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Long-term exposure to ambient air pollution and measures of central hemodynamics and arterial stiffness among multiethnic Chicago residents. 芝加哥多种族居民长期暴露于环境空气污染以及中枢血液动力学和动脉僵化的测量结果。
IF 5.3 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2024-05-07 DOI: 10.1186/s12940-024-01077-z
Saira Tasmin, Briseis Aschebrook-Kilfoy, Donald Hedeker, Rajan Gopalakrishnan, Elizabeth Connellan, Muhammad G Kibriya, Michael T Young, Joel D Kaufman, Habibul Ahsan

Objectives: To examine whether long-term air pollution exposure is associated with central hemodynamic and brachial artery stiffness parameters.

Methods: We assessed central hemodynamic parameters including central blood pressure, cardiac parameters, systemic vascular compliance and resistance, and brachial artery stiffness measures [including brachial artery distensibility (BAD), compliance (BAC), and resistance (BAR)] using waveform analysis of the arterial pressure signals obtained from a standard cuff sphygmomanometer (DynaPulse2000A, San Diego, CA). The long-term exposures to particles with an aerodynamic diameter < 2.5 μm (PM2.5) and nitrogen dioxide (NO2) for the 3-year periods prior to enrollment were estimated at residential addresses using fine-scale intra-urban spatiotemporal models. Linear mixed models adjusted for potential confounders were used to examine associations between air pollution exposures and health outcomes.

Results: The cross-sectional study included 2,387 Chicago residents (76% African Americans) enrolled in the ChicagO Multiethnic Prevention And Surveillance Study (COMPASS) during 2013-2018 with validated address information, PM2.5 or NO2, key covariates, and hemodynamics measurements. We observed long-term concentrations of PM2.5 and NO2 to be positively associated with central systolic, pulse pressure and BAR, and negatively associated with BAD, and BAC after adjusting for relevant covariates. A 1-µg/m3 increment in preceding 3-year exposures to PM2.5 was associated with 1.8 mmHg higher central systolic (95% CI: 0.98, 4.16), 1.0 mmHg higher central pulse pressure (95% CI: 0.42, 2.87), a 0.56%mmHg lower BAD (95% CI: -0.81, -0.30), and a 0.009 mL/mmHg lower BAC (95% CI: -0.01, -0.01).

Conclusion: This population-based study provides evidence that long-term exposures to PM2.5 and NO2 is related to central BP and arterial stiffness parameters, especially among African Americans.

目的:研究长期暴露于空气污染环境是否与中心血流动力学和肱动脉僵化参数有关:研究长期暴露于空气污染是否与中心血流动力学和肱动脉僵化参数有关:我们使用从标准袖带血压计(DynaPulse2000A,加利福尼亚州圣迭戈)获得的动脉压信号的波形分析,评估了中心血流动力学参数,包括中心血压、心脏参数、全身血管顺应性和阻力,以及肱动脉僵化指标[包括肱动脉舒张性(BAD)、顺应性(BAC)和阻力(BAR)]。长期暴露于空气动力学直径的微粒 结果:这项横断面研究纳入了 2013-2018 年期间参加芝加哥多民族预防和监测研究(COMPASS)的 2387 名芝加哥居民(76% 为非裔美国人),他们的地址信息、PM2.5 或 NO2、主要协变量和血液动力学测量结果均已得到验证。我们观察到,在对相关协变量进行调整后,PM2.5 和二氧化氮的长期浓度与中心收缩压、脉压和 BAR 呈正相关,而与 BAD 和 BAC 呈负相关。PM2.5前3年暴露量每增加1微克/立方米,中心收缩压就升高1.8毫米汞柱(95% CI:0.98,4.16),中心脉压升高1.0毫米汞柱(95% CI:0.42,2.87),BAD降低0.56%毫米汞柱(95% CI:-0.81,-0.30),BAC降低0.009毫升/毫米汞柱(95% CI:-0.01,-0.01):这项基于人群的研究提供了长期暴露于 PM2.5 和 NO2 与中心血压和动脉僵化参数有关的证据,尤其是在非裔美国人中。
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引用次数: 0
Long-term exposure to transportation noise and diabetes mellitus mortality: a national cohort study and updated meta-analysis 长期暴露于交通噪声与糖尿病死亡率:一项全国队列研究和最新荟萃分析
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-05-04 DOI: 10.1186/s12940-024-01084-0
Danielle Vienneau, Benedikt Wicki, Benjamin Flückiger, Beat Schäffer, Jean Marc Wunderli, Martin Röösli
Long-term exposure to transportation noise is related to cardio-metabolic diseases, with more recent evidence also showing associations with diabetes mellitus (DM) incidence. This study aimed to evaluate the association between transportation noise and DM mortality within the Swiss National Cohort. During 15 years of follow-up (2001–2015; 4.14 million adults), over 72,000 DM deaths were accrued. Source-specific noise was calculated at residential locations, considering moving history. Multi-exposure, time-varying Cox regression was used to derive hazard ratios (HR, and 95%-confidence intervals). Models included road traffic, railway and aircraft noise, air pollution, and individual and area-level