Association between ambient fine particulate matter with blood pressure levels among Iranian individuals admitted for cardiac and respiratory diseases: Data from CAPACITY study

  • سال انتشار: 1399
  • محل انتشار: مجله آریا آترواسکلروز، دوره: 16، شماره: 4
  • کد COI اختصاصی: JR_RYA-16-4_004
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 141
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نویسندگان

Alireza Khosravi

Professor, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Hamid Reza Rajabi

Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Mehrbod Vakhshoori

General Practitioner, Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Katayoun Rabiei

General Practitioner, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Sayed Mohsen Hosseini

Professor, Department of Biostatics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

Asieh Mansouri

Assistant Professor, Applied Physiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Farshad Roghani-Dehkordi

Professor, Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Jamshid Najafian

Associate Professor, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Mojtaba Rahimi

Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Tohid Jafari-Koshki

Molecular Medicine Research Center, Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran

Babak Sadeghian

Central Laboratory and Air Pollution Monitoring, Isfahan Province Environmental Monitoring Center, Isfahan Department of Environment, Isfahan, Iran

Mansour Shishehforoush

Isfahan Disaster Management Office, Isfahan Governor Office, Isfahan, Iran

Ahmadreza Lahijanzadeh

Khouzestan Department of Environment, Ahvaz, Iran

Marzieh Taheri

Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Nizal Sarrafzadegan

Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده

BACKGROUND: The relation between air pollution and cardiovascular diseases (CVDs) risk factors, especially blood pressure (BP) levels, has been less frequently assessed. The aim of this study was evaluating the association between air pollutants of less than ۲.۵ µm [particulate matter (PM۲.۵)] and BP indices among individuals admitted with CVDs and pulmonary diseases.METHODS: This cross-sectional study was in context of air pollution associated with hospitalization and mortality of CVDs and respiratory diseases (CAPACITY) study. Data of ۷۹۲ Iranian patients referring to two hospitals in Isfahan, Iran, for cardiovascular or respiratory problems from March ۲۰۱۱ to March ۲۰۱۲ were used for analysis. BP indices including systolic BP (SBP), diastolic BP (DBP), and mean arterial pressure (MAP) were obtained from patients’ medical forms and mean PM۲.۵ concentrations during ۲۴ hours prior to admission of each patient were obtained from Isfahan Department of Environment (DOE).RESULTS: Mean ± standard deviation (SD) of participants’ age were ۶۲.۵ ± ۱۵.۹ years. All BP indices on admission were significantly higher in women compared with men. Adjustment of all potential confounders including age, sex, temperature, wind speed, and dew point revealed that increasing one quartile in PM۲.۵ concentrations had been associated with ۱.۹۸ mmHg raising in SBP at the time of admission [۹۵% confidence interval (CI) = ۰.۴۱-۳.۵۴, P = ۰.۰۱۰]. Women with cardiac diseases had higher all BP indices with increased PM۲.۵ concentration [SBP: β: ۴.۳۰, ۹۵% CI = ۰.۹۰-۷.۷۰, P = ۰.۰۱۰; DBP: β: ۱.۸۹, ۹۵% CI = ۰.۰۹-۳.۶۹, P = ۰.۰۴۰; MAP: β: ۳.۰۹, ۹۵% CI = ۰.۶۸-۵.۵۱, P= ۰.۰۱۰, respectively).CONCLUSION: Our findings suggest that increasing PM۲.۵ concentration has been positively associated with raising SBP in total population and all BP indices among women with cardiac problems at admission time. Several comprehensive studies are required for confirming these relations.

کلیدواژه ها

Particulate Matter, Blood Pressure, Air Pollutants, Air Pollution

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