A study of temperature variability on admissions and deaths for cardiovascular diseases in Northwestern China

Shan Zheng1, Xiaofei Zhang2, Wenzhi Zhu3

  • 1Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China. zhengsh@lzu.edu.cn.

BMC Public Health
|September 8, 2023
PubMed

Insights

Temperature variability (TV) significantly increases cardiovascular disease (CVD) emergency visits. Daily and hourly temperature variability pose risks, especially for males and the elderly, highlighting the need for targeted prevention strategies.

Area of Science:

  • Environmental Health
  • Cardiovascular Epidemiology
  • Climate Change Impact

Background:

  • Cardiovascular diseases (CVDs) pose a significant public health burden.
  • Understanding environmental risk factors for CVDs is crucial for effective public health interventions.
  • Temperature variability (TV) is an emerging environmental stressor with potential health implications.

Purpose of the Study:

  • To investigate the association between temperature variability (TV) and cardiovascular disease (CVD) admissions and deaths.
  • To quantify the impact of daily temperature variability (DTV) and hourly temperature variability (HTV) on CVD emergency room visits.
  • To evaluate the attribution risk of TV to CVD emergency visits and identify sensitive populations.

Main Methods:

  • Utilized CVD admissions data (2013-2016) and mortality data (2013-2017) from Jinchang City.
  • Employed a distributed lag nonlinear model (DLNM) to analyze the effects of DTV and HTV on CVD events.
  • Conducted stratified analyses by age and gender, and evaluated attribution risk.

Main Results:

  • TV showed a significant positive correlation with outpatient and emergency room (O&ER) visits for CVDs.
  • A 1°C increase in DTV and HTV was associated with a 3.61% and 3.03% increase in CVD O&ER visits, respectively.
  • DTV and HTV accounted for 22.75% and 14.15% of CVD O&ER visits; males and the elderly were more susceptible, with greater impacts observed in the non-heating season.

Conclusions:

  • Temperature variability is an independent risk factor for increased CVD emergency visits.
  • Strengthening timely prevention for vulnerable groups is essential for CVD risk management.
  • These findings underscore the importance of considering environmental factors in public health strategies for CVDs.
Abstract

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