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Long-term associations of modeled and self-reported measures of exposure to air pollution and noise at residence on prevalent hypertension and blood pressure.
Sci Total Environ. 2017 Sep 01; 593-594:337-346.ST

Abstract

Air pollution, traffic noise and noise annoyance are suggested to be associated with hypertension and blood pressure (BP); however, the evidence remains inconsistent. Our study examined the long-term associations of modeled and self-reported measures of air pollution and traffic noise on prevalent hypertension and BP. We analyzed cross-sectional data from 2552 participants aged 31-72years from the KORA F4 (2006-2008) study conducted in the region of Augsburg, Germany. Land-use regression models were used to estimate residential long-term exposure to particulate matter <2.5μm (PM2.5), soot content of PM2.5 (PM2.5abs) and nitrogen dioxide (NO2). Road traffic noise levels at the facade of the dwellings were estimated for the participants' residences. Participants filled-in a questionnaire on noise annoyance and heavy traffic passing their residence. Linear and logistic regression models adjusting for confounders were used to assess the association between exposure measures and hypertension and BP. An interquartile increase in annual mean PM2.5 (1μg/m3) was significantly associated with 15% higher prevalence of hypertension, without (95% CI: 2.5; 28.0%) and with (95% CI: 0.7; 30.8%) adjustment for traffic noise. Diastolic blood pressure (DBP) was associated with air pollutants and traffic noise with percent increases in mean of 0.7 (95% CI: 0.2; 1.2), 0.6 (95% CI: 0.1; 1.1) and 0.3 (95% CI: 0.0; 0.7) for an interquartile increase in PM2.5 (1μg/m3) and PM2.5abs (0.2∗10-5/m), and 5dB(A) increase in 24-hour road traffic noise, respectively. Associations of PM2.5abs and NO2 with hypertension or DBP were stronger in men and diabetic individuals. No clear associations were seen with systolic BP or noise annoyance. In conclusion, self-reported measures of air pollution or noise did not perform better than the objective measures. Our findings provide further evidence for a link between air pollution, noise and cardiovascular disease and indicate a stronger association for men and diabetic individuals.

Authors+Show Affiliations

German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany; Institute for Medical Informatics, Biometry und Epidemiology (IBE), Ludwig-Maximilians-University, Munich, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany; ESC - Environmental Center, University of Augsburg, Augsburg, Germany.Department of Environmental Hygiene, Federal Environment Agency, Berlin, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany; German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany; DZHK-German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Germany.German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany. Electronic address: alexandra.schneider@helmholtz-muenchen.de.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28346907

Citation

Pitchika, Anitha, et al. "Long-term Associations of Modeled and Self-reported Measures of Exposure to Air Pollution and Noise at Residence On Prevalent Hypertension and Blood Pressure." The Science of the Total Environment, vol. 593-594, 2017, pp. 337-346.
Pitchika A, Hampel R, Wolf K, et al. Long-term associations of modeled and self-reported measures of exposure to air pollution and noise at residence on prevalent hypertension and blood pressure. Sci Total Environ. 2017;593-594:337-346.
Pitchika, A., Hampel, R., Wolf, K., Kraus, U., Cyrys, J., Babisch, W., Peters, A., & Schneider, A. (2017). Long-term associations of modeled and self-reported measures of exposure to air pollution and noise at residence on prevalent hypertension and blood pressure. The Science of the Total Environment, 593-594, 337-346. https://doi.org/10.1016/j.scitotenv.2017.03.156
Pitchika A, et al. Long-term Associations of Modeled and Self-reported Measures of Exposure to Air Pollution and Noise at Residence On Prevalent Hypertension and Blood Pressure. Sci Total Environ. 2017 Sep 1;593-594:337-346. PubMed PMID: 28346907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term associations of modeled and self-reported measures of exposure to air pollution and noise at residence on prevalent hypertension and blood pressure. AU - Pitchika,Anitha, AU - Hampel,Regina, AU - Wolf,Kathrin, AU - Kraus,Ute, AU - Cyrys,Josef, AU - Babisch,Wolfgang, AU - Peters,Annette, AU - Schneider,Alexandra, Y1 - 2017/03/27/ PY - 2016/11/26/received PY - 2017/03/13/revised PY - 2017/03/17/accepted PY - 2017/3/28/pubmed PY - 2018/7/28/medline PY - 2017/3/28/entrez KW - Air pollution KW - Blood pressure KW - Hypertension KW - Noise annoyance KW - Road traffic noise KW - Traffic intensity SP - 337 EP - 346 JF - The Science of the total environment JO - Sci. Total Environ. VL - 593-594 N2 - Air pollution, traffic noise and noise annoyance are suggested to be associated with hypertension and blood pressure (BP); however, the evidence remains inconsistent. Our study examined the long-term associations of modeled and self-reported measures of air pollution and traffic noise on prevalent hypertension and BP. We analyzed cross-sectional data from 2552 participants aged 31-72years from the KORA F4 (2006-2008) study conducted in the region of Augsburg, Germany. Land-use regression models were used to estimate residential long-term exposure to particulate matter <2.5μm (PM2.5), soot content of PM2.5 (PM2.5abs) and nitrogen dioxide (NO2). Road traffic noise levels at the facade of the dwellings were estimated for the participants' residences. Participants filled-in a questionnaire on noise annoyance and heavy traffic passing their residence. Linear and logistic regression models adjusting for confounders were used to assess the association between exposure measures and hypertension and BP. An interquartile increase in annual mean PM2.5 (1μg/m3) was significantly associated with 15% higher prevalence of hypertension, without (95% CI: 2.5; 28.0%) and with (95% CI: 0.7; 30.8%) adjustment for traffic noise. Diastolic blood pressure (DBP) was associated with air pollutants and traffic noise with percent increases in mean of 0.7 (95% CI: 0.2; 1.2), 0.6 (95% CI: 0.1; 1.1) and 0.3 (95% CI: 0.0; 0.7) for an interquartile increase in PM2.5 (1μg/m3) and PM2.5abs (0.2∗10-5/m), and 5dB(A) increase in 24-hour road traffic noise, respectively. Associations of PM2.5abs and NO2 with hypertension or DBP were stronger in men and diabetic individuals. No clear associations were seen with systolic BP or noise annoyance. In conclusion, self-reported measures of air pollution or noise did not perform better than the objective measures. Our findings provide further evidence for a link between air pollution, noise and cardiovascular disease and indicate a stronger association for men and diabetic individuals. SN - 1879-1026 UR - https://www.unboundmedicine.com/medline/citation/28346907/Long_term_associations_of_modeled_and_self_reported_measures_of_exposure_to_air_pollution_and_noise_at_residence_on_prevalent_hypertension_and_blood_pressure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0048-9697(17)30675-7 DB - PRIME DP - Unbound Medicine ER -