Left ventricular diastolic dysfunction and cardiovascular disease in different ambient air pollution conditions: A prospective cohort study

Although previous studies indicated that the left ventricular diastolic dysfunction (LVDD) is associated with cardiovascular disease (CVD), it remains unclear whether effects would be enhanced or accelerated by long-term air pollution exposure. During 4.65 years (107,726 person-years) of follow-up,...

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Veröffentlicht in:The Science of the total environment 2022-07, Vol.831, p.154872-154872, Article 154872
Hauptverfasser: Zheng, Congyi, Tang, Haosu, Wang, Xin, Chen, Zuo, Zhang, Linfeng, Kang, Yuting, Yang, Ying, Chen, Lu, Zhou, Haoqi, Cai, Jiayin, Cao, Xue, Huang, Gang, Wang, Zengwu
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container_title The Science of the total environment
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creator Zheng, Congyi
Tang, Haosu
Wang, Xin
Chen, Zuo
Zhang, Linfeng
Kang, Yuting
Yang, Ying
Chen, Lu
Zhou, Haoqi
Cai, Jiayin
Cao, Xue
Huang, Gang
Wang, Zengwu
description Although previous studies indicated that the left ventricular diastolic dysfunction (LVDD) is associated with cardiovascular disease (CVD), it remains unclear whether effects would be enhanced or accelerated by long-term air pollution exposure. During 4.65 years (107,726 person-years) of follow-up, 942 cases of CVD events incident were identified among 23,143 participants from the China Hypertension Survey (CHS). Grading diastolic dysfunction was based on Recommendations for the evaluation of left ventricular diastolic function by echocardiography (2009). The annual average PM2.5, PM10 and NO2 concentrations were obtained by the chemical data assimilation system. Cox proportional hazards models were employed to estimate hazard ratios (HRs) for CVD in relation to LVDD. At baseline, the participants' mean age was 56.7 years, 46.8% were male. Compared to normal group, the HR (95% CI) of LVDD was 1.27 (1.07–1.50) after adjusting for all covariates. When stratified by ambient air pollution, we found that in middle and worst third PM2.5 areas, increased CVD risk was associated with increasing LVDD grade, both P for trend
doi_str_mv 10.1016/j.scitotenv.2022.154872
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During 4.65 years (107,726 person-years) of follow-up, 942 cases of CVD events incident were identified among 23,143 participants from the China Hypertension Survey (CHS). Grading diastolic dysfunction was based on Recommendations for the evaluation of left ventricular diastolic function by echocardiography (2009). The annual average PM2.5, PM10 and NO2 concentrations were obtained by the chemical data assimilation system. Cox proportional hazards models were employed to estimate hazard ratios (HRs) for CVD in relation to LVDD. At baseline, the participants' mean age was 56.7 years, 46.8% were male. Compared to normal group, the HR (95% CI) of LVDD was 1.27 (1.07–1.50) after adjusting for all covariates. When stratified by ambient air pollution, we found that in middle and worst third PM2.5 areas, increased CVD risk was associated with increasing LVDD grade, both P for trend &lt;0.05; The HRs (95% CI) of the CVD incidence were 1.52 (0.68–3.44), 4.97 (1.76–14.03) and 4.07 (1.44–11.49) for severe LVDD in the best, middle and worst third PM2.5 areas, respectively. Similar results were also presented for PM10 and NO2. In conclusion, our study highlights a stronger detectable adverse association between LVDD with CVD in worse ambient air quality assessed by any of the three primary ambient air pollutants (PM2.5, PM10 and NO2). Our study calls for appropriate interventions to reduce air pollution, which may promote great benefits to public health potentially by providing protection against the adverse CVD events. [Display omitted] •Although previous studies indicated that the left ventricular diastolic dysfunction (LVDD) associated with cardiovascular disease (CVD), it remains unclear whether effects would be enhanced or accelerated by long-term air pollution exposure.•A stronger detectable adverse association between LVDD with CVD in worse ambient air quality.•For those with cardiac dysfunction, other modifiable risk factors control should be much stricter and adequate personal protective equipment of air pollution should be more necessary when they are exposure to a certain concentration of air pollutants.