Long-term association of ambient air pollution and hypertension in adults and in children: A systematic review and meta-analysis

Qin, Pei; Luo, Xinping; Zeng, Yunhong; Zhang, Yanyan; Yang, Li; Wu, Yuying; Han, Minghui; Qie, Ranran; Wu, Xiaoxia; Liu, Dechen; Huang, Shengbing; Zhao, Yang; Feng, Yifei; Yang, Xingjin; Hu, Fulan; Sun, Xizhuo; Hu, Dongsheng; Zhang, Ming

doi:10.1016/j.scitotenv.2021.148620

Cited by 56 publications

(41 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Numerous systematic and narrative reviews have also highlighted the association between blood pressure and air pollution levels 15,[27][28][29][30] . The prevalence of hypertension was linked to short-term (OR 1.07, 95% CI 1.00-1.14) and long-term (OR 1.1, 95% CI 1.07-1.14) exposure to 10 µg/m 3 increments of PM2.5 29,31 . Short-term exposure to increments of 10 µg/m 3 in PM2.5 has also been linked with 1-3 mmHg elevations in both systolic and diastolic blood pressure levels 32 .…”

Section: [H2] Epidemiology Of Air Pollution and Cvdmentioning

confidence: 98%

Climate change and cardiovascular disease: implications for global health

et al. 2022

View full text Add to dashboard Cite

Climate change is the greatest existential challenge to planetary and human health and is dictated by a shift in the Earth's weather and air conditions owing to anthropogenic activity.Climate change has resulted not only in extreme temperatures, but also in an increase in the frequency of droughts, wildfires, dust storms, coastal flooding, storm surges and hurricanes, as well as multiple compound and cascading events. The interactions between climate change and health outcomes are diverse and complex and include several exposure pathways that might promote the development of non-communicable diseases such as cardiovascular disease. A collaborative approach is needed to solve this climate crisis, whereby medical professionals, scientific researchers, public health officials and policymakers should work together to mitigate and limit the consequences of global warming. In this Review, we aim to provide an overview of the consequences of climate change on cardiovascular health, which result from direct exposure pathways, such as shifts in ambient temperature, air pollution, forest fires, desert (dust and sand) storms and extreme weather events. We also describe the populations that are most susceptible to the health effects caused by climate change and propose potential mitigation strategies, with an emphasis on collaboration at the scientific, governmental and policy levels.

show abstract

Section: [H2] Epidemiology Of Air Pollution and Cvdmentioning

confidence: 98%

Climate change and cardiovascular disease: implications for global health

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Furthermore, hypertension was the most predominant risk factor for all morbidity and mortality due to CVDs in Isfahan, Iran, indicating the highest attributable risks ( Sarrafzadegan et al, 2011 ; Sadeghi et al, 2014 ). Various factors, including lifestyle (physical activity, diet, and smoking), genetics, and the environment, are major contributors to hypertension ( Leung et al, 2019 ; Qin et al, 2021 ; Li et al, 2022a ).…”

Section: Introductionmentioning

confidence: 99%

“…It has been recognized that exposure to air pollution could significantly and rapidly elevate blood pressure, either acute or chronic, thereby raising hypertension and the risk of CVDs development ( Brook and Kousha, 2015 ; Cai et al, 2016 ; Choi et al, 2019 ; Qin et al, 2021 ). In addition to a potential rise in urgent cardiovascular occurrences, blood pressure elevation may also lead to an increase in emergency visits, specifically regarding greater blood pressure levels per se or various related symptoms ( Szyszkowicz et al, 2012 ; Brook and Kousha, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“…Recent systematic reviews and meta-analyses assessing the relationship between ambient air pollution and hypertension highlighted the lack of data concerning some pollutants (such as SO 2 ) and the limited number of studies in many low- and middle-income countries, despite being highly polluted regions with prevalent hypertension ( Cai et al, 2016 ; Yang et al, 2018 ; Qin et al, 2021 ). Low- and middle-income countries differ in their socioeconomic background and air quality profile from high-income countries, where most evidence examining exposure to air pollutants and hypertension morbidity and mortality is mainly derived ( Cai et al, 2016 ; Yang et al, 2018 ; Qin et al, 2021 ). Furthermore, since air quality includes several components and people encounter multiple pollutants in real-life situations, the potentially harmful health effects of air pollutants occur in the context of multi-pollutant; therefore, the impacts of several pollutants should be investigated together.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of sulfur dioxide and particulate matter pollution on hospital admissions for hypertensive cardiovascular disease: A time series analysis

Nouri

Taheri²,

Ziaddini³

et al. 2023

Front. Physiol.

