Long-term Exposure to Ambient Ozone at Workplace is Positively and Non-linearly Associated with Incident Hypertension and Blood Pressure: Longitudinal Evidence from the Beijing-Tianjin-Hebei Medical Examination Cohort DOI Creative Commons
HU Song-hua, Ximing Xu, Chunjun Li

и другие.

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Июль 7, 2023

Abstract Background There is limited longitudinal evidence on the hypertensive effects of long-term exposure to ambient O 3 . We investigated association between at workplace and incident hypertension, diastolic blood pressure (DBP), systolic (SBP), pulse (PP), mean arterial (MAP) in general working adults. Methods analyzed data Beijing-Tianjin-Hebei Medical Examination-based Cohort, which recruited over 30,000 medical examination attendees through multistage stratified cluster sampling. Participants completed a standard questionnaire comprehensive examination. Three-year concentrations each employed participant's were estimated using two-stage machine learning model. Mixed-effects Cox proportional hazards models linear mixed-effects used examine effect hypertension parameters, respectively. Generalized additive mixed explore non-linear concentration-response relationships. Results A total 16,630 hypertension-free participants baseline finished follow-up. The (SD) was 45.26 (2.70) ppb. cumulative incidence 7.11 (95% CI: 6.76, 7.47) per 100 person-years. Long-term independently, positively non-linearly associated with (Hazard ratios CI) for Q2, Q3, Q4 1.77 (1.34, 2.36), 2.06 (1.42, 3.00) 3.43 (2.46, 4.79), respectively, as compared first quartile (Q1)), DBP ( 0.65 (0.01, 1.30) Q1), SBP 2.88 (2.00, 3.77), 2.49 (1.36, 3.61) 2.61 (1.64, 3.58) Q4, respectively), PP 2.12 2.87), 2.03 (1.18, 2.87) 2.14 (1.38, 2.90) MAP 1.39 (0.76, 2.02), 1.04 (0.24, 1.84) 1.12 (0.43, 1.82) respectively). associations robust across sex, age, BMI, when considering PM 2.5 NO 2 Sex BMI interacted ozone, ozone having greater deleterious males, overweight obese individuals. Conclusions To our best knowledge, this cohort study population that demonstrates exposure.

Язык: Английский

Association between exposure to outdoor artificial light at night during pregnancy and glucose homeostasis: A prospective cohort study DOI
Lei Zhang, Haixia Wang,

Ping Zu

и другие.

Environmental Research, Год журнала: 2024, Номер 247, С. 118178 - 118178

Опубликована: Янв. 13, 2024

Язык: Английский

Процитировано

4

Long-term exposure to ambient ozone at workplace is positively and non-linearly associated with incident hypertension and blood pressure: longitudinal evidence from the Beijing-Tianjin-Hebei medical examination cohort DOI Creative Commons
HU Song-hua, Ximing Xu, Chunjun Li

и другие.

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Окт. 16, 2023

There is limited longitudinal evidence on the hypertensive effects of long-term exposure to ambient O3. We investigated association between O3 at workplace and incident hypertension, diastolic blood pressure (DBP), systolic (SBP), pulse (PP), mean arterial (MAP) in general working adults.We conducted a cohort study by recruiting over 30,000 medical examination attendees through multistage stratified cluster sampling. Participants completed standard questionnaire comprehensive examination. Three-year concentrations each employed participant's were estimated using two-stage machine learning model. Mixed-effects Cox proportional hazards models linear mixed-effects used examine effect hypertension parameters, respectively. Generalized additive mixed explore non-linear concentration-response relationships.A total 16,630 hypertension-free participants baseline finished follow-up. The (SD) was 45.26 (2.70) ppb. cumulative incidence 7.11 (95% CI: 6.76, 7.47) per 100 person-years. Long-term independently, positively non-linearly associated with (Hazard ratios CI) for Q2, Q3, Q4 1.77 (1.34, 2.36), 2.06 (1.42, 3.00) 3.43 (2.46, 4.79), respectively, as compared first quartile (Q1)), DBP (β 0.65 (0.01, 1.30) Q1), SBP 2.88 (2.00, 3.77), 2.49 (1.36, 3.61) 2.61 (1.64, 3.58) Q4, respectively), PP 2.12 2.87), 2.03 (1.18, 2.87) 2.14 (1.38, 2.90) MAP 1.39 (0.76, 2.02), 1.04 (0.24, 1.84) 1.12 (0.43, 1.82) respectively). associations robust across sex, age, BMI, when considering PM2.5 NO2.To our knowledge, this population that demonstrates exposure. findings are particularly relevant policymakers researchers involved pollution public health, supporting integration reduction into health interventions.

