Ambulatory (24 Hour) Blood Pressure Monitoring in Police Officers

Tomei, Francesco; Rosati, Maria Valeria; Baccolo, Tiziana Paola; Cherubini, Emilia; Ciarrocca, Manuela; Caciari, Tiziana; Tomao, Enrico

doi:10.1539/joh.46.235

Cited by 22 publications

(15 citation statements)

References 31 publications

(85 reference statements)

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“…HDL cholesterol, measured in three studies, (12,14,31) shows no statistically significant differences, but is characterized by a high level of heterogeneity. Regarding triglycerides, measured in three studies (12,14,28), there is a statistically significant difference in the exposed compared to controls, with a low index of heterogeneity.…”

Section: Results Of Continuous Variables: Class Imentioning

confidence: 90%

“…For the lipid parameters, total cholesterol, measured in four studies (12,14,28,31), and LDL cholesterol, measured in one study (12) show no statistically significant differences and are characterized by a low index of heterogeneity. HDL cholesterol, measured in three studies, (12,14,31) shows no statistically significant differences, but is characterized by a high level of heterogeneity. Regarding triglycerides, measured in three studies (12,14,28), there is a statistically significant difference in the exposed compared to controls, with a low index of heterogeneity.…”

Section: Results Of Continuous Variables: Class Imentioning

confidence: 91%

“…Systolic and diastolic blood pressure, evaluated in eight studies (12,13,(28)(29)(30)(31)(32)(33), and heart rate, in two studies (31,34), show no statistically significant differences in the exposed compared to controls. The studies were heterogeneous between them.…”

Section: Results Of Continuous Variables: Class Imentioning

confidence: 99%

“…Prevalence of electrocardiographic abnormalities, evaluated in five studies (12,(35)(36)(37)(38) took twice and the prevalence of hypertension assessed in two studies (36,37), do not give statistically significant differences in the exposed compared to controls, with a high degree of heterogeneity. Regarding the data on the prevalence of hypercholesterolemia, evaluated in two studies (35,36), there are not statistically significant differences in the exposed compared to controls, with a high degree of heterogeneity.…”

Section: Results Of Not-continuous Variables: Class IImentioning

confidence: 99%

“…Even if the process implying this connection is not yet fully explained, it is possible to recognize some risk factors, such as the exposition to chemical agents shortterm (2,(8)(9)(10)(11) and long-term (2,5,(12)(13)(14)(15) exposition to particulate matter, lead (16)(17)(18)(19)(20)(21), cadmium (4), carbon monoxide (22) and to traffic noise (12,13,23,24). The aim of this meta-analysis is to conduct a systematic revision of the scientific evidence on cardiovascular effects in workers exposed to urban pollution (25).…”

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confidence: 99%

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Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Sancini¹

2012

P. & R.

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SummaryBackground: many studies showed a connection between exposition to high levels of urban pollution (especially to particulate and traffic noise) and the onset of even deadly cardiovascular diseases. Design: meta-analysis of case-control design. Objectives: the aim of this study is to estimate the association between cardiovascular effects and occupational exposition to atmospheric pollution in urban environment. There has not been any kind of language or typological restriction. Criteria of Elegibility: the research on cardiovascular effects includes control cases of workers exposed to urban pollution, compared with non-exposed subjects. Participants and Interventions: the selected studies present outdoor workers exposed to urban pollution (drivers and petrol pump attendants) and a control group of indoor workers (managers, university students and other selected subjects). Study Appraisal and Synthesis Methods: the evidences (independently token from two different authors) have been grouped in two classes, the first one formed by continuous variables (systolic blood pressure, diastolic blood pressure, heart rate, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides) and the second one by discontinuous variables (electrocardiographic abnormalities prevalence, hypertension prevalence, hypercholesterolemia prevalence). The studies related to both classes and presenting more than one variable for each class have been included and used, in order to elaborate the results. We calculated heterogeneity in each variable (ES calculation for continuous variables and OR calculation for discontinuous variables). Results: on 378 publications, we have selected and included 16 articles. The variables show statistically irrelevant differences between exposed group and control group, except regarding the triglycerides. Limitations: The controlled studies are limited and characterized by a non-homogeneous evaluation of both expositional times of workers to urban pollution and of professional expositional values. Conclusions: considering the heterogeneity and the lack of studies, it is impossible at the moment to document effects on the cardiovascular system in workers exposed to urban pollution. The results of this meta-analysis only suggest the association of urban pollution with alteration of triglycerides blood levels (referring to just three studies). As reported in scientific literature on this subject, it is necessary to conduct a future professional investigation on this subject with more qualified and homogeneous studies.

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Section: Results Of Continuous Variables: Class Imentioning

confidence: 90%

Section: Results Of Continuous Variables: Class Imentioning

confidence: 91%

Section: Results Of Continuous Variables: Class Imentioning

confidence: 99%

Section: Results Of Not-continuous Variables: Class IImentioning

confidence: 99%

mentioning

confidence: 99%

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Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Sancini¹

2012

P. & R.

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Occupational Exposure to Urban Airborne Particulate Matter: A Review on Environmental Monitoring and Health Effects

Iavicoli

Leso

Fontana

et al. 2010

Urban Airborne Particulate Matter

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Exposure to traffic pollutants and effects on 17-β-estradiol (E2) in female workers

Tomei

Ciarrocca

Fortunato

et al. 2006

Int Arch Occup Environ Health

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Considering that the potential confounding effect of extraneous factors was controlled for by restricting the study population and by matching traffic police and controls on the above-mentioned variables, our results suggest that occupational exposure to urban pollutants, EDs included, might alter E2 plasma concentrations. E2 could be used in occupational set as an early biomarker of exposure to urban pollutants, valuable for the group, even before the onset of the related pathologies (adverse pregnancy outcome and mental health disorders).

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Ambulatory (24 Hour) Blood Pressure Monitoring in Police Officers

Cited by 22 publications

References 31 publications

Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Occupational Exposure to Urban Airborne Particulate Matter: A Review on Environmental Monitoring and Health Effects

Exposure to traffic pollutants and effects on 17-β-estradiol (E2) in female workers

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