•Appropriate interventions to reduce air pollution may promote great benefits to public health potentially by providing protection against the adverse CVD events.</description><identifier>ISSN: 0048-9697</identifier><identifier>EISSN: 1879-1026</identifier><identifier>DOI: 10.1016/j.scitotenv.2022.154872</identifier><identifier>PMID: 35358529</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>air ; Air Pollutants - analysis ; Air Pollution ; air quality ; Cardiac function ; Cardiovascular disease ; Cardiovascular Diseases - chemically induced ; Cardiovascular Diseases - epidemiology ; China ; cohort studies ; echocardiography ; environment ; Environmental Exposure ; Female ; Humans ; hypertension ; Male ; males ; Middle Aged ; Nitrogen Dioxide - analysis ; Particulate Matter - analysis ; Population ; Prospective cohort study ; Prospective Studies ; public health ; risk</subject><ispartof>The Science of the total environment, 2022-07, Vol.831, p.154872-154872, Article 154872</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. 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During 4.65 years (107,726 person-years) of follow-up, 942 cases of CVD events incident were identified among 23,143 participants from the China Hypertension Survey (CHS). Grading diastolic dysfunction was based on Recommendations for the evaluation of left ventricular diastolic function by echocardiography (2009). The annual average PM2.5, PM10 and NO2 concentrations were obtained by the chemical data assimilation system. Cox proportional hazards models were employed to estimate hazard ratios (HRs) for CVD in relation to LVDD. At baseline, the participants' mean age was 56.7 years, 46.8% were male. Compared to normal group, the HR (95% CI) of LVDD was 1.27 (1.07–1.50) after adjusting for all covariates. When stratified by ambient air pollution, we found that in middle and worst third PM2.5 areas, increased CVD risk was associated with increasing LVDD grade, both P for trend &lt;0.05; The HRs (95% CI) of the CVD incidence were 1.52 (0.68–3.44), 4.97 (1.76–14.03) and 4.07 (1.44–11.49) for severe LVDD in the best, middle and worst third PM2.5 areas, respectively. Similar results were also presented for PM10 and NO2. In conclusion, our study highlights a stronger detectable adverse association between LVDD with CVD in worse ambient air quality assessed by any of the three primary ambient air pollutants (PM2.5, PM10 and NO2). Our study calls for appropriate interventions to reduce air pollution, which may promote great benefits to public health potentially by providing protection against the adverse CVD events. [Display omitted] •Although previous studies indicated that the left ventricular diastolic dysfunction (LVDD) associated with cardiovascular disease (CVD), it remains unclear whether effects would be enhanced or accelerated by long-term air pollution exposure.•A stronger detectable adverse association between LVDD with CVD in worse ambient air quality.•For those with cardiac dysfunction, other modifiable risk factors control should be much stricter and adequate personal protective equipment of air pollution should be more necessary when they are exposure to a certain concentration of air pollutants.•Appropriate interventions to reduce air pollution may promote great benefits to public health potentially by providing protection against the adverse CVD events.</description><subject>air</subject><subject>Air Pollutants - analysis</subject><subject>Air Pollution</subject><subject>air quality</subject><subject>Cardiac function</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - chemically induced</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>China</subject><subject>cohort studies</subject><subject>echocardiography</subject><subject>environment</subject><subject>Environmental Exposure</subject><subject>Female</subject><subject>Humans</subject><subject>hypertension</subject><subject>Male</subject><subject>males</subject><subject>Middle Aged</subject><subject>Nitrogen Dioxide - analysis</subject><subject>Particulate Matter - analysis</subject><subject>Population</subject><subject>Prospective cohort study</subject><subject>Prospective Studies</subject><subject>public