{"title":"Effects of long-term exposure to air pollutant mixture on blood pressure in typical areas of North China","authors":"","doi":"10.1016/j.ecoenv.2024.116987","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Studies about the combined effects of gaseous air pollutants and particulate matters are still rare.</p></div><div><h3>Objectives</h3><p>This study was performed based on baseline survey of the Diverse Life-Course Cohort in the Beijing-Tianjin-Hebei (BTH) Region of North China to evaluate the association of long-term air pollutants with blood pressure and the combined effect of the air pollutants mixture among 32821 natural han population aged 20 years or above.</p></div><div><h3>Methods</h3><p>Three-year average exposure to air pollutants (PM<sub>10</sub>, PM<sub>2.5</sub>, PM<sub>1</sub>, O<sub>3</sub>, SO<sub>2</sub>, NO<sub>2</sub>, and CO) and PM<sub>2.5</sub> components [black carbon (BC), ammonium (<span><math><msubsup><mrow><mi>NH</mi></mrow><mrow><mn>4</mn></mrow><mrow><mo>+</mo></mrow></msubsup></math></span>), nitrate (<span><math><msubsup><mrow><mi>NO</mi></mrow><mrow><mn>3</mn></mrow><mrow><mo>−</mo></mrow></msubsup></math></span>), sulfate (<span><math><msubsup><mrow><mi>SO</mi></mrow><mrow><mn>4</mn></mrow><mrow><mn>2</mn><mo>−</mo></mrow></msubsup></math></span>), and organic matter (OM)] of residential areas were calculated based on well-validated models. Generalized linear mixed models (GLMMs) were used to estimate the associations of air pollutants exposure with the systolic blood pressure (SBP), diastolic blood pressure (DBP), Mean arterial pressure (MAP), pulse pressure (PP) and prevalent hypertension. Quantile g-Computation and Bayesian Kernel Machine Regression (BKMR) were employed to assess the combined effect of the air pollutant mixture.</p></div><div><h3>Results</h3><p>We found that long-term exposures of O<sub>3</sub>, PM<sub>2.5</sub>, and PM<sub>2.5</sub> components were stably and strongly associated with elevated SBP, DBP, and MAP and prevalent hypertension. O<sub>3</sub> increased SBP, DBP, and MAP at a similar extent, but with greater effects; while, PM<sub>2.5</sub> and PM<sub>2.5</sub> components had a greater impact on SBP than DBP, which increased PP simultaneously. In multi-pollutant models, the combined effects of the air pollutant mixture on blood pressure and prevalent hypertension was predominantly influenced by O<sub>3</sub>, PM<sub>2.5</sub>, and O<sub>3</sub>, OM in different models, respectively. For example, O<sub>3</sub>, PM<sub>2.5</sub> contributed 57.25 %, 39.22 % of the positive combined effect of the air pollutant mixture on SBP; and O<sub>3</sub>, OM positively contributed 70.00 %, 30.00 % on prevalent hypertension, respectively. There were interactions between O<sub>3</sub>, CO, SO<sub>2</sub> and PM<sub>2.5</sub> components on hbp, SBP and PP.</p></div><div><h3>Conclusions</h3><p>The results showed positive associations of air pollutant mixtures with blood pressure, where O<sub>3</sub> and PM<sub>2.5</sub> (especially OM) might be primary contributors. There were interactions between gaseous air pollutants and PM<sub>2.5</sub> components on blood pressure and prevalent hypertension.</p></div>","PeriodicalId":303,"journal":{"name":"Ecotoxicology and Environmental Safety","volume":null,"pages":null},"PeriodicalIF":6.2000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0147651324010637/pdfft?md5=51a3d2fbeea052f0d6ffd58f840da791&pid=1-s2.0-S0147651324010637-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ecotoxicology and Environmental Safety","FirstCategoryId":"93","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0147651324010637","RegionNum":2,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Studies about the combined effects of gaseous air pollutants and particulate matters are still rare.
Objectives
This study was performed based on baseline survey of the Diverse Life-Course Cohort in the Beijing-Tianjin-Hebei (BTH) Region of North China to evaluate the association of long-term air pollutants with blood pressure and the combined effect of the air pollutants mixture among 32821 natural han population aged 20 years or above.
Methods
Three-year average exposure to air pollutants (PM10, PM2.5, PM1, O3, SO2, NO2, and CO) and PM2.5 components [black carbon (BC), ammonium (), nitrate (), sulfate (), and organic matter (OM)] of residential areas were calculated based on well-validated models. Generalized linear mixed models (GLMMs) were used to estimate the associations of air pollutants exposure with the systolic blood pressure (SBP), diastolic blood pressure (DBP), Mean arterial pressure (MAP), pulse pressure (PP) and prevalent hypertension. Quantile g-Computation and Bayesian Kernel Machine Regression (BKMR) were employed to assess the combined effect of the air pollutant mixture.
Results
We found that long-term exposures of O3, PM2.5, and PM2.5 components were stably and strongly associated with elevated SBP, DBP, and MAP and prevalent hypertension. O3 increased SBP, DBP, and MAP at a similar extent, but with greater effects; while, PM2.5 and PM2.5 components had a greater impact on SBP than DBP, which increased PP simultaneously. In multi-pollutant models, the combined effects of the air pollutant mixture on blood pressure and prevalent hypertension was predominantly influenced by O3, PM2.5, and O3, OM in different models, respectively. For example, O3, PM2.5 contributed 57.25 %, 39.22 % of the positive combined effect of the air pollutant mixture on SBP; and O3, OM positively contributed 70.00 %, 30.00 % on prevalent hypertension, respectively. There were interactions between O3, CO, SO2 and PM2.5 components on hbp, SBP and PP.
Conclusions
The results showed positive associations of air pollutant mixtures with blood pressure, where O3 and PM2.5 (especially OM) might be primary contributors. There were interactions between gaseous air pollutants and PM2.5 components on blood pressure and prevalent hypertension.
期刊介绍:
Ecotoxicology and Environmental Safety is a multi-disciplinary journal that focuses on understanding the exposure and effects of environmental contamination on organisms including human health. The scope of the journal covers three main themes. The topics within these themes, indicated below, include (but are not limited to) the following: Ecotoxicology、Environmental Chemistry、Environmental Safety etc.