Язык: Английский

Процитировано

6

Habitual night sleep duration is associated with general obesity and visceral obesity among Chinese women, independent of sleep quality DOI Creative Commons
Jiangshan He, Yaqi Fan, Li Zhang

и другие.

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Янв. 23, 2023

Purpose Research on the relationship between sleep duration and obesity defined using multiple anthropometric bioelectrical indices in women remains scarce. We aimed to explore association body mass index (BMI), waist-hip ratio (WHR), fat percentage (PBF) visceral area (VFA) among females. Methods recruited for medical examination multistage cluster sampling. Sleep was assessed Pittsburgh Quality Index (PSQI) categorized into short (<7 h), optimal (7 <9 h) long (≥ 9 h). Weight height were measured a calibrated stadiometer. Waist circumference manually measured. PBF, VFA estimated by impedance analysis. Data sociodemographic characteristics lifestyle factors also collected included logistic regression models independent different indices. Results A total of 7,763 with mean age 42.6 ± 13.5 years included. The reporting 10.3 13.4% respectively. BMI, WHR, PBF 23.07 3.30 kg/m 2 , 0.78 0.06, 32.23 6.08% 91.64 35.97cm Short independently associated 35% (95% CI: 1.05–1.75) increased odds general (BMI ≥ 28 kg/cm ), 18% 1.01–1.37) (VFA > 100 cm ). No observed deprivation or excessive high WHR PBF. Conclusion In women, an obesity, whereas obesity. Longitudinal observations are needed confirm this cross-sectional relationship.

Язык: Английский

Процитировано

4

The causal relationship between air pollution, obesity, and COVID-19 risk: a large-scale genetic correlation study DOI Creative Commons
Jingwei Zhang, Jie Wen, Xin Wan

и другие.

Frontiers in Endocrinology, Год журнала: 2023, Номер 14

Опубликована: Окт. 5, 2023

Objective Observational evidence reported that air pollution is a significant risk element for numerous health problems, such as obesity and coronavirus disease 2019 (COVID-19), but their causal relationship currently unknown. Our objective was to probe the between pollution, obesity, COVID-19 explore whether mediates this association. Methods We obtained instrumental variables strongly correlated pollutants [PM2.5, nitrogen dioxide (NO 2 ) oxides (NOx)], 9 obesity-related traits (abdominal subcutaneous adipose tissue volume, waist-to-hip ratio, body mass index, hip circumference, waist class 1-3, visceral volume), phenotypes (susceptibility, hospitalization, severity) from public genome-wide association studies. used clinical genetic data different biological databases performed analysis by two-sample two-step Mendelian randomization. Results PM2.5 genetically with 5 traits, which 1 most affected (beta = 0.38, 95% CI 0.11 - 0.65, p 6.31E-3). NO 3 also 0.33, 0.055 0.61, 1.90E-2). NOx 7 1.16, 0.42-1.90, 2.10E-3). Almost all increased risks phenotypes. Among them, mediated effects of on ( < 0.05). However, no direct observed COVID-19. Conclusion study suggested exposure heavy causally obesity. Besides, Attention needs be paid weight status population who suffer they are more likely susceptible vulnerable

Язык: Английский

Процитировано

4

Ratio of visceral fat area to body fat mass (VBR) is a superior predictor of coronary heart disease DOI Creative Commons
Binbin Zhang, Jiangshan He,

Pei Guo

и другие.