covariates including socio-economic position. Analyses included exposure-response modelling, effect modification, and a subset analysis around airports. The main findings were integrated into meta-analyses with published studies on mortality and incidence (separately and combined). HRs were 1.06 (1.05, 1.07), 1.02 (1.01, 1.03) and 1.01 (0.99, 1.02) per 10 dB day evening-night level (Lden) road traffic, railway and aircraft noise, respectively (adjusted model, including NO2). Splines suggested a threshold for road traffic noise (~ 46 dB Lden, well below the 53 dB Lden WHO guideline level), but not railway noise. Substituting for PM2.5, or including deaths with type 1 DM hardly changed the associations. HRs were higher for males compared to females, and in younger compared to older adults. Focusing only on type 1 DM showed an independent association with road traffic noise. Meta-analysis was only possible for road traffic noise in relation to mortality (1.08 [0.99, 1.18] per 10 dB, n = 4), with the point estimate broadly similar to that for incidence (1.07 [1.05, 1.09] per 10 dB, n = 10). Combining incidence and mortality studies indicated positive associations for each source, strongest for road traffic noise (1.07 [1.05, 1.08], 1.02 [1.01, 1.03], and 1.02 [1.00, 1.03] per 10 dB road traffic [n = 14], railway [n = 5] and aircraft noise [n = 5], respectively). This study provides new evidence that transportation noise is associated with diabetes mortality. With the growing evidence and large disease burden, DM should be viewed as an important outcome in the noise and health discussion.
长期暴露于交通噪声与心血管代谢疾病有关,最近的证据还显示与糖尿病(DM)发病率有关。本研究旨在评估瑞士国家队列中交通噪声与糖尿病死亡率之间的关系。在 15 年的跟踪调查期间(2001-2015 年;414 万成年人),累计有超过 7.2 万名糖尿病患者死亡。考虑到搬迁历史,计算了居民点的特定噪声源。采用多暴露、时变考克斯回归法得出危险比(HR 和 95% 置信区间)。模型包括道路交通、铁路和飞机噪声、空气污染以及包括社会经济地位在内的个人和地区级协变量。分析包括暴露-反应模型、效应修正和机场周围的子集分析。主要研究结果与已发表的死亡率和发病率研究(分别和合并)进行了荟萃分析。道路交通、铁路和飞机噪声的 HR 分别为每 10 分贝昼夜水平(Lden)1.06(1.05,1.07)、1.02(1.01,1.03)和 1.01(0.99,1.02)(调整模型,包括 NO2)。样条曲线显示了道路交通噪声的阈值(约 46 分贝 Lden,远低于 53 分贝 Lden 的世卫组织指导水平),但没有显示铁路噪声的阈值。用 PM2.5 代替或将 1 型糖尿病的死亡人数包括在内几乎没有改变相关性。男性的心率高于女性,年轻人的心率高于老年人。仅关注1型糖尿病,就会发现其与道路交通噪声有独立的关联。只有道路交通噪声与死亡率(每 10 分贝 1.08 [0.99, 1.18],n = 4)相关的研究可以进行 Meta 分析,其点估计值与发病率(每 10 分贝 1.07 [1.05, 1.09],n = 10)大致相似。将发病率和死亡率研究结合起来表明,每个噪声源都存在正相关关系,其中道路交通噪声最强(分别为每 10 分贝 1.07 [1.05, 1.08]、1.02 [1.01, 1.03]和 1.02 [1.00, 1.03]),道路交通噪声[n = 14]、铁路噪声[n = 5]和飞机噪声[n = 5]。这项研究提供了交通噪声与糖尿病死亡率相关的新证据。随着越来越多的证据和巨大的疾病负担,糖尿病应被视为噪声与健康讨论中的一个重要结果。
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引用次数: 0
Urinary volatile organic compound metabolites and COPD among US adults: mixture, interaction and mediation analysis 美国成年人尿中挥发性有机化合物代谢物与慢性阻塞性肺病:混合物、相互作用和中介分析
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-05-03 DOI: 10.1186/s12940-024-01086-y
Ying Wang, Zhaowei Meng, Sen Wei, Xuebing Li, Zheng Su, Yong Jiang, Heng Wu, Hongli Pan, Jing Wang, Qinghua Zhou, Youlin Qiao, Yaguang Fan
Volatile organic compounds (VOCs) encompass hundreds of high production volume chemicals and have been reported to be associated with adverse respiratory outcomes such as chronic obstructive pulmonary disease (COPD). However, research on the combined toxic effects of exposure to various VOCs on COPD is lacking. We aimed to assess the effect of VOC metabolite mixture on COPD risk in a large population sample. We assessed the effect of VOC metabolite mixture on COPD risk in 5997 adults from the National Health and Nutrition Examination Survey (NHANES) from 2011 to 2020 (pre-pandemic) using multivariate logistic regression, Bayesian weighted quantile sum regression (BWQS), quantile-based g-Computation method (Qgcomp), and Bayesian kernel machine regression (BKMR). We explored whether these associations were mediated by white blood cell (WBC) count and total bilirubin. In the logistic regression model, we observed a significantly increased risk of COPD associated with 9 VOC metabolites. Conversely, N-acetyl-S-(benzyl)-L-cysteine (BMA) and N-acetyl-S-(n-propyl)-L-cysteine (BPMA) showed insignificant negative correlations with COPD risk. The overall mixture exposure demonstrated a significant positive relationship with COPD in both the BWQS model (adjusted odds ratio (OR) = 1.30, 95% confidence interval (CI): 1.06, 1.58) and BKMR model, and with marginal significance in the Qgcomp model (adjusted OR = 1.22, 95% CI: 0.98, 1.52). All three models indicated a significant effect of the VOC metabolite mixture on COPD in non-current smokers. WBC count mediated 7.1% of the VOC mixture associated-COPD in non-current smokers. Our findings provide novel evidence suggesting that VOCs may have adverse associations with COPD in the general population, with N, N- Dimethylformamide and 1,3-Butadiene contributing most. These findings underscore the significance of understanding the potential health risks associated with VOC mixture and emphasize the need for targeted interventions to mitigate the adverse effects on COPD risk.
挥发性有机化合物(VOC)包括数百种高产量化学品,据报道,它们与慢性阻塞性肺病(COPD)等不良呼吸系统疾病相关。然而,有关接触各种挥发性有机化合物对慢性阻塞性肺病的综合毒性影响的研究还很缺乏。我们的目的是在大样本人群中评估挥发性有机化合物代谢物混合物对慢性阻塞性肺病风险的影响。我们使用多元逻辑回归、贝叶斯加权量子和回归(BWQS)、基于量子的 g-Computation 方法(Qgcomp)和贝叶斯核机回归(BKMR)评估了 2011 年至 2020 年(大流行前)美国国家健康与营养调查(NHANES)中 5997 名成人的挥发性有机化合物代谢物混合物对慢性阻塞性肺病风险的影响。我们探讨了这些关联是否由白细胞(WBC)计数和总胆红素介导。在逻辑回归模型中,我们观察到 9 种挥发性有机化合物代谢物导致慢性阻塞性肺病的风险显著增加。相反,N-乙酰-S-(苄基)-L-半胱氨酸(BMA)和 N-乙酰-S-(正丙基)-L-半胱氨酸(BPMA)与慢性阻塞性肺病的风险呈不明显的负相关。在 BWQS 模型(调整后的比值比 (OR) = 1.30,95% 置信区间 (CI):1.06, 1.58)和 BKMR 模型中,总体混合物暴露与慢性阻塞性肺病呈显著正相关,而在 Qgcomp 模型(调整后的比值比 (OR) = 1.22,95% 置信区间 (CI):0.98, 1.52)中则呈边缘显著性。所有三个模型都表明,在非经常吸烟者中,挥发性有机化合物代谢物混合物对慢性阻塞性肺病有明显影响。在非经常吸烟者中,白细胞计数介导了 7.1% 的挥发性有机化合物混合物相关慢性阻塞性肺病。我们的研究结果提供了新的证据,表明挥发性有机化合物可能与普通人群中的慢性阻塞性肺病有不良关联,其中以 N,N- 二甲基甲酰胺和 1,3- 丁二烯的影响最大。这些发现强调了了解与挥发性有机化合物混合物相关的潜在健康风险的重要性,并强调有必要采取有针对性的干预措施,以减轻对慢性阻塞性肺病风险的不利影响。
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引用次数: 0
When the smoke gets in your lungs: short-term effects of Indonesia’s 2015 forest fires on health care use 当烟雾进入肺部:印度尼西亚 2015 年森林大火对医疗保健使用的短期影响
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-05-03 DOI: 10.1186/s12940-024-01079-x
Novat Pugo Sambodo, Menno Pradhan, Robert Sparrow, Eddy van Doorslaer
The forest fires that ravaged parts of Indonesia in 2015 were the most severely polluting of this century but little is known about their effects on health care utilization of the affected population. We estimate their short-term impact on visit rates to primary and hospital care with particular focus on visits for specific smoke-related conditions (respiratory disease, acute respiratory tract infection (ARTI) and common cold). We estimate the short-term impact of the 2015 forest fire on visit rates to primary and hospital care by combining satellite data on Aerosol Optical Depth (AOD) with administrative records from Indonesian National Health Insurance Agency (BPJS Kesehatan) from January 2015–April 2016. The 16 months of panel data cover 203 districts in the islands of Sumatra and Kalimantan before, during and after the forest fires. We use the (more efficient) ANCOVA version adaptation of a fixed effects model to compare the trends in healthcare use of affected districts (with AOD value above 0.75) with control districts (AOD value below 0.75). Considering the higher vulnerability of children’s lungs, we do this separately for children under 5 and the rest of the population adults (> 5), and for both urban and rural areas, and for both the period during and after the forest fires. We find little effects for adults. For young children we estimate positive effects for care related to respiratory problems in primary health care facilities in urban areas. Hospital care visits in general, on the other hand, are negatively affected in rural areas. We argue that these patterns arise because accessibility of care during fires is more restricted for rural than for urban areas. The severity of the fires and the absence of positive impact on health care utilization for adults and children in rural areas indicate large missed opportunities for receiving necessary care. This is particularly worrisome for children, whose lungs are most vulnerable to the effects. Our findings underscore the need to ensure ongoing access to medical services during forest fires and emphasize the necessity of catching up with essential care for children after the fires, particularly in rural areas.
