Volume 43 Issue 2
Feb.  2022
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MA Tao, HUO Jiakang, WU Lijuan, LI Weiming, LIU Xiangtong, WEN Bo, CHEN Li, DONG Yanhui, GUO Xiuhua, MA Jun. Modification effect of overweight and obesity on the association between short-term PM2.5 exposure and high blood pressure in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 296-299. doi: 10.16835/j.cnki.1000-9817.2022.02.031
Citation: MA Tao, HUO Jiakang, WU Lijuan, LI Weiming, LIU Xiangtong, WEN Bo, CHEN Li, DONG Yanhui, GUO Xiuhua, MA Jun. Modification effect of overweight and obesity on the association between short-term PM2.5 exposure and high blood pressure in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 296-299. doi: 10.16835/j.cnki.1000-9817.2022.02.031

Modification effect of overweight and obesity on the association between short-term PM2.5 exposure and high blood pressure in adolescents

doi: 10.16835/j.cnki.1000-9817.2022.02.031
  • Received Date: 2021-07-01
  • Rev Recd Date: 2021-09-10
  • Available Online: 2022-02-24
  • Publish Date: 2022-02-25
  •   Objective  To analyze the association between short-term PM2.5 exposure and high blood pressure in adolescents and its modification effect of overweight and obesity, and to provide a reference for the refined management of students' physical health and the scientific prevention and controlling of air pollution.  Methods  A total of 148 956 junior high school students and senior high school students who passed the annual physical examination data of middle school students in Beijing from 2017 to 2018 were selected; The inverse distance weighted interpolation method was used to get the meteorological elements and air quality of the research area; Linear mixed effect model was used to estimate the cumulative lag effect of short-term PM2.5 exposure on systolic and diastolic blood pressure within 7 days, and analyze the modification effect of overweight and obesity on the association between short-term PM2.5 exposure and high blood pressure in adolescents.  Results  From September 1, 2017 to June 30, 2018, the average concentration of PM2.5 was (56.53±45.85)μg/m3; The detection rate of overweight and obesity was 34.22%, and the detection rate of high blood pressure was 8.03%. The cumulative lag effect of PM2.5 on systolic blood pressure in overweight and obesity group was the largest at lag07, that is, the daily average concentration of PM2.5 increased by 10 μg/m3 was significantly correlated with higher systolic blood pressure (OR=1.05, 95%CI=1.03-1.07); the cumulative lag effect of PM2.5 on systolic blood pressure in non overweight and obese group was the largest at lag05, that is, the daily average concentration of PM2.5 increased by 10 μg/m3 was significantly correlated with higher systolic blood pressure (OR=1.04, 95%CI=1.02-1.06). Short-term exposure to PM2.5 did not affect the high diastolic blood pressure in adolescents. Overweight and obese adolescents were more susceptible to high blood pressure caused by short-term PM2.5 exposure within 3 days of cumulative lag (lag01-lag03).  Conclusion  The short-term exposure of PM2.5 has a significant positive correlation with adolescent blood pressure, and shows a lag effect. Overweight and obese adolescents have higher blood pressure after PM2.5 short-term exposure.
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