首页|柳州市大气污染物一氧化碳对缺血性心脏病发病风险的前瞻性队列研究

柳州市大气污染物一氧化碳对缺血性心脏病发病风险的前瞻性队列研究

扫码查看
目的 探讨柳州市环境大气污染物一氧化碳(CO)暴露与缺血性心脏病发病风险的关系.方法 基于中国慢性病前瞻性研究队列(CKB)的柳州子队列,构建时间序列的分布滞后非线性模型,分析大气污染物与缺血性心脏病发病风险之间的关联.结果 CO暴露与缺血性心脏病发病风险的关联有统计学意义,CO每升高1 mg/m3,单日滞后(lag1)效应最大,缺血性心脏病发病风险增加1.102%(95%CI:1.010%~1.202%);累积滞后(lag03)效应最大,缺血性心脏病发病风险增加1.375%(95%CI:1.038%~1.821%).CO、SO2和N02对缺血性心脏病发病风险的影响在冷季时更为明显,≥60岁、体育锻炼≥3次/周和退休人群更易受到CO的影响.结论 大气污染物CO暴露可能增加缺血性心脏病的发病风险.有必要采取措施降低大气CO的浓度,从而降低缺血性心脏病的发生风险.
Risk of ischemic heart disease caused by atmosphere carbon monoxide in Liuzhou City:a prospective cohort study
Objective To understand the relationship between atmospheric pollutantsexposure,including carbon monoxide(CO),sulfur dioxide(SO2),nitrogen dioxide(NO2)and the risk of ischemic heart disease(IHD).Methods Using the Liuzhou sub-cohort from the China Kadoorie Biobank(CKB)Prospective Study,a time-series distributed lag nonlinear model was constructed to analyze the association between atmospheric pollutants and the risk of IHD.Results The association between CO exposure and theincidence of IHD was statistically significant.With a 1 mg/m3 increase in CO concentration,the maximum single-day lag effect was associated with a 1.102%increase in IHD risk(95%CI:1.010%-1.202%,lag 1 day),and the maximum cumulative lag effect was associated with a 1.375%increase in IHD risk(95%CI:1.038%-1.821%,lag 03 days).The effects of CO,SO2 and NO2 on IHD risk were more pronounced during the cold season,and individuals aged ≥60,engaging in physical exercise ≥3 times per week,and retirees were more susceptible to the impact of CO.Conclusion Exposure to the air pollutant CO may increase the risk of IHD.It is necessary to take measures to reduce CO concentration in order to decrease the risk of IHD.

Air pollutantsIschemic heart diseaseTime-series analyze

钟志诚、周丽芳、裴培、孙点剑一、苏莉、蓝剑

展开 >

广西医科大学公共卫生学院,广西南宁 530021

柳州市疾病预防控制中心办公室

北京大学公众健康与重大疫情防控战略研究中心

北京大学公共卫生学院流行病与卫生统计学系

重大疾病流行病学教育部重点实验室(北京大学)

柳州市疾病预防控制中心慢病防制与健康促进所

展开 >

大气污染 缺血性心脏病 时间序列

2024

环境与健康杂志
中华预防医学会,天津市疾病预防控制中心

环境与健康杂志

CSTPCD
影响因子:0.658
ISSN:1001-5914
年,卷(期):2024.41(8)