2015 年肆虐印度尼西亚部分地区的森林大火是本世纪污染最严重的火灾,但人们对大火对受灾人口医疗保健利用率的影响知之甚少。我们估算了火灾对初级医疗和医院就诊率的短期影响,尤其关注与烟雾有关的特定疾病(呼吸道疾病、急性呼吸道感染 (ARTI) 和普通感冒)的就诊率。我们将 2015 年 1 月至 2016 年 4 月的气溶胶光学深度(AOD)卫星数据与印度尼西亚国家健康保险局(BPJS Kesehatan)的行政记录相结合,估算了 2015 年森林火灾对初级医疗和医院就诊率的短期影响。这 16 个月的面板数据涵盖了森林大火之前、期间和之后苏门答腊岛和加里曼丹岛的 203 个地区。我们使用(更有效的)方差分析版本的固定效应模型来比较受影响地区(AOD 值高于 0.75)与对照地区(AOD 值低于 0.75)的医疗保健使用趋势。考虑到儿童的肺部更容易受到伤害,我们分别对 5 岁以下儿童和其他成年人(大于 5 岁)、城市和农村地区以及森林火灾期间和之后进行了比较。我们发现对成年人的影响很小。对于幼儿,我们估计在城市地区的初级卫生保健机构接受与呼吸道问题有关的治疗会产生积极影响。而在农村地区,一般的医院就诊则受到负面影响。我们认为,之所以会出现这些模式,是因为在火灾期间,农村地区比城市地区更难获得医疗服务。火灾的严重程度以及对农村地区成人和儿童使用医疗保健服务没有产生积极影响,表明他们错失了大量接受必要治疗的机会。这对儿童来说尤其令人担忧,因为他们的肺部最容易受到火灾的影响。我们的研究结果突出表明,有必要确保在森林火灾期间持续提供医疗服务,并强调有必要在火灾后及时为儿童提供必要的医疗服务,尤其是在农村地区。
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引用次数: 0
Associations between long-term exposure to air pollution and kidney function utilizing electronic healthcare records: a cross-sectional study 利用电子医疗记录分析长期暴露于空气污染与肾功能之间的关系:一项横断面研究
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-23 DOI: 10.1186/s12940-024-01080-4
David Dillon, C. Ward‐Caviness, Abhijit V. Kshirsagar, J. Moyer, Joel Schwartz, Qian Di, Anne Weaver
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引用次数: 0
Ambient long-term exposure to organophosphorus pesticides and the human gut microbiome: an observational study 环境中长期接触有机磷农药与人类肠道微生物组:一项观察性研究
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-16 DOI: 10.1186/s12940-024-01078-y
Keren Zhang, Kimberly Paul, Jonathan P. Jacobs, Myles G. Cockburn, Jeff M. Bronstein, Irish del Rosario, Beate Ritz
Organophosphorus pesticides (OP) have been associated with various human health conditions. Animal experiments and in-vitro models suggested that OP may also affect the gut microbiota. We examined associations between ambient chronic exposure to OP and gut microbial changes in humans. We recruited 190 participants from a community-based epidemiologic study of Parkinson’s disease living in a region known for heavy agricultural pesticide use in California. Of these, 61% of participants had Parkinson’s disease and their mean age was 72 years. Microbiome and predicted metagenome data were generated by 16S rRNA gene sequencing of fecal samples. Ambient long-term OP exposures were assessed using pesticide application records combined with residential addresses in a geographic information system. We examined gut microbiome differences due to OP exposures, specifically differences in microbial diversity based on the Shannon index and Bray–Curtis dissimilarities, and differential taxa abundance and predicted Metacyc pathway expression relying on regression models and adjusting for potential confounders. OP exposure was not associated with alpha or beta diversity of the gut microbiome. However, the predicted metagenome was sparser and less evenly expressed among those highly exposed to OP (p = 0.04). Additionally, we found that the abundance of two bacterial families, 22 genera, and the predicted expression of 34 Metacyc pathways were associated with long-term OP exposure. These pathways included perturbed processes related to cellular respiration, increased biosynthesis and degradation of compounds related to bacterial wall structure, increased biosynthesis of RNA/DNA precursors, and decreased synthesis of Vitamin B1 and B6. In support of previous animal studies and in-vitro findings, our results suggest that ambient chronic OP pesticide exposure alters gut microbiome composition and its predicted metabolism in humans.
