空气污染,气象因素和儿童的心脏重塑:一个多主题队列研究
Di Zhang1,2, Fengchao Liang2, Qian Li2
1Department of Clinical Epidemiology and Biostatistics, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Municipal Health Commission Key Laboratory of Children's Vital Organ Development and Diseases, 136, 2nd Street, Yuzhong District, Chongqing 400014, China.
空气污染和PM2.5和极端温度等天气因素会损害儿童的心血管健康,导致结构变化. 这些影响在弱势儿童中更为严重,这凸显了环境改善的必要性.
科学领域:
- 环境健康 环境健康
- 儿童心脏病学 儿童心脏病学
- 生物分子机制的机制
背景情况:
- 成人研究将空气污染和天气与心血管疾病联系起来.
- 关于儿童的心血管结构,功能和与环境因素相关的潜在机制的数据有限.
研究的目的:
- 研究空气污染和气象因素对儿童心血管健康的影响.
- 确定生物分子机制,将环境暴露与儿童的心血管变化联系起来.
主要方法:
- 2029名儿童参加西南健康儿童队列 (2021-2025年).
- 使用机器学习评估对PM2.5,温度,极端温度事件和相对湿度的暴露.
- 通过心声学评估心血管参数.
主要成果:
- PM2.5,温度,极端温度事件,以及与心血管改造相关的RH暴露 (例如,动脉内脏厚度增加,射出分数减少).
- 来自低收入家庭的儿童或患有高血压的儿童中,相关性更强.
- PM2.5和极端温度事件对异常的心血管重塑产生了协同效应.
- 鉴定了脂质组 (hexosylceramide,phosphenolpyruvate,triacylglyceride) 和肌酸素轻链3作为关键生物标志物.
结论:
- 空气污染和气象因素显著影响儿童的心血管健康.
- 环境改善战略对于保护弱势儿童和青少年至关重要.
- 鉴定出的生物分子标记物可以帮助理解和减轻风险.
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