Chinese Medical Journal, Год журнала: 2023, Номер unknown

Опубликована: Апрель 26, 2023

To the Editor: Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality globally, with coronary heart (CHD) exhibiting highest rate. Obesity is an important risk factor for cardiometabolic complication CVD. Visceral adipose (VA) subcutaneous (SA) tissues exert differential possibly opposing effects on cardio-metabolic outcomes.[1,2] The currently applied adiposity indices are inefficient in predicting CHD. Research which discriminatory power compared absolute relative terms inadequate, few have men women this regard. We performed anthropometric bioelectrical impedance analysis (BIA) measurements Chinese adults proposed novel BIA measurement — visceral fat area (VFA) to body mass (BFM) ratio (VBR) hypothesizing that VBR could better assess cardiovascular respect fat. therefore assessed efficacy then it commonly used index (BMI), waist-to-hip (WHR), BFM, percentage (PBF), VFA identifying CHD both so as determine whether superior aforementioned indices. analyzed portion baseline data from Beijing–Tianjin–Hebei (BTH) Medical Examination Cohort, was conducted by recruiting undergoing annual medical examination BTH region China September 2018 January 2020.[3] Individuals who were pregnant, state physical infection, had implanted pacemakers, or not stand independently excluded. Our study protocol approved Ethics Review Boards Nankai University (No. NKUIRB2016063). Height weight measured using same device (GL-310, Seoul, Korea), waist hip circumferences manually. determined PBF, multifrequency plethysmograph body-composition analyzer (Inbody-770, Korea). Participants instructed fast 8–10 h engage strenuous activity before following morning's measurements. A standard questionnaire collect participants' age, sex, ethnicity, educational level achieved, marital status, occupation, personal, family history CHD, alcohol drinking, tobacco smoking, exercise. All professional staff methods.[4,5] Statistical analyses Package Social Sciences (SPSS), version 24.0 (SPSS Inc., Chicago, IL, USA) MedCalc (MedCalc Software, Mariakerke, Belgium). Considering sex differences distribution prevalence, all statistical stratified sex. Normally distributed continuous variables presented mean ± deviation (SD) t tests, while normally described medians interquartile ranges applying rank-sum test. Categorical numbers percentages chi-squared exploited multivariate logistic regression relationships between adjusting level, consumption, exercise, disease. Before analysis, standardized (i.e., we took original data, subtracted average, divided SD), such odds ratios (ORs) indicated increase per SD. receiver operating characteristic (ROC) curve compare predictive validity. under ROC (AUC) examine screening each index. Optimal cutoff values Youden index, DeLong method AUC indicators significant. Two-tailed P values<0.05 considered be statistically As summarized [Supplementary Table 1, https://links.lww.com/CM9/B433], included 12,060 individuals aged 20 91 years median age 40 (interquartile range, 32–54) years, 42.36% (n = 5109) men. overall prevalence 2.65% (320/12,060) higher males than females (3.54% (181/5109) vs. 2.00% (139/6951), < 0.05). Younger college undergraduate education, being single negatively associated (all 0.05), having positively women. Drinking patients reported engaging more exercise non-CHD individuals, discerned no significant ethnicity smoking status regardless larger (P 0.001). Compared without those exhibited high VBR, BMI, WHR, 0.008 0.001 other indices) shown Figure adjusted ORs regarding significantly reference women, suggesting 1-SD increased sexes (except BMI men). demonstrated largest aOR (2.00; 95% confidence interval [CI], 1.69–2.37) females, followed descending order (1.80; CI, 1.54–2.10), PBF (1.76; 1.47–2.11), WHR (1.66; 1.41–1.96), (1.46; 1.25–1.70), BFM (1.42; 1.22–1.65). among 1.27–1.69), (1.43; 1.22–1.67), (1.33; 1.14–1.54), (1.21; 1.10–1.34), 1.04–1.39).Figure 1: Standardized obesity (A) CIs (B) VFA, (C) BFM: Body mass; BMI: index; CHD: Coronary disease; ORs: Odds ratios; PBF: Percentage fat; ROC: Receiver characteristic; VBR: ratio; VFA: area; WHR; Waist-to-hip ratio.Supplementary 2, https://links.lww.com/CM9/B433 1 reveal possessed AUCs > 0.5), generating (0.821 0.753, respectively). optimal value 4.84 cm2/kg sensitivity specificity 84.89% 65.15% 4.63 76.80% 66.34% males, respectively. second (0.676 0.745, However, outperformed greater respectively) (0.753 0.676, manifested lowest (0.556), reflected (0.671). any subjects <0.001). greatest across siginificantly 0.001), 0.01) 0.001) whereas 0.16). In current study, established basis whole-body provides magnitude total rather amount thus some indication accumulation human body. our VA SA differ their differentiation, apoptotic mechanisms, spectrum surface receptors, lipolysis, lipogenesis, cytokine adipokine secretion.[6] Researchers regional closely generalized obesity. Excessive strongly predicts onset severity insulin resistance metabolic syndrome, does not. Intriguingly, even lower fat, Based upon these findings, measure evaluate its Numerous studies employed conventional measures WC abdominal substitutes measuring general obesity, revealed associations cannot discriminate muscle mass, distinguish extant literature consistently describe noted Although investigators ascertained far powerful predictor CVD risk, suggested ability varies different populations completely reliable thought research, although showed females. consistent previous studies.[7] While tissue (especially VA) common low-grade systemic inflammation, differs relatively less Moreover, sympathetic nervous system (SNS) activation enhances inflammatory response. men, SNS activated but tissue, either may explain factors summary, most robust offer clinical prevention. additional prospective needed validate causal relationship Funding This supported grant Key Development Program 2016YFC0900604) Ministry Science Technology. Conflicts interest None.