有机磷农药(OP)与人类的各种健康状况有关。动物实验和体外模型表明,OP 也可能影响肠道微生物群。我们研究了环境中长期接触 OP 与人类肠道微生物变化之间的关系。我们从一项基于社区的帕金森病流行病学研究中招募了 190 名参与者,他们居住在加利福尼亚州一个以大量使用农业杀虫剂而闻名的地区。其中,61%的参与者患有帕金森病,他们的平均年龄为 72 岁。通过对粪便样本进行 16S rRNA 基因测序,获得了微生物组和预测的元基因组数据。环境中长期暴露于 OP 的情况是通过地理信息系统中的杀虫剂施用记录与住宅地址相结合进行评估的。我们研究了因暴露于 OP 而导致的肠道微生物组差异,特别是基于香农指数和 Bray-Curtis 差异性的微生物多样性差异、不同类群丰度差异,以及根据回归模型预测的 Metacyc 通路表达,并对潜在的混杂因素进行了调整。OP 暴露与肠道微生物组的α或β多样性无关。然而,在 OP 高暴露人群中,预测的元基因组更稀疏,表达也更不均匀(p = 0.04)。此外,我们还发现,两个细菌科、22 个属的丰度以及 34 种 Metacyc 通路的预测表达与长期暴露于 OP 相关。这些途径包括与细胞呼吸有关的过程受到干扰、与细菌壁结构有关的化合物的生物合成和降解增加、RNA/DNA 前体的生物合成增加以及维生素 B1 和 B6 的合成减少。我们的研究结果表明,环境中长期接触 OP 杀虫剂会改变人类肠道微生物组的组成及其预测的新陈代谢,这与之前的动物研究和体外研究结果相吻合。
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引用次数: 0
All-cause, cardiovascular disease and cancer mortality in the population of a large Italian area contaminated by perfluoroalkyl and polyfluoroalkyl substances (1980–2018) 意大利全氟烷基和多氟烷基物质污染大区人口的全因、心血管疾病和癌症死亡率(1980-2018年)
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-16 DOI: 10.1186/s12940-024-01074-2
Annibale Biggeri, Giorgia Stoppa, Laura Facciolo, Giuliano Fin, Silvia Mancini, Valerio Manno, Giada Minelli, Federica Zamagni, Michela Zamboni, Dolores Catelan, Lauro Bucchi
Per- and polyfluoroalkyl substances (PFAS) are associated with many adverse health conditions. Among the main effects is carcinogenicity in humans, which deserves to be further clarified. An evident association has been reported for kidney cancer and testicular cancer. In 2013, a large episode of surface, ground and drinking water contamination with PFAS was uncovered in three provinces of the Veneto Region (northern Italy) involving 30 municipalities and a population of about 150,000. We report on the temporal evolution of all-cause mortality and selected cause-specific mortality by calendar period and birth cohort in the local population between 1980 and 2018. The Italian National Institute of Health pre-processed and made available anonymous data from the Italian National Institute of Statistics death certificate archives for residents of the provinces of Vicenza, Padua and Verona (males, n = 29,629; females, n = 29,518) who died between 1980 and 2018. Calendar period analysis was done by calculating standardised mortality ratios using the total population of the three provinces in the same calendar period as reference. The birth cohort analysis was performed using 20–84 years cumulative standardised mortality ratios. Exposure was defined as being resident in one of the 30 municipalities of the Red area, where the aqueduct supplying drinking water was fed by the contaminated groundwater. During the 34 years between 1985 (assumed as beginning date of water contamination) and 2018 (last year of availability of cause-specific mortality data), in the resident population of the Red area we observed 51,621 deaths vs. 47,731 expected (age- and sex-SMR: 108; 90% CI: 107–109). We found evidence of raised mortality from cardiovascular disease (in particular, heart diseases and ischemic heart disease) and malignant neoplastic diseases, including kidney cancer and testicular cancer. For the first time, an association of PFAS exposure with mortality from cardiovascular disease was formally demonstrated. The evidence regarding kidney cancer and testicular cancer is consistent with previously reported data.
