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Effects of particulate air pollution on blood pressure in a highly exposed population in Beijing, China: a repeated-measure study.


ABSTRACT:

Background

Particulate Matter (PM) exposure is critical in Beijing due to high population density and rapid increase in vehicular traffic. PM effects on blood pressure (BP) have been investigated as a mechanism mediating cardiovascular risks, but results are still inconsistent. The purpose of our study is to determine the effects of ambient and personal PM exposure on BP.

Methods

Before the 2008 Olympic Games (June 15-July 27), we examined 60 truck drivers and 60 office workers on two days, 1-2 weeks apart (n = 240). We obtained standardized measures of post-work BP. Exposure assessment included personal PM(2.5) and Elemental Carbon (EC, a tracer of traffic particles) measured using portable monitors during work hours; and ambient PM(10) averaged over 1-8 days pre-examination. We examined associations of exposures (exposure group, personal PM(2.5)/EC, ambient PM(10)) with BP controlling for multiple covariates.

Results

Mean personal PM(2.5) was 94.6 ?g/m(3) (SD = 64.9) in office workers and 126.8 (SD = 68.8) in truck drivers (p-value < 0.001). In all participants combined, a 10 ?g/m(3) increase in 8-day ambient PM(10) was associated with BP increments of 0.98 (95%CI 0.34; 1.61; p-value = 0.003), 0.71 (95%CI 0.18; 1.24; p-value = 0.01), and 0.81 (95%CI 0.31; 1.30; p-value = 0.002) mmHg for systolic, diastolic, and mean BP, respectively. BP was not significantly different between the two groups (p-value > 0.14). Personal PM(2.5) and EC during work hours were not associated with increased BP.

Conclusions

Our results indicate delayed effects of ambient PM(10) on BP. Lack of associations with exposure groups and personal PM(2.5)/EC indicates that PM effects are related to background levels of pollution in Beijing, and not specifically to work-related exposure.

SUBMITTER: Baccarelli A 

PROVIDER: S-EPMC3273442 | biostudies-literature | 2011 Dec

REPOSITORIES: biostudies-literature

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Effects of particulate air pollution on blood pressure in a highly exposed population in Beijing, China: a repeated-measure study.

Baccarelli Andrea A   Barretta Francesco F   Dou Chang C   Zhang Xiao X   McCracken John P JP   Díaz Anaité A   Bertazzi Pier Alberto PA   Schwartz Joel J   Wang Sheng S   Hou Lifang L  

Environmental health : a global access science source 20111221


<h4>Background</h4>Particulate Matter (PM) exposure is critical in Beijing due to high population density and rapid increase in vehicular traffic. PM effects on blood pressure (BP) have been investigated as a mechanism mediating cardiovascular risks, but results are still inconsistent. The purpose of our study is to determine the effects of ambient and personal PM exposure on BP.<h4>Methods</h4>Before the 2008 Olympic Games (June 15-July 27), we examined 60 truck drivers and 60 office workers on  ...[more]

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