View full text Add to dashboard Cite

Background and aims: Air pollution is a major environmental risk factor and the leading cause of disease burden with detrimental effects on cardiovascular systems. Cardiovascular diseases are predisposed by various risk factors, including hypertension, as the most important modifiable risk factor. However, there is a lack of sufficient data concerning the impact of air pollution on hypertension. We sought to study the associations of short-term exposure to Sulfur dioxide (SO2) and particulate matter (PM10) with the number of daily hospital admissions of hypertensive cardiovascular diseases (HCD).Methods: All hospitalized patients between March 2010 to March 2012 were recruited with the final diagnosis of HCD based on the International Classification of Diseases 10 (codes: I10-I15) from 15 hospitals in Isfahan, one of the most polluted cities in Iran. The 24-hour average concentrations of pollutants were obtained from 4 monitoring stations. In addition to single- and two-pollutant models, we used Negative Binomial and Poisson models with covariates of holidays, dew point, temperature, wind speed, and extracted latent factors of other pollutants controlling for multi-collinearity to examine the risk for hospital admissions for HCD affected by SO2 and PM10 exposures in the multi-pollutant model.Results: A total of 3132 hospitalized patients (63% female) with a mean (standard deviation) age of 64.96 (13.81) were incorporated in the study. The mean concentrations of SO2 and PM10 were 37.64 μg/m3 and 139.08 μg/m3, respectively. Our findings showed that a significantly increased risk of HCD-induced hospital admission was detected for a 10 μg/m3 increase in the 6-day and 3-day moving average of SO2 and PM10 concentrations in the multi-pollutant model with a percent change of 2.11% (95% confidence interval: 0.61 to 3.63%) and 1.19% (0.33 to 2.05%), respectively. This finding was robust in all models and did not vary by gender (for SO2 and PM10) and season (for SO2). However, people aged 35-64 and 18-34 years were vulnerable to SO2 and PM10 exposure-triggered HCD risk, respectively.Conclusions: This study supports the hypothesis of the association between short-term exposure to ambient SO2 and PM10 and the number of hospital admissions due to HCD.

show abstract

“…As far as the impact of the environment on NCD is concerned, scholars at home and abroad have carried out many empirical studies, but in the existing research, when exploring the impact mechanism of air pollution on NCD, they often use months and years as time scales to study its seasonal changes while in heavy industrial areas or other special regions, other time scales have not been considered yet [30][31][32][33][34]. Meanwhile, most studies only consider the impact of the natural environment or the built environment on the NCD unilaterally, and there are few studies that combine the two together.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Environment Factors on Chronic Non-Communicable Diseases in a Heavy Industry City—A Case of Xigu District of Lanzhou City

Zhao

et al. 2021

Sustainability

View full text Add to dashboard Cite

Taking Xigu District of Lanzhou City as an example, this paper systematically analyzes the spatio-temporal distribution characteristics of patients with chronic non-communicable diseases (NCD) and compares the differences between heating period and non-heating period. Furthermore, the impact paths of natural environmental factors and built-up environmental factors on NCD are probed with the help of the geographic detector. The results are as follows: In time, the incidence of NCD in Xigu district fluctuated from 2012 to 2019. In space, there was an overall declining trend in high incidence rate from the central area to the surrounding areas, among which Xigucheng street was the high-risk area. The incidence of NCD in heating period was higher than that of in non-heating period, and the number of H-H cluster areas was witnessed an obviously increasing growth in Sijiqing Street. There are significant differences in the explanatory power of different factors (if any) for NCD. The explanatory power of each index in Xigu District is as follows: Facility > SO2 > NO2 > PM2.5 > food > Beverage Service > Green Facilities > Traffic Regulations > medical facilities. The interaction between plant facilities and SO2 has the strongest effect on NCD. Except for the negative correlation between greening and medical facilities and the incidence of NCD, all the influencing factors were positively correlated with NCD.

show abstract

Long-term association of ambient air pollution and hypertension in adults and in children: A systematic review and meta-analysis

Cited by 56 publications

References 54 publications

Climate change and cardiovascular disease: implications for global health

Climate change and cardiovascular disease: implications for global health

Effects of sulfur dioxide and particulate matter pollution on hospital admissions for hypertensive cardiovascular disease: A time series analysis

The Influence of Environment Factors on Chronic Non-Communicable Diseases in a Heavy Industry City—A Case of Xigu District of Lanzhou City

Contact Info

Product

Resources

About