全氟和多氟烷基物质(PFAS)与许多不良健康状况有关。其中最主要的影响是对人类的致癌性,这一点值得进一步澄清。据报道,肾癌和睾丸癌与全氟辛烷磺酸有明显的关联。2013 年,威尼托大区(意大利北部)的三个省发现了地表水、地下水和饮用水受到全氟辛烷磺酸污染的大规模事件,涉及 30 个城市和约 15 万人口。我们报告了 1980 年至 2018 年间当地人口按日历期和出生队列分列的全因死亡率和特定病因死亡率的时间演变情况。意大利国家卫生研究院对来自意大利国家统计局死亡证明档案的匿名数据进行了预处理,并提供了维琴察、帕多瓦和维罗纳省居民(男性,n = 29629;女性,n = 29518)在 1980 年至 2018 年期间的死亡数据。日历期分析是以同一日历期三个省的总人口为参照,计算标准化死亡率。出生队列分析采用 20-84 年累计标准化死亡率。暴露的定义是居住在红色区域的 30 个城市之一,这些城市供应饮用水的输水管道就是由受污染的地下水提供的。从 1985 年(假定为水污染开始日期)到 2018 年(可获得特定病因死亡率数据的最后一年)的 34 年间,我们观察到红色地区常住人口中有 51621 人死亡,而预期死亡人数为 47731 人(年龄和性别-SMR:108;90% CI:107-109)。我们发现有证据表明,心血管疾病(尤其是心脏病和缺血性心脏病)和恶性肿瘤疾病(包括肾癌和睾丸癌)导致的死亡率上升。这是首次正式证明接触全氟辛烷磺酸与心血管疾病死亡率之间的关系。有关肾癌和睾丸癌的证据与之前报告的数据一致。
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引用次数: 0
Seasonal extreme temperatures and short-term fine particulate matter increases pediatric respiratory healthcare encounters in a sparsely populated region of the intermountain western United States 季节性极端气温和短期细颗粒物增加了美国西部山间人烟稀少地区的儿科呼吸道医疗就诊率
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1186/s12940-024-01082-2
Erin L. Landguth, Jonathon Knudson, Jon Graham, Ava Orr, Emily A. Coyle, Paul Smith, Erin O. Semmens, Curtis Noonan
Western Montana, USA, experiences complex air pollution patterns with predominant exposure sources from summer wildfire smoke and winter wood smoke. In addition, climate change related temperatures events are becoming more extreme and expected to contribute to increases in hospital admissions for a range of health outcomes. Evaluating while accounting for these exposures (air pollution and temperature) that often occur simultaneously and may act synergistically on health is becoming more important. We explored short-term exposure to air pollution on children’s respiratory health outcomes and how extreme temperature or seasonal period modify the risk of air pollution-associated healthcare events. The main outcome measure included individual-based address located respiratory-related healthcare visits for three categories: asthma, lower respiratory tract infections (LRTI), and upper respiratory tract infections (URTI) across western Montana for ages 0–17 from 2017–2020. We used a time-stratified, case-crossover analysis with distributed lag models to identify sensitive exposure windows of fine particulate matter (PM2.5) lagged from 0 (same-day) to 14 prior-days modified by temperature or season. For asthma, increases of 1 µg/m3 in PM2.5 exposure 7–13 days prior a healthcare visit date was associated with increased odds that were magnified during median to colder temperatures and winter periods. For LRTIs, 1 µg/m3 increases during 12 days of cumulative PM2.5 with peak exposure periods between 6–12 days before healthcare visit date was associated with elevated LRTI events, also heightened in median to colder temperatures but no seasonal effect was observed. For URTIs, 1 unit increases during 13 days of cumulative PM2.5 with peak exposure periods between 4–10 days prior event date was associated with greater risk for URTIs visits that were intensified during median to hotter temperatures and spring to summer periods. Delayed, short-term exposure increases of PM2.5 were associated with elevated odds of all three pediatric respiratory healthcare visit categories in a sparsely population area of the inter-Rocky Mountains, USA. PM2.5 in colder temperatures tended to increase instances of asthma and LRTIs, while PM2.5 during hotter periods increased URTIs.
