Associations between Long-Term Air Pollutant Exposures and Blood Pressure in Elderly Residents of Taipei City: A Cross-Sectional Study

Limited information is available regarding long-term effects of air pollution on blood pressure (BP) and hypertension. We studied whether 1-year exposures to particulate matter (PM) and nitrogen oxides (NOx) were correlated with BP and hypertension in the elderly. We analyzed cross-sectional data fr...

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Veröffentlicht in:Environmental health perspectives 2015-08, Vol.123 (8), p.779-779
Hauptverfasser: Chen, Szu-Ying, Wu, Chang-Fu, Lee, Jui-Huan, Hoffmann, Barbara, Peters, Annette, Brunekreef, Bert, Chu, Da-Chen, Chan, Chang-Chuan
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container_end_page 779
container_issue 8
container_start_page 779
container_title Environmental health perspectives
container_volume 123
creator Chen, Szu-Ying
Wu, Chang-Fu
Lee, Jui-Huan
Hoffmann, Barbara
Peters, Annette
Brunekreef, Bert
Chu, Da-Chen
Chan, Chang-Chuan
description Limited information is available regarding long-term effects of air pollution on blood pressure (BP) and hypertension. We studied whether 1-year exposures to particulate matter (PM) and nitrogen oxides (NOx) were correlated with BP and hypertension in the elderly. We analyzed cross-sectional data from 27,752 Taipei City residents > 65 years of age who participated in a health examination program in 2009. Land-use regression models were used to estimate participants' 1-year exposures to particulate matter with aerodynamic diameter ≤ 10 μm (PM10), coarse particles (PM2.5-10), fine particles (≤ 2.5 μm; PM2.5), PM2.5 absorbance, NOx, and nitrogen dioxide (NO2). Generalized linear regressions and logistic regressions were used to examine the association between air pollution and BP and hypertension, respectively. Diastolic BP was associated with 1-year exposures to air pollution, with estimates of 0.73 [95% confidence interval (CI): 0.44, 1.03], 0.46 (95% CI: 0.30, 0.63), 0.62 (95% CI: 0.24, 0.99), 0.34 (95% CI: 0.19, 0.50), and 0.65 (95% CI: 0.44, 0.85) mmHg for PM10 (10 μg/m3), PM2.5-10 (5 μg/m3), PM2.5 absorbance (10-5/m), NOx (20 μg/m3), and NO2 (10 μg/m3), respectively. PM2.5 was not associated with diastolic BP, and none of the air pollutants was associated with systolic BP. Associations of diastolic BP with PM10 and PM2.5 absorbance were stronger among participants with hypertension, diabetes, or a body mass index ≥ 25 kg/m2 than among participants without these conditions. One-year air pollution exposures were not associated with hypertension. One-year exposures to PM10, PM2.5-10, PM2.5 absorbance, and NOx were associated with higher diastolic BP in elderly residents of Taipei.
doi_str_mv 10.1289/ehp.1408771
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We studied whether 1-year exposures to particulate matter (PM) and nitrogen oxides (NOx) were correlated with BP and hypertension in the elderly. We analyzed cross-sectional data from 27,752 Taipei City residents &gt; 65 years of age who participated in a health examination program in 2009. Land-use regression models were used to estimate participants' 1-year exposures to particulate matter with aerodynamic diameter ≤ 10 μm (PM10), coarse particles (PM2.5-10), fine particles (≤ 2.5 μm; PM2.5), PM2.5 absorbance, NOx, and nitrogen dioxide (NO2). Generalized linear regressions and logistic regressions were used to examine the association between air pollution and BP and hypertension, respectively. Diastolic BP was associated with 1-year exposures to air pollution, with estimates of 0.73 [95% confidence interval (CI): 0.44, 1.03], 0.46 (95% CI: 0.30, 0.63), 0.62 (95% CI: 0.24, 0.99), 0.34 (95% CI: 0.19, 0.50), and 0.65 (95% CI: 0.44, 0.85) mmHg for PM10 (10 μg/m3), PM2.5-10 (5 μg/m3), PM2.5 absorbance (10-5/m), NOx (20 μg/m3), and NO2 (10 μg/m3), respectively. PM2.5 was not associated with diastolic BP, and none of the air pollutants was associated with systolic BP. Associations of diastolic BP with PM10 and PM2.5 absorbance were stronger among participants with hypertension, diabetes, or a body mass index ≥ 25 kg/m2 than among participants without these conditions. One-year air pollution exposures were not associated with hypertension. 