Volume 42 Issue 5
May  2021
Turn off MathJax
Article Contents
HUO Jiakang, DONG Yanhui, LI Weiming, WU Lijuan, CHEN Li, CHEN Manman, MA Ying, GUO Xiuhua, MA Jun. Association between short-term exposure of fine particulate matters and blood pressure in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 723-727. doi: 10.16835/j.cnki.1000-9817.2021.05.020
Citation: HUO Jiakang, DONG Yanhui, LI Weiming, WU Lijuan, CHEN Li, CHEN Manman, MA Ying, GUO Xiuhua, MA Jun. Association between short-term exposure of fine particulate matters and blood pressure in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(5): 723-727. doi: 10.16835/j.cnki.1000-9817.2021.05.020

Association between short-term exposure of fine particulate matters and blood pressure in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2021.05.020
  • Received Date: 2020-11-10
  • Rev Recd Date: 2020-12-31
  • Available Online: 2021-05-20
  • Publish Date: 2021-05-25
  •   Objective  To evaluate the association of short-term fine particulate matters (PM2.5) exposure and blood pressure in children and adolescents.  Methods  A total of 144 813 junior and senior middle school students who participated in the physical examination in the 2017-2018 academic year in a northern city of China, with complete record of demographic characteristics, blood pressure and no history of heart and other important organ diseases were selected as the study subjects. Data on PM2.5 and other pollutants and meteorological data were obtained from the nearest air quality and meteorological monitoring stations of each schools. A generalized linear mixed effect model was used to analyze the association between short-term exposure of PM2.5 and blood pressure.  Results  The 6-day average concentration of PM2.5 (lag05) increased by 10 μg/m3 was associated with an increase of 0.177(95%CI=0.148-0.207)mm Hg (1 mm Hg=0.133 kPa) in systolic blood pressure and 4.4%(OR=1.044, 95%CI=1.030-1.058) increase of the prevalence of high systolic blood pressure. And it was also associated with -0.021(95%CI=-0.040--0.002)mm Hg decrease in diastolic blood pressure, but had no significant correlation with the prevalence of high diastolic blood pressure. In general, a 10 μg/m3 increase of PM2.5 was associated with 3.3% increase in the prevalence of high blood pressure (OR=1.03, 95%CI=1.02-1.05), and difference of boys and girls were found in different lagged days (P < 0.05).  Conclusion  Short-term exposure of PM2.5 is associated with increased systolic blood pressure and prevalence of high blood pressure among children and adolescents. Attention should be paid to the prevention of short-term exposure of PM2.5 to protect the health of children and adolescents.
  • loading
  • [1]
    STANAWAY J D, AFSHIN A, GAKIDOU E, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study 2017[J]. Lancet, 2018, 392(10159): 1923-1994. doi: 10.1016/S0140-6736(18)32225-6
    [2]
    RAJAGOPALAN S, AL-KINDI S G, BROOK R D. Air pollution and cardiovascular disease[J]. J Am Coll Cardiol, 2018, 72(17): 2054-2070. doi: 10.1016/j.jacc.2018.07.099
    [3]
    YANG B, QIAN Z, HOWARD S W, et al. Global association between ambient air pollution and blood pressure: a systematic review and meta-analysis[J]. Environ Pollut, 2018, 235: 576-588. DOI: 10.1016/j.envpol.2018.01.001.
    [4]
    环境保护部. 环境空气颗粒物(PM10和PM2.5)连续自动监测系统技术要求及检测方法HJ 653-2013[S]. 北京: 中国标准出版社, 2013-07-30.

    Ministry of Environmental Protection of the People's Republic of China. Specifications and test procedures for ambient air quality continuous automated monitoring system for PM10 and PM2.5 HJ 653-2013[S]. Beijing: Standards Press of China, 2013-07-30.
    [5]
    ZHANG Z, DONG B, LI S, et al. Exposure to ambient particulate matter air pollution, blood pressure and hypertension in children and adolescents: a national cross-sectional study in China[J]. Environ Int, 2019, 128: 103-108. DOI: 10.1016/j.envint.2019.04.036.
    [6]
    WANG X, ZOU Z, DONG B, et al. Association of school residential PM2.5 with childhood high blood pressure: results from an observational study in 6 cities in China[J]. Int J Environ Res Public Health, 2019, 16(14): 2515. doi: 10.3390/ijerph16142515
    [7]
    米馨, 张云婷, 胡立文, 等. 大气PM2.5长期暴露与儿童血压升高的关联研究[J]. 中华预防医学杂志, 2019, 53(1): 45-50. doi: 10.3760/cma.j.issn.0253-9624.2019.01.005

    MI X, ZHANG Y T, HU L W, et al. The study on the association of long-term ambient fine particulate matters exposure and elevated blood pressure in children[J]. Chin J Prev Med, 2019, 53(1): 45-50. doi: 10.3760/cma.j.issn.0253-9624.2019.01.005
    [8]
    生态环境部. 2018中国环境状况公报[R]. 北京: 生态环境部, 2019.

