Zhai Guangyu, Wang Yuan, Zhang Kuan, Tian Yiwen
School of Economics and Management, University of Technology, Lanzhou, China.
Institute of Technology, Huaibei, China.
Ann Agric Environ Med. 2023 Sep 28;30(3):490-497. doi: 10.26444/aaem/163325. Epub 2023 May 11.
Although it has previously been shown that temperature is associated with cardiovascular disease, no investigations exploring the association between apparent temperature (AT) and hypertension in farmers in Zhangye and Longnan, Gansu Province, China, have been undertaken. As hypertension is a commonly known risk factor for cardiovascular disease, the relationship between apparent temperature (AT) and hypertension is examined in Zhangye and Longnan to provide advice to local governments on preventive measures.
Daily data and weather conditions were collected in Zhangye and Longnan from 2014-2015. The Poisson generalized linear model and the distributed lag nonlinear model (DLNM) were combined to investigate the relationship between AT and hypertension in hospital admissions in the study areas.
A non-linear relationship between AT and hypertension in hospital admissions in both Zhangye and Longnan were recorded. The cold effects were stronger in Zhangye than that in Longnan for both study group and subgroups. The heat effects were more deleterious for the entire study group, female subgroup and adult subgroup in Longnan, but stronger for the male subgroup and elderly subgroup in Zhangye.
This investigation indicates that AT has adverse impacts on hypertension hospital admissions in Zhangye and Longnan, especially under low AT exposure levels. The results from this study may promote the formulation of further prevention measures for hypertension disease.
尽管此前已有研究表明温度与心血管疾病有关，但尚未有针对中国甘肃省张掖市和陇南市农民体感温度（AT）与高血压之间关联的调查。由于高血压是心血管疾病的常见危险因素，本研究在张掖市和陇南市考察体感温度（AT）与高血压之间的关系，以便为当地政府提供预防措施方面的建议。
收集了张掖市和陇南市2014 - 2015年的每日数据及天气状况。采用泊松广义线性模型和分布滞后非线性模型（DLNM）来研究研究区域内医院收治病例中AT与高血压之间的关系。
记录到张掖市和陇南市医院收治病例中AT与高血压之间均存在非线性关系。对于研究组和各亚组，张掖市的寒冷效应比陇南市更强。陇南市中，热效应对于整个研究组、女性亚组和成年亚组危害更大，但张掖市中男性亚组和老年亚组的热效应更强。
本调查表明，AT对张掖市和陇南市高血压患者的入院情况有不利影响，尤其是在低AT暴露水平下。本研究结果可能会推动高血压疾病进一步预防措施的制定。
