Interactions between long-term ambient particle exposures and lifestyle on the prevalence of hypertension and diabetes: insight from a large community-based survey

IntroductionEvidence on the interaction of lifestyle and long-term ambient particle (PM) exposure on the prevalence of hypertension, diabetes, particularly their combined condition is limited. We investigate the associations between PM and these outcomes and whether the associations were modified by...

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Vydáno v:Journal of epidemiology and community health (1979) Ročník 77; číslo 7; s. 440 - 446
Hlavní autoři: Cai, Huanle, Du, Zhicheng, Lin, Xiao, Lawrence, Wayne R, Hopke, Philip K, Rich, David Q, Lin, Shao, Xiao, Jianpeng, Deng, Xinlei, Qu, Yanji, Lin, Ziqiang, Wang, Xinran, Ju, Xu, Chen, Shirui, Zhang, Yuqin, Wu, Wenjing, Wang, Ying, Gu, Jing, Hao, Yuantao, Zhang, Wangjian
Médium: Journal Article
Jazyk:angličtina
Vydáno: England BMJ Publishing Group Ltd 01.07.2023
BMJ Publishing Group LTD
Témata:
Air Pollutants - analysis
Air pollution
Air Pollution - analysis
Alcohol
China - epidemiology
Comorbidity
Diabetes
Diabetes mellitus
Diabetes Mellitus - epidemiology
Diet
Disease
Drinking behavior
Environmental Exposure - analysis
Environmental health
Health facilities
health impact assessment
Humans
Hypertension
Hypertension - epidemiology
Life Style
Lifestyles
Mortality
Original research
Particulate matter
Particulate Matter - adverse effects
Particulate Matter - analysis
Prevalence
Public health
Sleep
Smoking
Surveys
Surveys and Questionnaires
Variables
China
air pollution
diabetes mellitus
health impact assessment
environmental health
hypertension
ISSN:0143-005X, 1470-2738, 1470-2738
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Shrnutí:IntroductionEvidence on the interaction of lifestyle and long-term ambient particle (PM) exposure on the prevalence of hypertension, diabetes, particularly their combined condition is limited. We investigate the associations between PM and these outcomes and whether the associations were modified by various lifestyles.MethodsThis was a large population-based survey during 2019–2021 in Southern China. The concentrations of PM were interpolated and assigned to participants by the residential address. Hypertension and diabetes status were from questionnaires and confirmed with the community health centres. Logistic regression was applied to examine the associations, followed by a comprehensive set of stratified analyses by the lifestyles including diet, smoking, drinking, sleeping and exercise.ResultsA total of 82 345 residents were included in the final analyses. For each 1 μg/m3 increase in PM2.5, the adjusted OR for the prevalence of hypertension, diabetes and their combined condition were 1.05 (95% CI 1.05 to 1.06), 1.07 (95% CI 1.06 to 1.08) and 1.05 (95% CI 1.04 to 1.06), respectively. We observed that the association between PM2.5 and the combined condition was greatest in the group with 4–8 unhealthy lifestyles (OR=1.09, 95% CI 1.06 to 1.13) followed by the group with 2–3 and those with 0–1 unhealthy lifestyle (P interaction=0.026). Similar results and trends were observed in PM10 and/or in those with hypertension or diabetes. Individuals who consumed alcohol, had inadequate sleep duration or had poor quality sleep were more vulnerable.ConclusionLong-term PM exposure was associated with increased prevalence of hypertension, diabetes and their combined condition, and those with unhealthy lifestyles suffered greater risks of these conditions.
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HC, ZD and XL contributed equally.
ISSN:0143-005X
1470-2738
1470-2738
DOI:10.1136/jech-2023-220480