Impact of persistent high ambient fine particulate matters exposure on cardiometabolic risk factors among middle-aged and elderly people

SHI Wan-ying; CHEN Chen; CAO Ya-qiang; ZHANG Yi; CUI Qian; ZHAO Feng; WANG Jiao-nan; FANG Jian-long; TANG Song; LI Tian-tian; SHI Xiao-ming

doi:10.16462/j.cnki.zhjbkz.2021.10.002

Volume 25 Issue 10

Nov. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(10): 1120-1125, 1168

SHI Wan-ying, CHEN Chen, CAO Ya-qiang, ZHANG Yi, CUI Qian, ZHAO Feng, WANG Jiao-nan, FANG Jian-long, TANG Song, LI Tian-tian, SHI Xiao-ming. Impact of persistent high ambient fine particulate matters exposure on cardiometabolic risk factors among middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(10): 1120-1125, 1168. doi: 10.16462/j.cnki.zhjbkz.2021.10.002

Citation:

SHI Wan-ying, CHEN Chen, CAO Ya-qiang, ZHANG Yi, CUI Qian, ZHAO Feng, WANG Jiao-nan, FANG Jian-long, TANG Song, LI Tian-tian, SHI Xiao-ming. Impact of persistent high ambient fine particulate matters exposure on cardiometabolic risk factors among middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(10): 1120-1125, 1168. doi: 10.16462/j.cnki.zhjbkz.2021.10.002

Citation:

SHI Wan-ying, CHEN Chen, CAO Ya-qiang, ZHANG Yi, CUI Qian, ZHAO Feng, WANG Jiao-nan, FANG Jian-long, TANG Song, LI Tian-tian, SHI Xiao-ming. Impact of persistent high ambient fine particulate matters exposure on cardiometabolic risk factors among middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(10): 1120-1125, 1168. doi: 10.16462/j.cnki.zhjbkz.2021.10.002

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Impact of persistent high ambient fine particulate matters exposure on cardiometabolic risk factors among middle-aged and elderly people

doi: 10.16462/j.cnki.zhjbkz.2021.10.002

SHI Wan-ying¹,
CHEN Chen¹,
CAO Ya-qiang^{1, 2},
ZHANG Yi¹,
CUI Qian^{1, 3},
ZHAO Feng¹,
WANG Jiao-nan^{1, 2},
FANG Jian-long¹,
TANG Song^{1, 2},
LI Tian-tian^{1, 2},
SHI Xiao-ming^{1, 2
,
,}

1.
China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
2.
School of Public Health, Nanjing Medical University, Nanjing 211166, China
3.
School of Ecology and Environment, Inner Mongolian University, Hohhot 010021, China

Funds:

National Natural Science Foundation of China 81573247

National Key Research and Development Program of China 2016YFC0206500

National research program for key issues in air pollution control DQGG0401

More Information

Corresponding author: SHI Xiao-ming, E-mail: shixm@chinacdc.cn
Received Date: 2021-06-08
Rev Recd Date: 2021-08-02

Available Online: 2021-11-17

Publish Date: 2021-10-10

Abstract

Abstract

Objective To explore the effects of persistent high exposure of fine particulate matters (PM_2.5) on cardiometabolic risk factors among middle-aged and older people in Beijing-Tianjin-Hebei and surrounding regions. Methods A cross-sectional survey was conducted from April 9th, 2017 to March 31st, 2019 in 6 Provinces in Beijing-Tianjin-Hebei and the surrounding areas. A total of 2 415 middle-aged and elderly people aged 40 to 89 years were recruited as the research participants. Questionnaire survey was conducted to obtain the basic information, socioeconomic and lifestyle of the participants. Physical examination was carried out to obtain waist circumference, levels of fasting blood glucose, blood pressure, triglycerides and high-density lipoprotein cholesterol. According to the consensus statement from the International Diabetes Federation in 2005, the co-prevalence of cardiometabolic risk factors was defined. Daily mean PM_2.5 concentrations ≥75 μg/m³, ≥90th percentile of daily mean PM_2.5 concentrations in each County during the survey year and various durations (≥2 d or ≥3 d) were used to define PM_2.5 high exposure scenarios and persistent states. Logistic regression model was used to analyze the effects of persistent high exposure of PM_2.5 on co-prevalence of cardiometabolic risk factors. Results Persistent high exposure of PM_2.5 was significantly associated with the co-prevalence of cardiometabolic factors, especially when extreme pollution scenario was defined by P₉₀ and lasted for more than 2 days and 3 days, OR value (95% CI) of elevated risk of co-prevalence of cardiometabolic factors were 1.58 (1.00-2.50) and 2.57 (1.27-5.22), respectively. The increase of blood glucose and triglyceride level were more sensitive metabolic risk factors. Moreover, subgroup analysis showed that persistent high PM_2.5 exposure had a more substantial impact on cardiometabolic risks in males and people under 65 years. Conclusions Persistent high exposure of PM_2.5 in Beijing-Tianjin-Hebei and surrounding regions in China can significantly increase cardiometabolic risks in middle-aged and older people.
- Fine particulate matter,
- Heavy pollution,
- Cardiometabolic risk factors

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References(29)

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