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学科主题: 公共卫生
题名:
A feasibility study of the association of exposure to biomass smoke with vascular function, inflammation, and cellular aging
作者: Shan, Ming1; Yang, Xudong1; Ezzati, Majid2; Chaturvedi, Nishi3,4; Coady, Emma3,4; Hughes, Alun3,4; Shi, Yuhui5; Yang, Ming6; Zhang, Yuanxun7; Baumgartner, Jill8,9,10
关键词: Arterial stiffness ; Blood pressure ; Household air pollution ; Inflammation ; Solid fuels ; Telomere length
刊名: ENVIRONMENTAL RESEARCH
发表日期: 2014-11-01
DOI: 10.1016/j.envres.2014.09.006
卷: 135, 页:165-172
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Environmental Sciences ; Public, Environmental & Occupational Health
研究领域[WOS]: Environmental Sciences & Ecology ; Public, Environmental & Occupational Health
关键词[WOS]: PARTICULATE AIR-POLLUTION ; C-REACTIVE PROTEIN ; PULSE-WAVE VELOCITY ; SOLID-FUEL USE ; INCREASES ARTERIAL STIFFNESS ; AMERICAN-HEART-ASSOCIATION ; SHORT-TERM EXPOSURE ; DRIED BLOOD SPOTS ; CARDIOVASCULAR-DISEASE ; OXIDATIVE STRESS
英文摘要:

Background: Biomass smoke at higher concentrations is associated with respiratory symptoms and, after years of exposure, increased risk of respiratory disorders in adults, but its effects on cardiovascular diseases are not well characterized, particularly compared with other pollution sources like tobacco smoke or traffic.

Methods: We conducted a cross-sectional study and enrolled 25 women living in rural Sichuan, China. We measured integrated 24-h personal exposure to fine particulate matter (PM2.5) and black carbon, and measured PM2.5 and black carbon in their kitchens. We assessed participants′ brachial and central blood pressure and arterial stiffness using pulse wave analysis, and analyzed dried blood spot and buccal cell samples for C-reactive protein and relative telomere length. We also evaluated the difference in these physiological and biomarker measures between individuals with high (>= median) versus low (< median) PM2.5 exposure using multivariate regression.

Results: Geometric mean 24-h PM2.5 and black carbon exposures were 61 mu g/m(3) (95% CI: 48, 78) and 3.2 mu g/m(3) (95% CI: 2.3, 4.5), respectively. Average kitchen PM2.5 and black carbon concentrations were only moderately correlated with personal exposures (PM2.5: r=0.41; black carbon: r=0.63), although they had similar means. Women in the high and low exposure groups were similar in age, obesity, socioeconomic status, salt intake, and physical activity. Women in the high PM2.5 exposure group had higher mean brachial systolic blood pressure (SBP; difference=4.6 mmHg, 95% CI-7.8,16.9), central SBP (difference=3.1 mmHg, 95% CI: -8.4,14.5), central pulse pressure (difference=4.1 mmHg; 95% CI: -4.2, 12.4), and augmentation index (difference=2.8%, 95% CI: -1.6, 7.2). High exposed women had 43% shorter telomere length (95% CI: -113, 28) than that of women in the low exposure group. There were no differences in pulse wave velocity or C-reactive protein between the two exposure groups. None of the results was statistically significant.

Conclusions: Our results suggest that it is feasible to measure markers of vascular function and biomarkers of inflammation and oxidative stress in field studies of biomass smoke. Although many of the associations were in the expected direction, larger studies would be needed to establish the effects. (C) 2014 Elsevier Inc. All rights reserved.

语种: 英语
所属项目编号: 20111081081
项目资助者: Initiative for Renewable Energy and the Environment at the Institute on the Environment, University of Minnesota ; Tsinghua University Internal Research Grant ; Medical Research Council (MRC) Strategic Award
WOS记录号: WOS:000346622800024
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63474
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Tsinghua Univ, Dept Bldg Sci, Beijing 100084, Peoples R China
2.UCL, Inst Cardiovasc Sci, London, England
3.Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, MRC PHE Ctr Environm & Hlth, London SW7 2AZ, England
4.Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, Int Ctr Circulatory Hlth, London, England
5.Peking Univ, Sch Publ Hlth, Dept Social Med & Hlth Educ, Beijing 100871, Peoples R China
6.Beijing Univ Chem Technol, Coll Life Sci & Technol, Beijing 100029, Peoples R China
7.Univ Chinese Acad Sci, Coll Resources & Environm, Beijing, Peoples R China
8.Univ Minnesota, Inst Environm, St Paul, MN 55108 USA
9.McGill Univ, Inst Hlth & Social Policy, Montreal, PQ H3A 1A3, Canada
10.McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ H3A 1A3, Canada

Recommended Citation:
Shan, Ming,Yang, Xudong,Ezzati, Majid,et al. A feasibility study of the association of exposure to biomass smoke with vascular function, inflammation, and cellular aging[J]. ENVIRONMENTAL RESEARCH,2014,135:165-172.
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