Effect of Seasonal Variation on the Relationship of Indoor Air Particulate Matter with Measures of Obesity and Blood Pressure in Children.

IF 2.4 Q1 Medicine Journal of Health and Pollution Pub Date : 2021-05-28 eCollection Date: 2021-06-01 DOI:10.5696/2156-9614-11.30.210610
Anye Chungag, Godwill Azeh Engwa, Constance Rufaro Sewani-Rusike, Benedicta Ngwenchi Nkeh-Chungag
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引用次数: 2

Abstract

Background: Particulate matter (PM) air pollution is an important environmental health risk factor. Although some studies have shown PM to be associated with obesity and hypertension, very few studies have assessed the association of indoor PM specifically with obesity and blood pressure measures in children with respect to seasonal variation.

Objectives: The present study investigated the relationship of PM with obesity and blood pressure variables in children across the winter and summer seasons.

Methods: A comparative descriptive approach was adopted and school children from 10-14 years of age from selected rural and urban localities of the Eastern Cape Province of South Africa were assessed in winter and summer. Anthropometric measurements were taken, including height, weight, waist circumference, body mass index (BMI), and total fat mass (TFM), while blood pressure variables including systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were measured. Indoor air PM concentrations were measured in the classrooms in the presence of children.

Results: The prevalence of obesity and hypertension in children were 13.4% and 5.1% in winter and 12.9% and 1.0% in summer, respectively. High blood pressure was more prevalent in children in rural areas, while the prevalence of obesity in children was higher in urban areas. Particulate matter was significantly (p<0.05) higher in rural areas compared to urban areas. Obese children in summer had a greater than 3-fold association (AOR: 3.681, p=0.005) with 4th interquartile range (IQR) of PM5 and a greater than 3- and 4-fold association (AOR: 3.08; 4.407; p<0.05) with 2nd and 4th IQR of PM10, respectively, than their overweight, normal weight or underweight counterparts. High blood pressure was not associated (p< 0.05) with PM.

Conclusions: High concentrations of indoor PM were positively associated with obesity in children in summer, particularly among rural children. This association could be accounted for by location and seasonal differences.

Participant consent: Obtained.

Ethics approval: Ethics approval was obtained from the Health Sciences Ethics Committee of Walter Sisulu University, South Africa (Ref No: CHI011SCHU01).

Competing interests: The authors declare no competing financial interests.

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季节变化对室内空气颗粒物与儿童肥胖和血压测量关系的影响
背景:大气颗粒物污染是一个重要的环境健康风险因素。尽管一些研究表明PM与肥胖和高血压有关,但很少有研究专门评估室内PM与儿童肥胖和血压测量的季节性变化之间的关系。目的:本研究调查了冬季和夏季儿童PM与肥胖和血压变量的关系。方法:采用比较描述性方法,在冬季和夏季对南非东开普省选定的农村和城市地区10-14岁的学龄儿童进行评估。测量身高、体重、腰围、身体质量指数(BMI)、总脂肪量(TFM),测量收缩压(SBP)、舒张压(DBP)、心率(HR)等血压变量。在儿童在场的教室里测量室内空气中PM浓度。结果:冬季儿童肥胖和高血压患病率分别为13.4%和5.1%,夏季儿童肥胖和高血压患病率分别为12.9%和1.0%。高血压在农村地区的儿童中更为普遍,而肥胖在城市地区的儿童中患病率更高。结论:室内PM浓度高与夏季儿童肥胖呈正相关,尤其是农村儿童。这种关联可以用地理位置和季节差异来解释。参与者同意:已获取。伦理批准:获得南非Walter Sisulu大学健康科学伦理委员会(Ref No: CHI011SCHU01)的伦理批准。利益竞争:作者声明没有经济利益竞争。
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Journal of Health and Pollution
Journal of Health and Pollution Medicine-Public Health, Environmental and Occupational Health
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审稿时长
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期刊介绍: The Journal of Health and Pollution (JH&P) was initiated with funding from the European Union and World Bank and continues to be a Platinum Open Access Journal. There are no publication or viewing charges. That is, there are no charges to readers or authors. Upon peer-review and acceptance, all articles are made available online. The high-ranking editorial board is comprised of active members who participate in JH&P submissions and editorial policies. The Journal of Health and Pollution welcomes manuscripts based on original research as well as findings from re-interpretation and examination of existing data. JH&P focuses on point source pollution, related health impacts, environmental control and remediation technology. JH&P also has an interest in ambient and indoor pollution. Pollutants of particular interest include heavy metals, pesticides, radionuclides, dioxins, polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), volatile organic compounds (VOCs), air particulates (PM10 and PM2.5), and other severe and persistent toxins. JH&P emphasizes work relating directly to low and middle-income countries, however relevant work relating to high-income countries will be considered on a case-by-case basis.
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