Long-term effects of PM 2.5 components on hypertension: A national analysis in China

Evidence is less about the associations between fine particulate matter (PM ) components and hypertension. We aimed to examine the long-term effects of PM components on prevalence of hypertension, diastolic blood pressure (DBP) and systolic blood pressure (SBP). We included participants between Marc...

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Veröffentlicht in:Environmental research 2023-04, Vol.222, p.115323
Hauptverfasser: Lv, Shiyun, Li, Zhiwei, Li, Haibin, Liu, Mengmeng, Wu, Zhiyuan, Yu, Siqi, Wu, Binqiang, Gao, Bo, Tao, Lixin, Luo, Yanxia, Li, Xia, Guo, Xiuhua, Liu, Xiangtong
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container_title Environmental research
container_volume 222
creator Lv, Shiyun
Li, Zhiwei
Li, Haibin
Liu, Mengmeng
Wu, Zhiyuan
Yu, Siqi
Wu, Binqiang
Gao, Bo
Tao, Lixin
Luo, Yanxia
Li, Xia
Guo, Xiuhua
Liu, Xiangtong
description Evidence is less about the associations between fine particulate matter (PM ) components and hypertension. We aimed to examine the long-term effects of PM components on prevalence of hypertension, diastolic blood pressure (DBP) and systolic blood pressure (SBP). We included participants between March 1, and July 31, 2021, from 13 provinces in China. Geocoded residential address was used for exposure assignment. Mixed-effect regression was used to assess 3-year average concentrations of PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) on prevalence of hypertension, DBP and SBP with covariate-adjusted. SHapley Additive exPlanation was used to compare the contribution of PM components to hypertension, DBP, and SBP. Sex and age subgroup were also analyzed. We enrolled a total of 113,159 participants aged ≥18 years. Long-term exposure to PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) had associations with prevalence of hypertension, with the Odds Ratios and 95% confidence interval (CI) of 1.06 (95%CI: 1.03-1.09), 1.07 (95%CI: 1.04-1.09), 1.07 (95%CI: 1.04-1.10), 1.05 (95%CI: 1.01-1.08), 1.03 (95%CI: 1.00-1.06), and 1.03 (95%CI: 1.00-1.04), respectively. Effects of that except for black carbon on DBP with per interquartile upticks of concentration were 0.23 (95%CI: 0.11-0.35), 0.17 (95%CI: 0.04-0.29), 0.35 (95%CI: 0.21-0.48), 0.40 (95%CI: 0.28-0.52), and 0.25 (95%CI: 0.13-0.26), respectively. Ammonium was associated with SBP, corresponding to an increase of 0.18 (95%CI: 0.01-0.35). Males had higher risks of DBP (Z = 2.54-6.08, P 
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We aimed to examine the long-term effects of PM components on prevalence of hypertension, diastolic blood pressure (DBP) and systolic blood pressure (SBP). We included participants between March 1, and July 31, 2021, from 13 provinces in China. Geocoded residential address was used for exposure assignment. Mixed-effect regression was used to assess 3-year average concentrations of PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) on prevalence of hypertension, DBP and SBP with covariate-adjusted. SHapley Additive exPlanation was used to compare the contribution of PM components to hypertension, DBP, and SBP. Sex and age subgroup were also analyzed. We enrolled a total of 113,159 participants aged ≥18 years. Long-term exposure to PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) had associations with prevalence of hypertension, with the Odds Ratios and 95% confidence interval (CI) of 1.06 (95%CI: 1.03-1.09), 1.07 (95%CI: 1.04-1.09), 1.07 (95%CI: 1.04-1.10), 1.05 (95%CI: 1.01-1.08), 1.03 (95%CI: 1.00-1.06), and 1.03 (95%CI: 1.00-1.04), respectively. Effects of that except for black carbon on DBP with per interquartile upticks of concentration were 0.23 (95%CI: 0.11-0.35), 0.17 (95%CI: 0.04-0.29), 0.35 (95%CI: 0.21-0.48), 0.40 (95%CI: 0.28-0.52), and 0.25 (95%CI: 0.13-0.26), respectively. Ammonium was associated with SBP, corresponding to an increase of 0.18 (95%CI: 0.01-0.35). Males had higher risks of DBP (Z = 2.54-6.08, P &lt; 0.001). Older people were substantially more affected by PM and its components. Nitrate showed the highest contribution to hypertension, DBP and SBP compared with other components. Long-term exposure to PM and its components had adverse consequences on prevalence of hypertension, DBP and SBP, especially for males and older people. Nitrate contributed the highest to hypertension, DBP and SBP. Findings may have implications for pollution and hypertension control.