美国蒙大拿州西部的空气污染模式十分复杂,主要的暴露源来自夏季野火烟雾和冬季木材烟雾。此外,与气候变化相关的气温事件正变得越来越极端,预计将导致因一系列健康后果而入院的人数增加。这些暴露(空气污染和气温)往往同时发生,并可能对健康产生协同作用,因此在对这些暴露进行评估的同时对其进行核算变得越来越重要。我们探讨了短期暴露于空气污染对儿童呼吸系统健康结果的影响,以及极端温度或季节性时期如何改变空气污染相关医疗事件的风险。主要结果测量包括基于个人地址的呼吸道相关医疗就诊,涉及三个类别:2017-2020 年蒙大拿州西部 0-17 岁儿童的哮喘、下呼吸道感染 (LRTI) 和上呼吸道感染 (URTI)。我们使用分布式滞后模型进行了时间分层、病例交叉分析,以确定细颗粒物(PM2.5)的敏感暴露窗口,其滞后期为 0(当天)至 14 个前一天,并根据气温或季节进行了调整。就哮喘而言,就诊日期前 7-13 天 PM2.5 暴露增加 1 µg/m3 与几率增加有关,而几率在气温中位数至较低气温和冬季期间放大。就 LRTI 而言,在就诊日期前 6-12 天的 PM2.5 暴露高峰期,12 天内 PM2.5 累积量增加 1 µg/m3 与 LRTI 事件的增加有关,在气温中位数至较低时也会增加,但未观察到季节性影响。对于尿路感染,13 天的累积 PM2.5(峰值暴露期在事件发生日期前 4-10 天之间)增加 1 个单位与尿路感染就诊风险增加有关,在中度至较热气温以及春季至夏季期间,尿路感染就诊风险增加。在美国洛克希山脉间的一个人口稀少地区,PM2.5的延迟、短期暴露增加与所有三种儿科呼吸道医疗就诊类别的几率升高有关。气温较低时的 PM2.5 往往会增加哮喘和 LRTI 的发病率,而气温较高时的 PM2.5 则会增加 URTI 的发病率。
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引用次数: 0
Associations of per- and polyfluoroalkyl substances (PFAS) and their mixture with risk of rheumatoid arthritis in the U.S. adult population 全氟烷基和多氟烷基物质 (PFAS) 及其混合物与美国成年人群类风湿性关节炎风险的关系
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-13 DOI: 10.1186/s12940-024-01073-3
Jian-Chao Qiao, Zhen-Hua Li, Yu-Bo Ma, Hui-Ya Ma, Meng-Yue Zhang, Xiu-Jun Zhang, Cheng-Yang Hu
Per- and polyfluoroalkyl substances (PFAS) are known environmental contaminants with immunosuppressive properties. Their connection to rheumatoid arthritis (RA), a condition influenced by the immune system, is not well studied. This research explores the association between PFAS exposure and RA prevalence. This research utilized data from the NHANES, encompassing a sample of 10,496 adults from the 2003–2018 cycles, focusing on serum levels of several PFAS. The presence of RA was determined based on self-reports. This study used multivariable logistic regression to assess the relationship between individual PFAS and RA risk, adjusting for covariates to calculate odds ratios (ORs). The combined effects of PFAS mixtures were evaluated using BKMR, WQS regression, and quantile g-computation. Additionally, sex-specific associations were explored through stratified analysis. Higher serum PFOA (OR = 0.88, 95% CI: 0.79, 0.98), PFHxS (OR = 0.91, 95% CI: 0.83, 1.00), PFNA (OR = 0.87, 95% CI: 0.77, 0.98), and PFDA (OR = 0.89, 95% CI: 0.81, 0.99) concentration was related to lower odds of RA. Sex-specific analysis in single chemical models indicated the significant inverse associations were only evident in females. BKMR did not show an obvious pattern of RA estimates across PFAS mixture. The outcomes of sex-stratified quantile g-computation demonstrated that an increase in PFAS mixture was associated with a decreased odds of RA in females (OR: 0.76, 95% CI: 0.62, 0.92). We identified a significant interaction term of the WQS*sex in the 100 repeated hold out WQS analysis. Notably, a higher concentration of the PFAS mixture was significantly associated with reduced odds of RA in females (mean OR = 0.93, 95% CI: 0.88, 0.98). This study indicates potential sex-specific associations of exposure to various individual PFAS and their mixtures with RA. Notably, the observed inverse relationships were statistically significant in females but not in males. These findings contribute to the growing body of evidence indicating that PFAS may have immunosuppressive effects.
