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The Association Between Urbanization and Electrocardiogram Abnormalities in China: a Nationwide Longitudinal Study
Jiarun Mi1, Xueyan Han1, Man Cao1
1School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
Urbanization may reduce cardiovascular risks. Higher impervious surfaces and nighttime light correlated with fewer electrocardiogram (ECG) abnormalities in Chinese adults, suggesting urbanization benefits heart health.
Area of Science:
- Environmental Health
- Cardiovascular Epidemiology
- Urban Studies
Background:
- The health impacts of urbanization are debated, with limited research on its association with subclinical cardiovascular disease risks like electrocardiogram (ECG) abnormalities.
- Understanding this relationship is crucial for public health strategies in rapidly urbanizing regions.
Purpose of the Study:
- To investigate the association between urbanization levels and the prevalence of ECG abnormalities in Chinese adults.
- To quantify the risk of cardiovascular disease indicators associated with urbanization.
Main Methods:
- Utilized data from the China National Stroke Screening Survey (CNSSS).
- Assessed urbanization using satellite-derived impervious surfaces rate and nighttime light data.
- Employed statistical models to analyze the relationship between urbanization metrics and ECG abnormalities.
Main Results:
- An increased impervious surfaces rate showed a decreased risk of ECG abnormalities (OR=0.894, 95% CI: 0.869-0.920).
- Higher nighttime light intensity also correlated with reduced ECG abnormalities (OR=0.809, 95% CI: 0.772-0.847).
- A U-shaped nonlinear relationship was observed between impervious surfaces rate and ECG abnormalities.
Conclusions:
- Current urbanization levels in China appear to be a protective factor against cardiovascular risks, specifically reducing ECG abnormalities.
- Findings suggest that urbanization, within the studied range, is associated with improved cardiovascular health outcomes.
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