Язык: Английский

Процитировано

3

Associations between maternal periconceptional exposure to PM2.5 and the risk of cryptorchidism: a case-control study of 4274 DOI Creative Commons
Yan Liu,

Yin-lin Chen,

Chengjun Yu

и другие.

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Ноя. 29, 2024

Currently, there is limited evidence regarding the association between prenatal exposure to environmental fine particulate matter (PM2.5) and occurrence of cryptorchidism. The objective this study was evaluate potential correlation PM2.5 likelihood cryptorchidism developing in offspring. We performed a 1:1 case–control study, defining cases as children diagnosed with at Children's Hospital Affiliated Chongqing Medical University from 2013 2017, while control group comprised born corresponding years who did not have any birth defects, chromosomal abnormalities, had only trauma-related treatments. Between 2012 monthly averages PM2.5, other pollutants (O3, PM10) temperature were gathered based on geographical coordinates patients' residences. assessed two using multivariate logistic regression model, sensitivity analysis conducted assess stability model. included total 2137 matched controls 2017. Our findings revealed that positive during first 2 months pregnancy According development appears be associated maternal early pregnancy.

Язык: Английский

Процитировано

0

Long-term Exposure to Ambient Ozone at Workplace is Positively and Non-linearly Associated with Incident Hypertension and Blood Pressure: Longitudinal Evidence from the Beijing-Tianjin-Hebei Medical Examination Cohort DOI Creative Commons
HU Song-hua, Ximing Xu, Chunjun Li

и другие.

Research Square (Research Square), Год журнала: 2023, Номер unknown

Опубликована: Июль 7, 2023

Abstract Background There is limited longitudinal evidence on the hypertensive effects of long-term exposure to ambient O 3 . We investigated association between at workplace and incident hypertension, diastolic blood pressure (DBP), systolic (SBP), pulse (PP), mean arterial (MAP) in general working adults. Methods analyzed data Beijing-Tianjin-Hebei Medical Examination-based Cohort, which recruited over 30,000 medical examination attendees through multistage stratified cluster sampling. Participants completed a standard questionnaire comprehensive examination. Three-year concentrations each employed participant's were estimated using two-stage machine learning model. Mixed-effects Cox proportional hazards models linear mixed-effects used examine effect hypertension parameters, respectively. Generalized additive mixed explore non-linear concentration-response relationships. Results A total 16,630 hypertension-free participants baseline finished follow-up. The (SD) was 45.26 (2.70) ppb. cumulative incidence 7.11 (95% CI: 6.76, 7.47) per 100 person-years. Long-term independently, positively non-linearly associated with (Hazard ratios CI) for Q2, Q3, Q4 1.77 (1.34, 2.36), 2.06 (1.42, 3.00) 3.43 (2.46, 4.79), respectively, as compared first quartile (Q1)), DBP ( 0.65 (0.01, 1.30) Q1), SBP 2.88 (2.00, 3.77), 2.49 (1.36, 3.61) 2.61 (1.64, 3.58) Q4, respectively), PP 2.12 2.87), 2.03 (1.18, 2.87) 2.14 (1.38, 2.90) MAP 1.39 (0.76, 2.02), 1.04 (0.24, 1.84) 1.12 (0.43, 1.82) respectively). associations robust across sex, age, BMI, when considering PM 2.5 NO 2 Sex BMI interacted ozone, ozone having greater deleterious males, overweight obese individuals. Conclusions To our best knowledge, this cohort study population that demonstrates exposure.

Язык: Английский

Процитировано

0