</description><identifier>EISSN: 1096-0953</identifier><identifier>DOI: 10.1016/j.envres.2023.115323</identifier><identifier>PMID: 36681144</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Adolescent ; Adult ; Aged ; Air Pollutants - toxicity ; Air Pollution - analysis ; Blood Pressure ; Carbon - analysis ; China - epidemiology ; Environmental Exposure - analysis ; Humans ; Hypertension - epidemiology ; Male ; Nitrates - analysis ; Particulate Matter - analysis</subject><ispartof>Environmental research, 2023-04, Vol.222, p.115323</ispartof><rights>Copyright © 2023. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36681144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lv, Shiyun</creatorcontrib><creatorcontrib>Li, Zhiwei</creatorcontrib><creatorcontrib>Li, Haibin</creatorcontrib><creatorcontrib>Liu, Mengmeng</creatorcontrib><creatorcontrib>Wu, Zhiyuan</creatorcontrib><creatorcontrib>Yu, Siqi</creatorcontrib><creatorcontrib>Wu, Binqiang</creatorcontrib><creatorcontrib>Gao, Bo</creatorcontrib><creatorcontrib>Tao, Lixin</creatorcontrib><creatorcontrib>Luo, Yanxia</creatorcontrib><creatorcontrib>Li, Xia</creatorcontrib><creatorcontrib>Guo, Xiuhua</creatorcontrib><creatorcontrib>Liu, Xiangtong</creatorcontrib><title>Long-term effects of PM 2.5 components on hypertension: A national analysis in China</title><title>Environmental research</title><addtitle>Environ Res</addtitle><description>Evidence is less about the associations between fine particulate matter (PM ) components and hypertension. We aimed to examine the long-term effects of PM components on prevalence of hypertension, diastolic blood pressure (DBP) and systolic blood pressure (SBP). We included participants between March 1, and July 31, 2021, from 13 provinces in China. Geocoded residential address was used for exposure assignment. Mixed-effect regression was used to assess 3-year average concentrations of PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) on prevalence of hypertension, DBP and SBP with covariate-adjusted. SHapley Additive exPlanation was used to compare the contribution of PM components to hypertension, DBP, and SBP. Sex and age subgroup were also analyzed. We enrolled a total of 113,159 participants aged ≥18 years. Long-term exposure to PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) had associations with prevalence of hypertension, with the Odds Ratios and 95% confidence interval (CI) of 1.06 (95%CI: 1.03-1.09), 1.07 (95%CI: 1.04-1.09), 1.07 (95%CI: 1.04-1.10), 1.05 (95%CI: 1.01-1.08), 1.03 (95%CI: 1.00-1.06), and 1.03 (95%CI: 1.00-1.04), respectively. Effects of that except for black carbon on DBP with per interquartile upticks of concentration were 0.23 (95%CI: 0.11-0.35), 0.17 (95%CI: 0.04-0.29), 0.35 (95%CI: 0.21-0.48), 0.40 (95%CI: 0.28-0.52), and 0.25 (95%CI: 0.13-0.26), respectively. Ammonium was associated with SBP, corresponding to an increase of 0.18 (95%CI: 0.01-0.35). Males had higher risks of DBP (Z = 2.54-6.08, P &lt; 0.001). Older people were substantially more affected by PM and its components. Nitrate showed the highest contribution to hypertension, DBP and SBP compared with other components. Long-term exposure to PM and its components had adverse consequences on prevalence of hypertension, DBP and SBP, especially for males and older people. Nitrate contributed the highest to hypertension, DBP and SBP. Findings may have implications for pollution and hypertension control.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Air Pollutants - toxicity</subject><subject>Air Pollution - analysis</subject><subject>Blood Pressure</subject><subject>Carbon - analysis</subject><subject>China - epidemiology</subject><subject>Environmental Exposure - analysis</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Nitrates - analysis</subject><subject>Particulate Matter - analysis</subject><issn>1096-0953</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFjs0KwjAQhIMg1r83ENkXaEwaW6w3EcWDgofeS6xbjdhNSarQt1dBz15mhm_mMIxNpOBSyGR240hPh55HIlJcylhFqsP6UqRJKNJYBWzg_U2ITyN6LFBJspByPu-zbG_pEjboKsCyxKLxYEs4HiDiMRS2qi0hfSDBta3RNUjeWFrCCkg376TvoN_SeuPBEKyvhvSIdUt99zj--pBNt5tsvQvrx6nCc147U2nX5r8b6u_gBULIQ7c</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Lv, Shiyun</creator><creator>Li, Zhiwei</creator><creator>Li, Haibin</creator><creator>Liu, Mengmeng</creator><creator>Wu, Zhiyuan</creator><creator>Yu, Siqi</creator><creator>Wu, Binqiang</creator><creator>Gao, Bo</creator><creator>Tao, Lixin</creator><creator>Luo, Yanxia</creator><creator>Li, Xia</creator><creator>Guo, Xiuhua</creator><creator>Liu, Xiangtong</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20230401</creationdate><title>Long-term effects of PM 2.5 components on