苏州市社区居民PM2.5暴露与运动交互作用对高血压的关联分析

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (608 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the interaction between of particulate matter 2.5 (PM2.5) exposure and physical activity on hypertension in community residents of Suzhou City. Methods From January 2018 to December 2018, 13 728 study subjects were selected by multi-stage random stratified sampling, and they were divided into four groups according to the PM2.5 quartile cutoff point including low (＜24.32 μg/m3), medium (24.32-＜29.31 μg/m3), high (29.31- ＜31.24 μg/m3), and extremely high (≥31.24 μg/m3), 3432 persons in each group. The blood pressure was measured by an electronic sphygmomanometer (OmronHEM-1300), and the PM2.5 concentration was calculated according to the data published by the “National Urban Air Quality Real-time Release Platform” of the China Environmental Monitoring Station. The metabolic equivalent (MET) was used to calculate the level of physical activity (PA). The logistic regression model was used to analyze the influencing factors of hypertension, and the additive interaction was used for interaction analysis, and the relative excess risk (RERI), the synergy index (SI), interaction attribution percentage (AP) and corresponding 95%CI. Results Compared with the prevalence of patients of different genders, and the difference was statistically significant (P < 0.05). There were statistically significant differences in the age, gender, education level, family history of hypertension, marital status, smoking, and alcohol consumption among people with or without hypertension (P ＜ 0.05). PM2.5, family history of hypertension, smoking, drinking, and physical activity were the influencing factors of hypertension (P ＜ 0.05). After adjusting for factors such as age, gender, family history of hypertension, marital status, smoking, and drinking, etc., PM2.5 exposure and exercise have an additive interaction on the incidence of hypertension, where SI = 2.89, 95%CI: 1.96-3.04; RERI = 0.64, 95%CI: 0.53-0.71; AP=0.31, 95%CI: 0.28-0.42. Conclusion There is an interaction between PM2.5 and PA on the risk of hypertension. PA can reduce the harmful effect of PM2.5 on hypertension.

Key words： Particulate matter 2.5 Physical activity Hypertension Interaction

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIN Xiaping1 YONG Xuan2 HUA Lan3

Cite this article:

JIN Xiaping1 YONG Xuan2 HUA Lan3. Correlation analysis of PM2.5 exposure and physical activity interaction on hypertension in community residents of Suzhou City#br#[J]. 中国医药导报, 2021, 18(30): 64-67.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I30/64

[1] Talbott EO，Rager JR，Benson S，et al. A case-crossover analysis of the impact of PM2.5 on cardiovascular disease hospitalizations for selected CDC tracking states [J]. Environ Res，2014，134：455-465.
[2] Pun VC，Kazemiparkouhi F，Manjourides J，et al. Long-Term PM2.5 Exposure and Respiratory，Cancer，and Cardiovascular Mortality in Older US Adults [J]. Am J Epidemiol，2017，186（8）：961-969.
[3] Wang H，Peng X，Cao F，et al. Cardiotoxicity and Mechanism of Particulate Matter 2.5 （PM2.5） Exposure in Offspring Rats During Pregnancy [J]. Med Sci Monit，2017， 23：3890-3896.
[4] Ostro B，Malig B，Broadwin R，et al. Chronic PM2.5 exposure and inflammation：determining sensitive subgroups in mid-life women [J]. Environ Res，2014，132：168-175.
[5] Orkaby AR，Forman DE. Physical activity and CVD in older adults：an expert’s perspective [J]. Expert Rev Cardiovasc Ther，2018，16（1）：1-10.
[6] Aune D，Norat T，Leitzmann M，et al. Physical activity and the risk of type 2 diabetes：a systematic review and dose-response meta-analysis [J]. Eur J Epidemiol，2015，30（7）：529-542.
[7] Lanier JB，Bury DC，Richardson SW. Diet and Physical Activity for Cardiovascular Disease Prevention [J]. Am Fam Physician，2016，93（11）：919-924.
[8] Friedenreich CM，Neilson HK，Farris MS，et al. Physical Activity and Cancer Outcomes：A Precision Medicine Approach [J]. Clin Cancer Res，2016，22（19）：4766-4775.
[9] 刘力生.中国高血压防治指南（2018年修订版）[J].中国心血管杂志，2019，24（1）：24-56.
[10] 环境保护部.HJ 663-2013环境空气质量评价技术规范[S].北京：中国环境科学出版社，2013.
[11] 环境保护部，国家质量监督检验检疫总局.GB 3095-2012环境空气质量标准[S].北京：中国环境科学出版社，2012.
[12] 刘启辰，李丹，曾小芳，等.重庆市居民体力活动、静坐及睡眠时间对高血压患病率的影响[J].西安交通大学学报：医学版，2019，40（3）：474-479.
[13] 吴梦怡，奉水东，洪秀琴.湖南省社区居民高血压和高血压分级现状及其影响因素分析[J].中国公共卫生，2018， 34（10）：1334-1337.
[14] 李杰，顾月.成人高血压和高血压前期影响因素研究[J].预防医学，2017，29（12）：1207-1212.
[15] Diaz KM，Booth JN，Seals SR，et al. Physical Activity and Incident Hypertension in African Americans：The Jackson Heart Study [J]. Hypertension，69（3）：421-427.
[16] Pedro CH，Lars BA，Fiona CB，et al. Global physical activity levels：surveillance progress，pitfalls，and prospects [J]. Lancet，2012，380（9838）：247-257.
[17] Ozemek C，Lavie CJ，Rognmo ?覫. Global physical activity levels-Need for intervention [J]. Prog Cardiovasc Dis. 2019，62（2）：102-107.
[18] Orkaby AR，Forman DE. Physical activity and CVD in older adults：an expert’s perspective [J]. Expert Rev Cardiovasc Ther，2018，16（1）：1-10.
[19] Sharif K，Watad A，Bragazzi NL，et al. Physical activity and autoimmune diseases：Get moving and manage the disease [J]. Autoimmun Rev，2018，17（1）：53-72.
[20] Tainio M，Jovanovic Andersen Z，Nieuwenhuijsen MJ，et al. Air pollution，physical activity and health：A mapping review of the evidence [J]. Environ Int，2021，147：105954.
[21] An R，Zhang S，Ji M，et al. Impact of ambient air pollution on physical activity among adults：a systematic review and meta-analysis [J]. Perspect Public Health，2018， 138（2）：111-121.
[22] Hou J，Liu X，Tu R，et al. Long-term exposure to ambient air pollution attenuated the association of physical activity with metabolic syndrome in rural Chinese adults：A cross-sectional study [J]. Environ Int，2020， 136：105459.
[23] Kubesch N，De NA，Guerra S，et al. Arterial blood pressure responses to short-term exposure to low and high traffic-related air pollution with and without moderate physical activity [J]. Eur J Prev Cardiol，2015，22（5）：548-557.
[24] Cole-Hunter T，Weichenthal S，Kubesch N，et al. Impact of traffic-related air pollution on acute changes in cardiac autonomic modulation during rest and physical activity：a cross-over study [J]. J Expo Sci Environ Epidemiol，2016，26（2）：133-140.
[25] Kubesch NJ，de Nazelle A，Westerdahl D，et al. Respiratory and inflammatory responses to short-term exposure to traffic-related air pollution with and without moderate physical activity [J]. Occup Environ Med，2015，72（4）：284-293.