, 0.83% (95%
CI
: 0.62–1.04%) at Lag0 and 0.86% (95%
CI
: 0.59–1.13%) at Lag0–1; for CO 1.23% (95%
CI
: 0.66–1.80%) at Lag0 and 1.33% (95%
CI
: 0.33–2.35%) at Lag0–5; for O
3
0.23% (95%
CI
: 0.12–0.35%) at Lag0 and 0.20% (95%
CI
: 0.05–0.34%) at Lag0–1. The effect sizes of PM
2.5
, NO
2
, and O
3
remained significant after adjusting daily mean. Larger effect sizes were observed for PM
2.5
and PM
10
in cool season and for O
3
in warm season. As significant exposure indicators of air pollution, peak-hour concentrations exposure increased the risk of IS hospital admissions among hypertension patients and it is worthy of consideration in relative environmental standard. It is suggested for hypertension patients to avoid outdoor activity during peak hours. More relevant searches are required to further illustrate air pollutant’s effect on chronic disease population.</description><subject>Air pollution</subject><subject>Air pollution effects</subject><subject>Aquatic Pollution</subject><subject>Atmospheric Protection/Air Quality Control/Air Pollution</subject><subject>Carbon monoxide</subject><subject>Chronic illnesses</subject><subject>Confidence intervals</subject><subject>Cool season</subject><subject>Earth and Environmental Science</subject><subject>Ecotoxicology</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Environmental indicators</subject><subject>Environmental science</subject><subject>Hypertension</subject><subject>Ischemia</subject><subject>Nitrogen dioxide</subject><subject>Particulate matter</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>Pollutants</subject><subject>Research Article</subject><subject>Stroke</subject><subject>Sulfur dioxide</subject><subject>Waste Water Technology</subject><subject>Water Management</subject><subject>Water Pollution 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effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018</title><author>Zhao, Zemeng ; Guo, Moning ; An, Ji ; Zhang, Licheng ; Tan, Peng ; Tian, Xue ; Zhao, Yuhan ; Liu, Lulu ; Wang, Xiaonan ; Liu, Xiangtong ; Guo, Xiuhua ; Luo, Yanxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-cf6c46dd92f83f1377648c054dd86e5b9ee6f166926ab1035c936595126b24363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Air pollution</topic><topic>Air pollution effects</topic><topic>Aquatic Pollution</topic><topic>Atmospheric Protection/Air Quality Control/Air Pollution</topic><topic>Carbon monoxide</topic><topic>Chronic illnesses</topic><topic>Confidence intervals</topic><topic>Cool season</topic><topic>Earth and Environmental Science</topic><topic>Ecotoxicology</topic><topic>Environment</topic><topic>Environmental Chemistry</topic><topic>Environmental Health</topic><topic>Environmental indicators</topic><topic>Environmental science</topic><topic>Hypertension</topic><topic>Ischemia</topic><topic>Nitrogen dioxide</topic><topic>Particulate matter</topic><topic>Patient admissions</topic><topic>Patients</topic><topic>Pollutants</topic><topic>Research Article</topic><topic>Stroke</topic><topic>Sulfur dioxide</topic><topic>Waste Water Technology</topic><topic>Water Management</topic><topic>Water Pollution Control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Zemeng</creatorcontrib><creatorcontrib>Guo, Moning</creatorcontrib><creatorcontrib>An, Ji</creatorcontrib><creatorcontrib>Zhang, Licheng</creatorcontrib><creatorcontrib>Tan, Peng</creatorcontrib><creatorcontrib>Tian, Xue</creatorcontrib><creatorcontrib>Zhao, Yuhan</creatorcontrib><creatorcontrib>Liu, 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Yanxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018</atitle><jtitle>Environmental science and pollution research international</jtitle><stitle>Environ Sci Pollut Res</stitle><addtitle>Environ Sci Pollut Res Int</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>29</volume><issue>27</issue><spage>41617</spage><epage>41627</epage><pages>41617-41627</pages><issn>0944-1344</issn><eissn>1614-7499</eissn><abstract>Air pollutants’ effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people’s outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants’ high concentrations as well as people’s outdoor periods. We conducted a time-series study and used the generalized additive model to analyze peak-hour concentrations’ acute effect. A total of 315,499 IS patients comorbid with hypertension were admitted to secondary and above hospitals in Beijing from 2014 to 2018. A 10 µg/m
3
(
CO
: 1 mg/m
3
) increase of the peak-hour concentrations was positively associated with IS hospital admissions among hypertension patients. The maximum effect sizes were as follows: for PM
2.5
, 0.17% (95% confidence interval [CI]: 0.10–0.24%) at Lag0 and 0.22% (95%
CI
: 0.12–0.33%) at Lag0–5; for PM
10
, 0.09% (95%
CI
: 0.05–0.13%) at Lag5 and 0.17% (95%
CI
: 0.09–0.26%) at Lag0–5; for SO
2
, 0.87% (95%
CI
: 0.46–1.29%) at Lag5; for NO
2
, 0.83% (95%
CI
: 0.62–1.04%) at Lag0 and 0.86% (95%
CI
: 0.59–1.13%) at Lag0–1; for CO 1.23% (95%
CI
: 0.66–1.80%) at Lag0 and 1.33% (95%
CI
: 0.33–2.35%) at Lag0–5; for O
3
0.23% (95%
CI
: 0.12–0.35%) at Lag0 and 0.20% (95%
CI
: 0.05–0.34%) at Lag0–1. The effect sizes of PM
2.5
, NO
2
, and O
3
remained significant after adjusting daily mean. Larger effect sizes were observed for PM
2.5
and PM
10
in cool season and for O
3
in warm season. As significant exposure indicators of air pollution, peak-hour concentrations exposure increased the risk of IS hospital admissions among hypertension patients and it is worthy of consideration in relative environmental standard. It is suggested for hypertension patients to avoid outdoor activity during peak hours. More relevant searches are required to further illustrate air pollutant’s effect on chronic disease population.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35094263</pmid><doi>10.1007/s11356-021-18208-5</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0944-1344 |
| ispartof | Environmental science and pollution research international, 2022-06, Vol.29 (27), p.41617-41627 |
| issn | 0944-1344 1614-7499 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2624199415 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Air pollution Air pollution effects Aquatic Pollution Atmospheric Protection/Air Quality Control/Air Pollution Carbon monoxide Chronic illnesses Confidence intervals Cool season Earth and Environmental Science Ecotoxicology Environment Environmental Chemistry Environmental Health Environmental indicators Environmental science Hypertension Ischemia Nitrogen dioxide Particulate matter Patient admissions Patients Pollutants Research Article Stroke Sulfur dioxide Waste Water Technology Water Management Water Pollution Control |
| title | Acute effect of air pollutants’ peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T16%3A12%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Acute%20effect%20of%20air%20pollutants%E2%80%99%20peak-hour%20concentrations%20on%20ischemic%20stroke%20hospital%20admissions%20among%20hypertension%20patients%20in%20Beijing,%20China,%20from%202014%20to%202018&rft.jtitle=Environmental%20science%20and%20pollution%20research%20international&rft.au=Zhao,%20Zemeng&rft.date=2022-06-01&rft.volume=29&rft.issue=27&rft.spage=41617&rft.epage=41627&rft.pages=41617-41627&rft.issn=0944-1344&rft.eissn=1614-7499&rft_id=info:doi/10.1007/s11356-021-18208-5&rft_dat=%3Cproquest_cross%3E2624199415%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2669782175&rft_id=info:pmid/35094263&rfr_iscdi=true |