Cardiovascular Diseases and Long-term Self-reported Exposure to Pollution

Salameh, Pascale; Zeidan, Rouba Karen; Hallit, Souheil; Farah, Rita; Chahine, Mirna N.; Asmar, Roland; Hosseini, Hassan

doi:10.1097/hcr.0000000000000378

Cited by 5 publications

(4 citation statements)

References 52 publications

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“…The total quantity of studies performed over the past years discussing correspondences of health conditions with the environment in Lebanon is underwhelming, despite the unfavorable quality of many environmental features especially air. Recent studies showed an association between pollution and chronic diseases (hypertension, cardiac problems, and stroke) [20][21][22]. Our study discusses the deleterious effects air pollutants induce chronically on the skin.…”

Section: Introductionmentioning

confidence: 81%

“…These questions were based on a previous article [10]. As for the fourth and final part, it assessed exposure to ambient air pollution by living close (< 100 m) to a busy road or a generator, living or working near (< 1 km away) a power plant, driving and using air conditioning in the car, as well as hours spent per day at home, work, university, in traffic and practicing outdoor activities; to note that power plants in most cities in Lebanon are coal-based thermal power plants [21]. Based on the participant's home, work and university regions, we stratified exposure as None: residency in non-polluted cities, Mild: limited time spent during the day in a polluted city (less than 4 h per day), Moderate: 2 out of the 3 regions (home, work, university) documented as polluted based on each air pollutants percentages, and Severe: 3 out of 3 regions have high levels of the air pollutant in question.…”

Section: Survey Developmentmentioning

confidence: 99%

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Association between exposure to ambient air pollution and occurrence of inflammatory acne in the adult population

et al. 2021

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Background Acne vulgaris is one of the most prevalent skin diseases responsible for dermatological consultations. Several internal and external factors can affect acne occurrence and severity. Outdoor air pollution is an external factor discussed to trigger inflammation of the skin. The objective of this study was to find a link between the exposure to ambient air pollution and inflammatory acne occurrence in the Lebanese adult population. Methods A cross-sectional study was conducted, using an online questionnaire to collect the required data from different Lebanese regions. The survey covered pollution exposure questions as well as queries on several factors known to have a role on acne occurrence. Results A total of 372 participants were included in the study, aged 18 to 55 years old. The results of a logistic regression taking the presence/absence of acne as the dependent variable, showed that female gender (aOR = 4.39), younger age (aOR = 1.05), using hydrating cream (aOR = 4.30), working near a power plant vs not (aOR = 3.07), having a severe NO2 exposure compared to none (aOR = 8.24), a higher number of family members with acne or history of acne (aOR = 1.48) were significantly associated with higher odds of having acne, whereas having a dry skin compared to normal (aOR = 0.20) was significantly associated with lower odds of having acne. Conclusion The occurrence of inflammatory acne in Lebanese adults was found to be associated with ambient exposure to high levels of NO2 and employment near a power plant known to emit CO2, CO, SO2, NO2 and PM. Therefore, our findings can serve as a first step towards implementing awareness on a skin care routine suitable for highly polluted areas.

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Section: Introductionmentioning

confidence: 81%

Section: Survey Developmentmentioning

confidence: 99%

Association between exposure to ambient air pollution and occurrence of inflammatory acne in the adult population

et al. 2021

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“…Although not the original focus of this study, remarkably ischemic stroke was found to be associated with outdoor pollution, notably residing 100 m from a congested road and/or an electricity generator. Indeed, it is generally known that even minor geographical changes can have a significant impact on exposure to air pollution and consequently the probability of negative health consequences [ 84 , 85 , 86 ]. Chronic exposure to outdoor pollution and stroke, particularly fine particulate matter, has sparked the interest of researchers, who believe that those who live in more polluted areas are more likely to experience strokes [ 22 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Eating Behaviors, Lifestyle, and Ischemic Stroke: A Lebanese Case-Control Study

