School of Public Health, Curtin University, Perth, WA 6148, Australia.
School of Public Health and Preventative Medicine, Monash University, Melbourne, VIC 3800, Australia.
Int J Environ Res Public Health. 2019 Sep 22;16(19):3548. doi: 10.3390/ijerph16193548.
A growing body of epidemiological and clinical evidence has implicated air pollution as an emerging risk factor for cardiometabolic disease. Whilst individuals spend up to two-thirds of daily time in their domestic residential environment, very few studies have been designed to objectively measure the sub-clinical markers of cardiometabolic risk with exposure to domestic indoor air pollutants. This cross-sectional study aims to investigate associations between the components of domestic indoor air quality and selected sub-clinical cardiometabolic risk factors in a cohort of healthy adults living in Perth, Western Australia.
One hundred and eleven non-smoking adults (65% female) living in non-smoking households who were aged between 35-69 years were recruited for the project. Study subjects were invited to participate in all sections of the study, which included: Domestic indoor air monitoring along with the concurrent 24 h ambulatory monitoring of peripheral and central blood pressure and measures of central hemodynamic indices, standardized questionnaires on aspects relating to current health status and the domestic environment, a 24 h time-activity diary during the monitoring period, and clinic-based health assessment involving collection of blood and urine biomarkers for lipid and glucose profiles, as well as measures of renal function and an analysis of central pulse wave and pulse wave velocity.
This study provides a standardized approach to the study of sub-clinical cardiometabolic health effects that are related to the exposure to indoor air pollution.
The findings of this study may provide direction for future research that will further contribute to our understanding of the relationship that exists between indoor air pollution and sub-clinical markers of cardiometabolic risk.
越来越多的流行病学和临床证据表明,空气污染是心血管代谢疾病的一个新出现的风险因素。虽然个体每天在其居住的室内环境中度过的时间长达三分之二,但很少有研究旨在客观地测量暴露于室内空气污染物时心血管代谢风险的亚临床标志物。本横断面研究旨在调查西澳大利亚珀斯的一组健康成年人的室内空气质量成分与选定的心血管代谢亚临床风险因素之间的关联。
招募了 111 名居住在非吸烟家庭中的不吸烟成年人(65%为女性),年龄在 35-69 岁之间。邀请研究对象参加研究的所有部分,包括:家庭室内空气质量监测以及同时进行的 24 小时外周和中心血压以及中心血液动力学指数的动态监测、与当前健康状况和家庭环境相关方面的标准化问卷、监测期间的 24 小时时间活动日记,以及基于诊所的健康评估,包括收集血液和尿液生物标志物以评估脂质和葡萄糖谱,以及肾功能的评估和中央脉搏波和脉搏波速度的分析。
本研究为研究与室内空气污染相关的亚临床心血管代谢健康影响提供了一种标准化方法。
本研究的结果可能为未来的研究提供方向,进一步增进我们对室内空气污染与心血管代谢风险的亚临床标志物之间关系的理解。