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We studied whether 1-year exposures to particulate matter (PM) and nitrogen oxides (NOx) were correlated with BP and hypertension in the elderly. We analyzed cross-sectional data from 27,752 Taipei City residents &gt; 65 years of age who participated in a health examination program in 2009. Land-use regression models were used to estimate participants' 1-year exposures to particulate matter with aerodynamic diameter ≤ 10 μm (PM10), coarse particles (PM2.5-10), fine particles (≤ 2.5 μm; PM2.5), PM2.5 absorbance, NOx, and nitrogen dioxide (NO2). Generalized linear regressions and logistic regressions were used to examine the association between air pollution and BP and hypertension, respectively. Diastolic BP was associated with 1-year exposures to air pollution, with estimates of 0.73 [95% confidence interval (CI): 0.44, 1.03], 0.46 (95% CI: 0.30, 0.63), 0.62 (95% CI: 0.24, 0.99), 0.34 (95% CI: 0.19, 0.50), and 0.65 (95% CI: 0.44, 0.85) mmHg for PM10 (10 μg/m3), PM2.5-10 (5 μg/m3), PM2.5 absorbance (10-5/m), NOx (20 μg/m3), and NO2 (10 μg/m3), respectively. PM2.5 was not associated with diastolic BP, and none of the air pollutants was associated with systolic BP. Associations of diastolic BP with PM10 and PM2.5 absorbance were stronger among participants with hypertension, diabetes, or a body mass index ≥ 25 kg/m2 than among participants without these conditions. One-year air pollution exposures were not associated with hypertension. One-year exposures to PM10, PM2.5-10, PM2.5 absorbance, and NOx were associated with higher diastolic BP in elderly residents of Taipei.</description><subject>Absorbance</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Air Pollutants - toxicity</subject><subject>Air pollution</subject><subject>Air Pollution - adverse effects</subject><subject>Air pollution effects</subject><subject>Antihypertensives</subject><subject>Blood Pressure</subject><subject>Cross-Sectional Studies</subject><subject>Elderly people</subject><subject>Environmental Exposure</subject><subject>Estimates</subject><subject>Exposure</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - chemically induced</subject><subject>Hypertension - epidemiology</subject><subject>Land use</subject><subject>Male</subject><subject>Medical screening</subject><subject>Models, Theoretical</subject><subject>Nitrogen dioxide</subject><subject>Nitrogen oxides</subject><subject>Nitrogen Oxides - toxicity</subject><subject>Outdoor air quality</subject><subject>Particle Size</subject><subject>Particulate matter</subject><subject>Particulate Matter - toxicity</subject><subject>Photochemicals</subject><subject>Pollutants</subject><subject>Population</subject><subject>Questionnaires</subject><subject>Regression</subject><subject>Roads &amp; 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We studied whether 1-year exposures to particulate matter (PM) and nitrogen oxides (NOx) were correlated with BP and hypertension in the elderly. We analyzed cross-sectional data from 27,752 Taipei City residents &gt; 65 years of age who participated in a health examination program in 2009. Land-use regression models were used to estimate participants' 1-year exposures to particulate matter with aerodynamic diameter ≤ 10 μm (PM10), coarse particles (PM2.5-10), fine particles (≤ 2.5 μm; PM2.5), PM2.5 absorbance, NOx, and nitrogen dioxide (NO2). Generalized linear regressions and logistic regressions were used to examine the association between air pollution and BP and hypertension, respectively. Diastolic BP was associated with 1-year exposures to air pollution, with estimates of 0.73 [95% confidence interval (CI): 0.44, 1.03], 0.46 (95% CI: 0.30, 0.63), 0.62 (95% CI: 0.24, 0.99), 0.34 (95% CI: 0.19, 0.50), and 0.65 (95% CI: 0.44, 0.85) mmHg for PM10 (10 μg/m3), PM2.5-10 (5 μg/m3), PM2.5 absorbance (10-5/m), NOx (20 μg/m3), and NO2 (10 μg/m3), respectively. PM2.5 was not associated with diastolic BP, and none of the air pollutants was associated with systolic BP. Associations of diastolic BP with PM10 and PM2.5 absorbance were stronger among participants with hypertension, diabetes, or a body mass index ≥ 25 kg/m2 than among participants without these conditions. One-year air pollution exposures were not associated with hypertension. One-year exposures to PM10, PM2.5-10, PM2.5 absorbance, and NOx were associated with higher diastolic BP in elderly residents of Taipei.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences</pub><pmid>25793646</pmid><doi>10.1289/ehp.1408771</doi><oa>free_for_read</oa></addata></record>
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subjects Absorbance
Aged
Aged, 80 and over
Air Pollutants - toxicity
Air pollution
Air Pollution - adverse effects
Air pollution effects
Antihypertensives
Blood Pressure
Cross-Sectional Studies
Elderly people
Environmental Exposure
Estimates
Exposure
Female
Humans
Hypertension
Hypertension - chemically induced
Hypertension - epidemiology
Land use
Male
Medical screening
Models, Theoretical
Nitrogen dioxide
Nitrogen oxides
Nitrogen Oxides - toxicity
Outdoor air quality
Particle Size
Particulate matter
Particulate Matter - toxicity
Photochemicals
Pollutants
Population
Questionnaires
Regression
Roads & highways
Seasons
Socioeconomic factors
Studies
Taiwan - epidemiology
Urban Population
Variables
title Associations between Long-Term Air Pollutant Exposures and Blood Pressure in Elderly Residents of Taipei City: A Cross-Sectional Study
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