全氟和多氟烷基物质(PFAS)是已知的具有免疫抑制特性的环境污染物。它们与类风湿性关节炎(RA)(一种受免疫系统影响的疾病)之间的关系尚未得到充分研究。本研究探讨了 PFAS 暴露与 RA 患病率之间的关系。这项研究利用了美国国家健康调查(NHANES)的数据,涵盖了 2003-2018 年期间的 10,496 个成人样本,重点研究了几种全氟辛烷磺酸的血清水平。根据自我报告确定是否患有 RA。本研究采用多变量逻辑回归法评估单个 PFAS 与 RA 风险之间的关系,并对协变量进行调整,计算出几率比(ORs)。使用 BKMR、WQS 回归和量化 g 计算评估了 PFAS 混合物的综合效应。此外,还通过分层分析探讨了性别特异性关联。血清中 PFOA(OR = 0.88,95% CI:0.79,0.98)、PFHxS(OR = 0.91,95% CI:0.83,1.00)、PFNA(OR = 0.87,95% CI:0.77,0.98)和 PFDA(OR = 0.89,95% CI:0.81,0.99)浓度越高,患 RA 的几率越低。在单一化学模型中进行的性别特异性分析表明,显著的反向关联仅在女性中明显。BKMR在PFAS混合物中未显示出明显的RA估计模式。性别分层量化 g 计算的结果表明,PFAS 混合物的增加与女性罹患 RA 的几率降低相关(OR:0.76,95% CI:0.62,0.92)。在 100 次重复保持 WQS 分析中,我们发现了 WQS* 性别的重要交互项。值得注意的是,PFAS 混合物浓度越高,女性患 RA 的几率越低(平均 OR = 0.93,95% CI:0.88, 0.98)。这项研究表明,暴露于各种个别的全氟辛烷磺酸及其混合物与 RA 之间可能存在性别特异性关联。值得注意的是,观察到的反向关系在女性中具有统计学意义,而在男性中则没有。越来越多的证据表明,全氟辛烷磺酸可能具有免疫抑制作用。
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引用次数: 0
Early life exposure to secondhand tobacco smoke and eating behaviors at age 12 years 早年接触二手烟与 12 岁时的饮食行为
IF 6 2区 环境科学与生态学 Q1 Medicine Pub Date : 2024-04-13 DOI: 10.1186/s12940-024-01076-0
Nerea Mourino, Zhuoya Zhang, Mónica Pérez-Ríos, Kimberly Yolton, Bruce P. Lanphear, Aimin Chen, Jessie P. Buckley, Heidi J. Kalkwarf, Kim M. Cecil, Joseph M. Braun
Prenatal or early childhood secondhand tobacco smoke (SHS) exposure increases obesity risk. However, the potential mechanisms underlying this association are unclear, but obesogenic eating behaviors are one pathway that components of SHS could perturb. Our aim was to assess associations of prenatal and early childhood SHS exposure with adolescent eating behaviors. Data came from a prospective pregnancy and birth cohort (N = 207, Cincinnati, OH). With multiple informant models, we estimated associations of prenatal (mean of 16 and 26 weeks of gestation maternal serum cotinine concentrations) and early childhood cotinine (average concentration across ages 12, 24, 36, and 48 months) with eating behaviors at age 12 years (Child Eating Behaviors Questionnaire). We tested whether associations differed by exposure periods and adolescent’s sex. Models adjusted for maternal and child covariates. We found no statistically significant associations between cotinine measures and adolescent’s eating behaviors. Yet, in females, prenatal cotinine was associated with greater food responsiveness (β: 0.23; 95% CI: 0.08, 0.38) and lower satiety responsiveness (β: -0.14; 95% CI: -0.26, -0.02); in males, prenatal and postnatal cotinine was related to lower food responsiveness (prenatal: β: -0.25; 95% CI: -0.04, -0.06; postnatal: β: -0.36; 95% CI: -0.06, -0.11). No significant effect modification by sex or exposure window was found for other eating behaviors. Prenatal and early childhood SHS exposures were not related to adolescent’s eating behavior in this cohort; however, biological sex may modify these associations.
产前或儿童早期接触二手烟草烟雾(SHS)会增加肥胖风险。然而,这种关联的潜在机制尚不清楚,但导致肥胖的饮食行为是SHS成分可能干扰的途径之一。我们的目的是评估产前和儿童早期接触 SHS 与青少年饮食行为之间的关联。数据来自一个前瞻性怀孕和出生队列(N = 207,俄亥俄州辛辛那提市)。通过多信息模型,我们估算了产前(妊娠 16 周和 26 周母体血清中可替宁浓度的平均值)和儿童早期可替宁浓度(12、24、36 和 48 个月的平均浓度)与 12 岁时饮食行为(儿童饮食行为问卷)的相关性。我们测试了不同暴露期和青少年性别之间的关联是否存在差异。模型调整了母亲和儿童的协变量。我们发现,可替宁测量值与青少年饮食行为之间没有统计学意义上的显著关联。然而,在女性中,产前可替宁与较高的食物反应性(β:0.23;95% CI:0.08,0.38)和较低的饱腹感反应性(β:-0.14;95% CI:-0.26,-0.02)相关;在男性中,产前可替宁与较低的饱腹感反应性(β:-0.14;95% CI:-0.26,-0.02)相关。02);在男性中,产前和产后可替宁与较低的食物反应性有关(产前:β:-0.25;95% CI:-0.04,-0.06;产后:β:-0.36;95% CI:-0.06,-0.11)。在其他饮食行为方面,没有发现性别或暴露窗口对其有明显的影响。在该队列中,产前和儿童早期接触 SHS 与青少年的饮食行为无关;但是,生理性别可能会改变这些关联。
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引用次数: 0
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Environmental Health
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