health</subject><subject>risk</subject><issn>0048-9697</issn><issn>1879-1026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc2OFCEUhYnROO3oKyhLN9VCUfy560z8Szpxo2tCwa1IpxpaoCrpZ_ClpadnZqts7k34zrlwD0LvKNlSQsWHw7a4UFOFuG570vdbygcl-2doQ5XUHSW9eI42hAyq00LLG_SqlANpRyr6Et0wzrjivd6gP3uYKl4h1hzcMtuMfbClpjk47M9lWqKrIUVso8fOZh_SassjWMAWwCG2dpogNxNsj2O4ryHjU5rn5V7tUvTh0pWPeIdPOZUTNN8V2s2vlCsudfHn1-jFZOcCbx7qLfr5-dOPu6_d_vuXb3e7feeYYrVz2lsFRGsnxEDU4CRhlmgYOZXOKq8FaDVK7UFMjjmwjMke-OhBciE4Z7fo_dW3PeT3AqWaYygO5tlGSEsxvRDNXVOu_wMdhOyZYLSh8oq69r2SYTKnHI42nw0l5hKaOZin0MwlNHMNrSnfPgxZxiP4J91jSg3YXQFoW1kD5IsRRAc-5LZH41P455C_Y5uw8Q</recordid><startdate>20220720</startdate><enddate>20220720</enddate><creator>Zheng, Congyi</creator><creator>Tang, Haosu</creator><creator>Wang, Xin</creator><creator>Chen, Zuo</creator><creator>Zhang, Linfeng</creator><creator>Kang, Yuting</creator><creator>Yang, Ying</creator><creator>Chen, Lu</creator><creator>Zhou, Haoqi</creator><creator>Cai, Jiayin</creator><creator>Cao, Xue</creator><creator>Huang, Gang</creator><creator>Wang, Zengwu</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</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>7S9</scope><scope>L.6</scope></search><sort><creationdate>20220720</creationdate><title>Left ventricular diastolic dysfunction and cardiovascular disease in different ambient air pollution conditions: A prospective cohort study</title><author>Zheng, Congyi ; 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During 4.65 years (107,726 person-years) of follow-up, 942 cases of CVD events incident were identified among 23,143 participants from the China Hypertension Survey (CHS). Grading diastolic dysfunction was based on Recommendations for the evaluation of left ventricular diastolic function by echocardiography (2009). The annual average PM2.5, PM10 and NO2 concentrations were obtained by the chemical data assimilation system. Cox proportional hazards models were employed to estimate hazard ratios (HRs) for CVD in relation to LVDD. At baseline, the participants' mean age was 56.7 years, 46.8% were male. Compared to normal group, the HR (95% CI) of LVDD was 1.27 (1.07–1.50) after adjusting for all covariates. When stratified by ambient air pollution, we found that in middle and worst third PM2.5 areas, increased CVD risk was associated with increasing LVDD grade, both P for trend &lt;0.05; The HRs (95% CI) of the CVD incidence were 1.52 (0.68–3.44), 4.97 (1.76–14.03) and 4.07 (1.44–11.49) for severe LVDD in the best, middle and worst third PM2.5 areas, respectively. Similar results were also presented for PM10 and NO2. In conclusion, our study highlights a stronger detectable adverse association between LVDD with CVD in worse ambient air quality assessed by any of the three primary ambient air pollutants (PM2.5, PM10 and NO2). Our study calls for appropriate interventions to reduce air pollution, which may promote great benefits to public health potentially by providing protection against the adverse CVD events. [Display omitted] •Although previous studies indicated that the left ventricular diastolic dysfunction (LVDD) associated with cardiovascular disease (CVD), it remains unclear whether effects would be enhanced or accelerated by long-term air pollution exposure.•A stronger detectable adverse association between LVDD with CVD in worse ambient air quality.•For those with cardiac dysfunction, other modifiable risk factors control should be much stricter and adequate personal protective equipment of air pollution should be more necessary when they are exposure to a certain concentration of air pollutants.•Appropriate interventions to reduce air pollution may promote great benefits to public health potentially by providing protection against the adverse CVD events.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>35358529</pmid><doi>10.1016/j.scitotenv.2022.154872</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects air
Air Pollutants - analysis
Air Pollution
air quality
Cardiac function
Cardiovascular disease
Cardiovascular Diseases - chemically induced
Cardiovascular Diseases - epidemiology
China
cohort studies
echocardiography
environment
Environmental Exposure
Female
Humans
hypertension
Male
males
Middle Aged
Nitrogen Dioxide - analysis
Particulate Matter - analysis
Population
Prospective cohort study
Prospective Studies
public health
risk
title Left ventricular diastolic dysfunction and cardiovascular disease in different ambient air pollution conditions: A prospective cohort study
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