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Acute effects of ambient particulate matter on blood pressure in office workers
Licheng Zhang1, Ji An1, Xue Tian1
1School of Public Health, Capital Medical University & Beijing Municipal Key Laboratory of Clinical Epidemiology, No.10 Xitoutiao, Youanmen Wai Street, Fengtai District, Beijing, 100069, China.
Abstract:
Exposure to ambient particulate matter with a diameter of <2.5 μm (PM2.5) has been linked to increases in blood pressure. The aim of this study was to assess the effects of short-term exposure to PM2.5 on blood pressure in office workers in Beijing, China. A total of 4801 individuals aged 18-60 years underwent an annual medical examination between 2013 and 2017. Levels of air pollutants were obtained from 35 fixed monitoring stations and correlated with the employment location of each participant to predict personal exposure via kriging interpolation. Linear mixed-effects models were used to estimate the changes in blood pressure associated with PM2.5 exposure at various lag times. After adjusting for personal characteristics and other potential confounders, each interquartile range increase in PM2.5 was associated with a 0.413-mmHg (95% confidence interval [CI]: 0.252-0.573), 0.171-mmHg (95% CI: 0.053-0.288), 0.278-mmHg (95% CI: 0.152-0.404), and 0.241-mmHg (95% CI: 0.120-0.362) increase in systolic blood pressure, diastolic blood pressure, pulse pressure, and mean arterial pressure, respectively (p < 0.05). Men, individuals previously diagnosed with hypertension, and subjects working in the northern districts of Beijing had larger changes in blood pressure, and the effect sizes were 0.477-mmHg (95% CI: 0.286-0.669), 0.851-mmHg (95% CI: 0.306-1.397, and 0.672-mmHg (95% CI: 0.405-0.940). The findings suggested that exposure to PM2.5 had adverse effects on blood pressure, especially among males and hypertensive patients.
Insights
Short-term exposure to fine particulate matter (PM2.5) increases blood pressure in Beijing office workers. Effects were more pronounced in men and those with hypertension.
Area of Science:
- Environmental Health
- Cardiovascular Epidemiology
- Air Pollution Research
Background:
- Ambient fine particulate matter (PM2.5) exposure is a growing public health concern.
- Previous studies suggest a link between PM2.5 and elevated blood pressure.
- Understanding short-term effects is crucial for immediate public health interventions.
Purpose of the Study:
- To evaluate the association between short-term exposure to PM2.5 and blood pressure changes.
- To investigate these effects in a population of office workers in Beijing, China.
- To identify subgroups potentially more vulnerable to PM2.5-induced blood pressure increases.
Main Methods:
- Utilized data from 4801 office workers (aged 18-60) in Beijing from 2013-2017.
- Estimated personal PM2.5 exposure using kriging interpolation based on fixed monitoring stations.
- Employed linear mixed-effects models to analyze the relationship between PM2.5 exposure and blood pressure metrics (systolic, diastolic, pulse, mean arterial).
Main Results:
- An interquartile range increase in PM2.5 was significantly associated with increased systolic blood pressure (0.413 mmHg), diastolic blood pressure (0.171 mmHg), pulse pressure (0.278 mmHg), and mean arterial pressure (0.241 mmHg).
- Subgroup analysis revealed greater blood pressure increases in men (0.477 mmHg systolic), individuals with prior hypertension diagnoses (0.851 mmHg systolic), and those working in northern Beijing districts (0.672 mmHg systolic).
- Statistical significance (p < 0.05) was observed for all primary associations.
Conclusions:
- Short-term exposure to PM2.5 adversely affects blood pressure in urban office workers.
- Men and individuals with pre-existing hypertension are particularly susceptible to these effects.
- Findings highlight the need for targeted public health strategies to mitigate cardiovascular risks associated with air pollution.
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