    Ministry of Ecology and Environment of the People's Republic of China. Bulletin on the State of China's ecology and environment in 2018[R]. Beijing: Ministry of Ecology and Environment of the People's Republic of China, 2019.
    [9]
    YANG H, TENG C, HU J, et al. Short-term effects of ambient particulate matter on blood pressure among children and adolescents: a cross-sectional study in a city of Yangtze River delta, China[J]. Chemosphere, 2019, 237: 124510. DOI: 10.1016/j.chemosphere.2019.124510.
    [10]
    SUGHIS M, NAWROT T S, IHSAN-UL-HAQUE S, et al. Blood pressure and particulate air pollution in schoolchildren of Lahore, Pakistan[J]. BMC Public Health, 2012, 12(1). DOI: 10.1186/1471-2458-12-378.
    [11]
    PIETERS N, KOPPEN G, VAN POPPEL M, et al. Blood pressure and same-day exposure to air pollution at school: associations with nano-sized to coarse PM in children[J]. Environ Health Perspect, 2015, 123(7): 737-742. doi: 10.1289/ehp.1408121
    [12]
    HU J, FU H, SHEN H, et al. Does underweight amplify the relationship between short-term particulate matter exposure and blood pressure in children and adolescents: a large cross-sectional study in a metropolis of China[J]. Environ Sci Pollut Res Int, 2020. DOI: 10.1007/s11356-020-10215-2.
    [13]
    董彦会, 邹志勇, 王政和, 等. 中国2014年7~18岁儿童青少年血压偏高流行的区域分析[J]. 中华流行病学杂志, 2017, 38(7): 931-937. doi: 10.3760/cma.j.issn.0254-6450.2017.07.017

    DONG Y H, ZOU Z Y, WANG Z H, et al. Analysis on geographic distribution of high blood pressure prevalence in children and adolescents aged 7-18 years in China, 2014[J]. Chin J Epidemiol, 2017, 38(7): 931-937. doi: 10.3760/cma.j.issn.0254-6450.2017.07.017
    [14]
    全国学生体质与健康调研组. 2014年全国学生体质与健康调研工作手册[M]. 北京: 高等教育出版社, 2014.

    Chinese National Survey on Students' Constitution and Health Group. 2014 National survey on students' constitution and health research manual[M]. Beijing: Higher Education Press, 2014.
    [15]
    国家卫生健康委员会. 7~18岁儿童青少年血压偏高筛查界值WS/T 610-2018[S]. 2018-06-13.

    National Health Commission of the People's Republic of China. Reference of screening for elevated blood pressure among children and adolescents aged 7-18 years WS/T 610-2018[S]. 2018-06-13.
    [16]
    XIA Y, NIU Y, CAI J, et al. Effects of personal short-term exposure to ambient ozone on blood pressure and vascular endothelial function: a mechanistic study based on DNA methylation and metabolomics[J]. Environ Sci Technol, 2018, 52(21): 12774-12782. doi: 10.1021/acs.est.8b03044
    [17]
    PEREZ C M, HAZARI M S, FARRAJ A K. Role of autonomic reflex arcs in cardiovascular responses to air pollution exposure[J]. Cardiovasc Toxicol, 2015, 15(1): 69-78. doi: 10.1007/s12012-014-9272-0
    [18]
    KRZYZANOWSKI M, COHEN A. Update of WHO air quality guidelines[J]. Air Q Atmos Health, 2008, 1: 7-13. DOI: 10.1007/311869-008-0008-9.
    [19]
    RAO X, ZHONG J, BROOK R D, et al. Effect of particulate matter air pollution on cardiovascular oxidative stress pathways[J]. Antioxid Redox Signal, 2018, 28(9): 797-818. doi: 10.1089/ars.2017.7394
    [20]
    GIORGINI P, DI GIOSIA P, GRASSI D, et al. Air pollution exposure and blood pressure: an updated review of the literature[J]. Curr Pharm Des, 2015, 22(1): 28-51. doi: 10.2174/1381612822666151109111712
    [21]
    CASCIO W E, GILMOUR M I, PEDEN D B. Ambient air pollution and increases in blood pressure[J]. Hypertension, 2015, 66(3): 469-471. doi: 10.1161/HYPERTENSIONAHA.115.05563
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (548) PDF downloads(33) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return