|Extremely cold and hot temperatures increase the risk of ischaemic heart disease mortality: epidemiological evidence from China|
|Guo, Yuming1,2; Li, Shanshan3; Zhang, Yanshen4; Armstrong, Ben5; Jaakkola, Jouni J. K.6; Tong, Shilu7,8; Pan, Xiaochuan2|
|WOS标题词||Science & Technology|
|类目[WOS]||Cardiac & Cardiovascular Systems|
|研究领域[WOS]||Cardiovascular System & Cardiology|
|关键词[WOS]||AMBIENT-TEMPERATURE ; UNITED-STATES ; TIME-SERIES ; CARDIOVASCULAR MORTALITY ; CLIMATE-CHANGE ; HEALTH ; INFARCTION ; AUSTRALIA ; SHANGHAI ; IMPACTS|
Objective To examine the effects of extremely cold and hot temperatures on ischaemic heart disease (IHD) mortality in five cities (Beijing, Tianjin, Shanghai, Wuhan and Guangzhou) in China; and to examine the time relationships between cold and hot temperatures and IHD mortality for each city.
Design A negative binomial regression model combined with a distributed lag non-linear model was used to examine city-specific temperature effects on IHD mortality up to 20 lag days. A meta-analysis was used to pool the cold effects and hot effects across the five cities.
Patients 16 559 IHD deaths were monitored by a sentinel surveillance system in five cities during 2004-2008.
Results The relationships between temperature and IHD mortality were non-linear in all five cities. The minimum-mortality temperatures in northern cities were lower than in southern cities. In Beijing, Tianjin and Guangzhou, the effects of extremely cold temperatures were delayed, while Shanghai and Wuhan had immediate cold effects. The effects of extremely hot temperatures appeared immediately in all the cities except Wuhan. Meta-analysis showed that IHD mortality increased 48% at the 1st percentile of temperature (extremely cold temperature) compared with the 10th percentile, while IHD mortality increased 18% at the 99th percentile of temperature (extremely hot temperature) compared with the 90th percentile.
Conclusions Results indicate that both extremely cold and hot temperatures increase IHD mortality in China. Each city has its characteristics of heat effects on IHD mortality. The policy for response to climate change should consider local climate-IHD mortality relationships.
|项目编号||30972433 ; 553043 ; 129419|
|资助机构||National Natural Science Foundation of China ; NHMRC Research Fellowship ; Academy of Finland SALVE Research Programme|
|作者单位||1.Univ Queensland, Sch Med, Brisbane, Qld 4006, Australia|
2.Peking Univ, Dept Occupat & Environm Hlth, Sch Publ Hlth, Beijing 100191, Peoples R China
3.Univ Queensland, Sch Populat Hlth, Dept Epidemiol & Biostat, Brisbane, Qld 4006, Australia
4.Chinese Acad Environm Planning, Ctr Environm Risk & Damage Assessment, Beijing, Peoples R China
5.London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London WC1, England
6.Univ Oulu, Ctr Environm & Resp Hlth Res, Inst Hlth Sci, Oulu, Finland
7.Univ Queensland, Sch Publ Hlth & Social Work, Brisbane, Qld 4006, Australia
8.Univ Queensland, Inst Hlth & Biomed Innovat, Brisbane, Qld 4006, Australia
|Guo, Yuming,Li, Shanshan,Zhang, Yanshen,et al. Extremely cold and hot temperatures increase the risk of ischaemic heart disease mortality: epidemiological evidence from China[J]. HEART,2013,99(3):195-203.|
|APA||Guo, Yuming.,Li, Shanshan.,Zhang, Yanshen.,Armstrong, Ben.,Jaakkola, Jouni J. K..,...&Pan, Xiaochuan.(2013).Extremely cold and hot temperatures increase the risk of ischaemic heart disease mortality: epidemiological evidence from China.HEART,99(3),195-203.|
|MLA||Guo, Yuming,et al."Extremely cold and hot temperatures increase the risk of ischaemic heart disease mortality: epidemiological evidence from China".HEART 99.3(2013):195-203.|