Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study
Abstract Background Research regarding the interaction of ambient air pollution and overweight on prehypertension is scarce. We aimed to test whether overweight modifies the association between long-term exposure to ambient air pollution and prehypertension in Chinese adults. Methods A total of 16,1...
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | Environmental Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12940-018-0401-2 |
| _version_ | 1811280130681602048 |
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| author | Bo-Yi Yang Zhengmin Min Qian Michael G. Vaughn Steven W. Howard John Phillip Pemberton Huimin Ma Duo-Hong Chen Li-Wen Hu Xiao-Wen Zeng Chuan Zhang Yan-Peng Tian Min Nian Xiang Xiao Guang-Hui Dong |
| author_facet | Bo-Yi Yang Zhengmin Min Qian Michael G. Vaughn Steven W. Howard John Phillip Pemberton Huimin Ma Duo-Hong Chen Li-Wen Hu Xiao-Wen Zeng Chuan Zhang Yan-Peng Tian Min Nian Xiang Xiao Guang-Hui Dong |
| author_sort | Bo-Yi Yang |
| collection | DOAJ |
| description | Abstract Background Research regarding the interaction of ambient air pollution and overweight on prehypertension is scarce. We aimed to test whether overweight modifies the association between long-term exposure to ambient air pollution and prehypertension in Chinese adults. Methods A total of 16,188 Chinese adults, aged 18–74 years old, from 33 communities in 3 Northeastern Chinese cities were evaluated. Three-year average levels of particles with an aerodynamic diameter ≤ 10 μm (PM10), sulfur dioxides (SO2), nitrogen dioxides (NO2), and ozone (O3) were calculated at monitoring stations. Generalized additive models and 2-level regression analyses were applied. Results We observed significant interactions between air pollutants and overweight on prehypertension and blood pressure. The associations of PM10, SO2, NO2, and O3 with prehypertension were significant among overweight participants (Prevalence Rate Ratios (PRRs) per interquartile range (IQR) of air pollutants: 1.14–1.20), but not among normal weight participants (PRRs: 0.98–1.04). PM10, SO2, and O3 were significantly associated with systolic blood pressure (SBP), and the magnitudes of these associations were higher among overweight adults (increases in SBP per IQR of air pollutants: 1.82–4.53 mmHg) than those among normal weight adults (increases in SBP: 0.42–0.61 mmHg). For diastolic blood pressure (DBP), significant associations were mainly observed in overweight participants (increases in DBP: 0.80–1.63 mmHg). Further stratified analyses showed that all these interactions were stronger in women, the older, and participants living in areas with lower income levels or higher population density. Conclusions Being overweight may enhance the effects of ambient air pollution on prehypertension and blood pressure in Chinese adults. |
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| institution | Directory Open Access Journal |
| issn | 1476-069X |
| language | English |
| last_indexed | 2024-04-13T01:07:57Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
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| series | Environmental Health |
| spelling | doaj.art-ad1c182aec7c47419c3714f84f9cdb612022-12-22T03:09:16ZengBMCEnvironmental Health1476-069X2018-06-0117111510.1186/s12940-018-0401-2Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health StudyBo-Yi Yang0Zhengmin Min Qian1Michael G. Vaughn2Steven W. Howard3John Phillip Pemberton4Huimin Ma5Duo-Hong Chen6Li-Wen Hu7Xiao-Wen Zeng8Chuan Zhang9Yan-Peng Tian10Min Nian11Xiang Xiao12Guang-Hui Dong13Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityDepartment of Epidemiology, College for Public Health and Social Justice, Saint Louis UniversitySchool of Social Work, College for Public Health and Social Justice, Saint Louis UniversityDepartment of Health Management & Policy, College for Public Health & Social Justice, Saint Louis UniversityDepartment of Epidemiology, College for Public Health and Social Justice, Saint Louis UniversityState Key Laboratory of Organic Geochemistry and Guangdong Key Laboratory of Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, Chinese Academy of SciencesGuangdong Environmental Monitoring Center, State Environmental Protection Key Laboratory of Regional Air Quality Monitoring, Guangdong Environmental Protection Key Laboratory of Atmospheric Secondary PollutionGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityGuangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment; Guangdong Provincial Engineering Technology Research Center of Environmental and Health risk Assessment; Department of Preventive Medicine, School of Public Health, Sun Yat-sen UniversityAbstract Background Research regarding the interaction of ambient air pollution and overweight on prehypertension is scarce. We aimed to test whether overweight modifies the association between long-term exposure to ambient air pollution and prehypertension in Chinese adults. Methods A total of 16,188 Chinese adults, aged 18–74 years old, from 33 communities in 3 Northeastern Chinese cities were evaluated. Three-year average levels of particles with an aerodynamic diameter ≤ 10 μm (PM10), sulfur dioxides (SO2), nitrogen dioxides (NO2), and ozone (O3) were calculated at monitoring stations. Generalized additive models and 2-level regression analyses were applied. Results We observed significant interactions between air pollutants and overweight on prehypertension and blood pressure. The associations of PM10, SO2, NO2, and O3 with prehypertension were significant among overweight participants (Prevalence Rate Ratios (PRRs) per interquartile range (IQR) of air pollutants: 1.14–1.20), but not among normal weight participants (PRRs: 0.98–1.04). PM10, SO2, and O3 were significantly associated with systolic blood pressure (SBP), and the magnitudes of these associations were higher among overweight adults (increases in SBP per IQR of air pollutants: 1.82–4.53 mmHg) than those among normal weight adults (increases in SBP: 0.42–0.61 mmHg). For diastolic blood pressure (DBP), significant associations were mainly observed in overweight participants (increases in DBP: 0.80–1.63 mmHg). Further stratified analyses showed that all these interactions were stronger in women, the older, and participants living in areas with lower income levels or higher population density. Conclusions Being overweight may enhance the effects of ambient air pollution on prehypertension and blood pressure in Chinese adults.http://link.springer.com/article/10.1186/s12940-018-0401-2Ambient air pollutionChineseInteractionOverweightPrehypertension |
| spellingShingle | Bo-Yi Yang Zhengmin Min Qian Michael G. Vaughn Steven W. Howard John Phillip Pemberton Huimin Ma Duo-Hong Chen Li-Wen Hu Xiao-Wen Zeng Chuan Zhang Yan-Peng Tian Min Nian Xiang Xiao Guang-Hui Dong Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study Environmental Health Ambient air pollution Chinese Interaction Overweight Prehypertension |
| title | Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study |
| title_full | Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study |
| title_fullStr | Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study |
| title_full_unstemmed | Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study |
| title_short | Overweight modifies the association between long-term ambient air pollution and prehypertension in Chinese adults: the 33 Communities Chinese Health Study |
| title_sort | overweight modifies the association between long term ambient air pollution and prehypertension in chinese adults the 33 communities chinese health study |
| topic | Ambient air pollution Chinese Interaction Overweight Prehypertension |
| url | http://link.springer.com/article/10.1186/s12940-018-0401-2 |
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