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北京 2008 年奥运会期间出租车司机接触 PM₂.₅ 成分与心率变异性

Exposures to PM₂.₅ components and heart rate variability in taxi drivers around the Beijing 2008 Olympic Games.

机构信息

Department of Occupational and Environmental Health Sciences, Peking University School of Public Health, Beijing, China.

出版信息

Sci Total Environ. 2011 Jun 1;409(13):2478-85. doi: 10.1016/j.scitotenv.2011.03.034. Epub 2011 Apr 13.

DOI:10.1016/j.scitotenv.2011.03.034
PMID:21492904
Abstract

BACKGROUND

Carbonaceous and metallic components of particles have been shown to play a role in particles' effects on cardiac autonomic function as measured by heart rate variability (HRV). Previously we reported the association of HRV with marked changes in traffic-related particulate air pollution around the Beijing 2008 Olympic Games in a panel of taxi drivers.

OBJECTIVE

We further investigated the relationship between exposures to the carbonaceous and metallic components of traffic-related particles and HRV in the same population.

METHODS

Repeated measurements of in-car exposures to particulate matter ≤ 2.5 μm in aerodynamic diameter (PM₂.₅), carbon monoxide and nitrogen oxides were conducted in a group of 14 taxi drivers for one work shift in four study periods around the Beijing 2008 Olympics. The quantities of organic/elemental carbons and 27 elements of the in-car PM₂.₅ mass were determined laboratorially. Linear mixed-effects models were used to evaluate the impact of exposures to different PM₂.₅ components on HRV while controlling for potential confounders.

RESULTS

Taxi drivers' exposures to in-car PM₂.₅ and its components showed dramatic changes across the four study periods around the Beijing 2008 Olympics. Differences in associations of in-car PM₂.₅ components with HRV were found. An interquartile range (IQR: 917.9 ng/m³) increase in calcium was associated with a 5.48 millisecond [ms, 95% confidence interval (CI): 0.71, 10.24] increase in standard deviations of normal-to-normal (SDNN) intervals, while an IQR (4.1 ng/m³) increase in nickel was associated with a 1.53 ms (95% CI: 0.14, 2.92) increase in SDNN index. Additionally, a decline of 8.11 ms (95% CI: -15.26, -0.97) in SDNN per IQR (481.4 ng/m³) increase in iron was also found.

CONCLUSION

The results support associations of PM₂.₅ metallic components with HRV in younger healthy individuals. Future studies are needed to clarify the interaction among different PM₂.₅ components or the role of PM₂.₅ mixtures.

摘要

背景

已证实,颗粒物质中的碳质和金属成分在通过心率变异性(HRV)测量的心脏自主功能的颗粒影响方面发挥了作用。此前,我们曾报道过,在一组出租车司机中,北京 2008 年奥运会前后,交通相关颗粒物空气污染的明显变化与 HRV 之间存在关联。

目的

我们进一步调查了在同一人群中,交通相关颗粒的碳质和金属成分暴露与 HRV 之间的关系。

方法

在 2008 年北京奥运会前后的四个研究期间,对 14 名出租车司机的一次轮班工作中,对车内可吸入颗粒物(PM₂.₅)、一氧化碳和氮氧化物的暴露情况进行了重复测量。实验室确定了车内 PM₂.₅质量中的有机/元素碳和 27 种元素的数量。线性混合效应模型用于评估控制潜在混杂因素后,不同 PM₂.₅ 成分暴露对 HRV 的影响。

结果

出租车司机在 2008 年北京奥运会前后四个研究期间的车内 PM₂.₅及其成分暴露发生了显著变化。车内 PM₂.₅ 成分与 HRV 之间的关联存在差异。与四分位距(IQR:917.9ng/m³)增加钙相关的标准偏差正常到正常(SDNN)间隔增加 5.48 毫秒[ms,95%置信区间(CI):0.71,10.24],而与四分位距(4.1ng/m³)增加镍相关的 SDNN 指数增加 1.53ms(95%CI:0.14,2.92)。此外,还发现 IQR(481.4ng/m³)增加铁,SDNN 下降 8.11ms(95%CI:-15.26,-0.97)。

结论

这些结果支持 PM₂.₅ 金属成分与年轻健康个体的 HRV 之间存在关联。需要进一步的研究来阐明不同 PM₂.₅ 成分之间的相互作用或 PM₂.₅ 混合物的作用。

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