hypertension: A national analysis in China</title><author>Lv, Shiyun ; Li, Zhiwei ; Li, Haibin ; Liu, Mengmeng ; Wu, Zhiyuan ; Yu, Siqi ; Wu, Binqiang ; Gao, Bo ; Tao, Lixin ; Luo, Yanxia ; Li, Xia ; Guo, Xiuhua ; Liu, Xiangtong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-pubmed_primary_366811443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Air Pollutants - toxicity</topic><topic>Air Pollution - analysis</topic><topic>Blood Pressure</topic><topic>Carbon - analysis</topic><topic>China - epidemiology</topic><topic>Environmental Exposure - analysis</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Male</topic><topic>Nitrates - analysis</topic><topic>Particulate Matter - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lv, Shiyun</creatorcontrib><creatorcontrib>Li, Zhiwei</creatorcontrib><creatorcontrib>Li, Haibin</creatorcontrib><creatorcontrib>Liu, Mengmeng</creatorcontrib><creatorcontrib>Wu, Zhiyuan</creatorcontrib><creatorcontrib>Yu, Siqi</creatorcontrib><creatorcontrib>Wu, Binqiang</creatorcontrib><creatorcontrib>Gao, Bo</creatorcontrib><creatorcontrib>Tao, Lixin</creatorcontrib><creatorcontrib>Luo, Yanxia</creatorcontrib><creatorcontrib>Li, Xia</creatorcontrib><creatorcontrib>Guo, Xiuhua</creatorcontrib><creatorcontrib>Liu, Xiangtong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Environmental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lv, Shiyun</au><au>Li, Zhiwei</au><au>Li, Haibin</au><au>Liu, Mengmeng</au><au>Wu, Zhiyuan</au><au>Yu, Siqi</au><au>Wu, Binqiang</au><au>Gao, Bo</au><au>Tao, Lixin</au><au>Luo, Yanxia</au><au>Li, Xia</au><au>Guo, Xiuhua</au><au>Liu, Xiangtong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term effects of PM 2.5 components on hypertension: A national analysis in China</atitle><jtitle>Environmental research</jtitle><addtitle>Environ Res</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>222</volume><spage>115323</spage><pages>115323-</pages><eissn>1096-0953</eissn><abstract>Evidence is less about the associations between fine particulate matter (PM ) components and hypertension. We aimed to examine the long-term effects of PM components on prevalence of hypertension, diastolic blood pressure (DBP) and systolic blood pressure (SBP). We included participants between March 1, and July 31, 2021, from 13 provinces in China. Geocoded residential address was used for exposure assignment. Mixed-effect regression was used to assess 3-year average concentrations of PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) on prevalence of hypertension, DBP and SBP with covariate-adjusted. SHapley Additive exPlanation was used to compare the contribution of PM components to hypertension, DBP, and SBP. Sex and age subgroup were also analyzed. We enrolled a total of 113,159 participants aged ≥18 years. Long-term exposure to PM and its components (black carbon, organic matter, nitrate, ammonium, and sulfate) had associations with prevalence of hypertension, with the Odds Ratios and 95% confidence interval (CI) of 1.06 (95%CI: 1.03-1.09), 1.07 (95%CI: 1.04-1.09), 1.07 (95%CI: 1.04-1.10), 1.05 (95%CI: 1.01-1.08), 1.03 (95%CI: 1.00-1.06), and 1.03 (95%CI: 1.00-1.04), respectively. Effects of that except for black carbon on DBP with per interquartile upticks of concentration were 0.23 (95%CI: 0.11-0.35), 0.17 (95%CI: 0.04-0.29), 0.35 (95%CI: 0.21-0.48), 0.40 (95%CI: 0.28-0.52), and 0.25 (95%CI: 0.13-0.26), respectively. Ammonium was associated with SBP, corresponding to an increase of 0.18 (95%CI: 0.01-0.35). Males had higher risks of DBP (Z = 2.54-6.08, P &lt; 0.001). Older people were substantially more affected by PM and its components. Nitrate showed the highest contribution to hypertension, DBP and SBP compared with other components. Long-term exposure to PM and its components had adverse consequences on prevalence of hypertension, DBP and SBP, especially for males and older people. Nitrate contributed the highest to hypertension, DBP and SBP. Findings may have implications for pollution and hypertension control.</abstract><cop>Netherlands</cop><pmid>36681144</pmid><doi>10.1016/j.envres.2023.115323</doi></addata></record>
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subjects Adolescent
Adult
Aged
Air Pollutants - toxicity
Air Pollution - analysis
Blood Pressure
Carbon - analysis
China - epidemiology
Environmental Exposure - analysis
Humans
Hypertension - epidemiology
Male
Nitrates - analysis
Particulate Matter - analysis
title Long-term effects of PM 2.5 components on hypertension: A national analysis in China
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