Maalouf

Hallit

Salameh

et al. 2023

IJERPH

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Background: Stroke is the second leading cause of death and the third leading cause of disability on a global scale. Most clinicians tend to underestimate the importance of diet and inadequate or dysfunctional eating attitudes in patients with a complicated relationship with food. Concerned about the potential of an independent Lebanese approach, and also because prior international research has revealed a link between eating intake or choice and ischemic stroke risk, it was considered vital to broaden the scope of the literature and evaluate further the association of disordered eating attitudes and focus on the distinct relationship with food in the case of orthorexia nervosa (ON) in the Lebanese community. Consequently, the purpose of the present study is to investigate the potential association between pre-existing disordered eating attitudes, specifically ON, and ischemic stroke risk, with an emphasis on the evidence supporting a Mediterranean-style diet. Methods: This research is a case-control survey study involving 113 Lebanese individuals with ischemic stroke and 451 age-(within 5 years) and sex-matched controls recruited from several hospitals in Lebanon (April 2020–April 2021). Results: According to the findings of our first regression model, living 100 m from a crowded road (adjusted odds ratio [aOR]: 3.421, 95% confidence interval [CI]: 1.585–7.387), living 100 m from an electricity generator (aOR: 3.686, 95% CI: 1.681–8.085), higher waterpipe dependence (aOR: 1.204, 95% CI: 1.117–1.297), higher exposure to passive smoking (aOR: 2.651, 95% CI: 2.051–3.426), being married (aOR: 3.545, 95% CI: 1.297–9.689), having a low educational attainment (aOR: 0.239, 95% CI: 0.084–0.679), vigorous physical activity (aOR: 1.003, 95% CI: 1.001–1.006), and having more inappropriate eating (aOR: 1.040, 95% CI: 1.006–1.074) were all associated with higher odds of having ischemic stroke. Furthermore, atrial fibrillation (aOR: 2.945, 95% CI: 1.010–8.585), diabetes (aOR: 2.550, 95% CI: 1.169–5.561), heart diseases (aOR: 6.193, 95% CI: 2.196–17.463), and hypertension (aOR: 2.744, 95% CI: 1.049–7.180) were also linked to an increased risk of stroke. Moreover, having more orthorexia nervosa tendencies (aOR: 1.123, 95% CI: 1.021–1.235) was related to a higher odds of having an ischemic stroke, whereas better adherence to the MeD was significantly linked (aOR: 0.691, 95% CI: 0.583–0.819) to lower odds of ischemic stroke. Conclusions: Ischemic stroke patients were more likely to have disordered eating attitudes and orthorexic behaviors. Furthermore, the MeD has been found to be beneficial in reducing ischemic stroke risk. Despite the study’s focus, outdoor pollution, waterpipe dependence, and passive smoking were linked to ischemic stroke. In summary, this review suggests that improving one’s nutritional status and making a few lifestyle changes are key stroke prevention and treatment methods.

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“…However, most previous studies on smoking and hypertension lacked the control of environmental exposure. As an important pollutant in the atmosphere, PM 2.5 has frequently appeared in hypertension risk factor studies (13,14), and multiple studies have focused on the elderly, supporting the possibility that smoking might lead to an increase in BP (15,16). In addition, studies regarding longterm exposure to green space have indicated that the odds of hypertension are related to the green space exposure (17), and some studies have claimed that living near green spaces may reduce the risk of hypertension (18,19).…”

Section: Introductionmentioning

confidence: 99%

Association between smoking and hypertension under different PM2.5 and green space exposure: A nationwide cross-sectional study

Chen

Geng

et al. 2022

Front. Public Health

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BackgroundSmoking has been widely reported to have a significant relationship with hypertension, but the past description of this relationship has not been uniform. In addition, there has been a lack of research to discuss the impact of environmental exposure on the relationship between smoking and hypertension. Therefore, this study estimates the association between smoking and hypertension in middle aged and elderly people in China under different PM2.5 (fine particulate matter) concentrations and the green space exposure conditions.MethodsIndividual sample data from the China Health and Retirement Longitudinal Study in 2018 and the long-term average exposure concentration of fine particles and green space exposure for all participants were used with a multilevel binary logistic mixed effects model. Adjustments were made for sociodemographic characteristics and other health behaviors including drinking, physical activity, and social activity. The normalized difference vegetation index (NDVI) and PM2.5 concentration stratification were assigned with the median of the population exposure concentration as the dividing line, and the dual environmental factor stratification was assigned in combination with the two types of environmental exposure. The analysis was also stratified using age groups.ResultsA total of 10,600 participants over the age of 45 were included in the study. The effects of smoking on hypertension were diverse under different environmental exposure conditions. There was a significant relationship between smoking behavior and hypertension in the Low-NDVI group, and the effect value of this relationship was significantly different from that in the High-NDVI group. Furthermore, for respondents exposed to low green spaces and high PM2.5 environments at the same time (Low-NDVI/High-PM2.5 group), their smoking behavior may lead to an increase in the risk of hypertension. In addition, the risk of hypertension caused by smoking in the middle-aged (45–64) was significant under low green space exposure, but the effect difference between the different age groups was not significant.ConclusionsThe relationship between smoking and hypertension was different under different environmental exposure conditions. Exposure to low green spaces may strengthen the association between smoking and hypertension risk. When participants were exposed to both low green spaces and high PM2.5 concentrations, the risk of hypertension caused by smoking was significantly higher than that of those who were exposed to high green spaces and low PM2.5 concentrations.

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Cardiovascular Diseases and Long-term Self-reported Exposure to Pollution

Cited by 5 publications

References 52 publications

Association between exposure to ambient air pollution and occurrence of inflammatory acne in the adult population

Association between exposure to ambient air pollution and occurrence of inflammatory acne in the adult population

Eating Behaviors, Lifestyle, and Ischemic Stroke: A Lebanese Case-Control Study

Association between smoking and hypertension under different PM2.5 and green space exposure: A nationwide cross-sectional study

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