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性别与空气污染及估算的动脉粥样硬化性心血管疾病风险之间的关联。

Sex Associations Between Air Pollution and Estimated Atherosclerotic Cardiovascular Disease Risk Determination.

机构信息

Department of Epidemiology and Public Health, Foch Hospital, Suresnes, France.

出版信息

Int J Public Health. 2023 Sep 28;68:1606328. doi: 10.3389/ijph.2023.1606328. eCollection 2023.

Abstract

The purpose of this study was to investigate the sex correlations of particulate matters (PM, PM, PM), NO and NOx with ASCVD risk in the UK Biobank population. Among 285,045 participants, pollutants were assessed and correlations between ASCVD risk were stratified by sex and estimated using multiple linear and logistic regressions adjusted for length of time at residence, education, income, physical activity, Townsend deprivation, alcohol, smocking pack years, BMI and rural/urban zone. Males presented higher ASCVD risk than females (8.63% vs. 2.65%, < 0.001). In males PM, PM, NO, and NO each were associated with an increased ASCVD risk >7.5% in the adjusted logistic models, with ORs [95% CI] for a 10 μg/m increase were 2.17 [1.87-2.52], 1.15 [1.06-1.24], 1.06 [1.04-1.08] and 1.05 [1.04-1.06], respectively. In females, the ORs for a 10 μg/m increase were 1.55 [1.19-2.05], 1.22 [1.06-1.42], 1.07 [1.03-1.10], and 1.04 [1.02-1.05], respectively. No association was observed in both sexes between ASCVD risk and PM. Our findings may suggest the possible actions of air pollutants on ASCVD risk.

摘要

本研究旨在调查英国生物银行人群中颗粒物(PM、PM、PM)、NO 和 NOx 与 ASCVD 风险的性别相关性。在 285045 名参与者中,评估了污染物,并按性别分层,使用多元线性和逻辑回归进行了分析,调整了居住时间、教育程度、收入、体力活动、汤森贫困指数、酒精、吸烟包年数、BMI 和城乡区域。男性 ASCVD 风险高于女性(8.63%比 2.65%,<0.001)。在男性中,PM、PM、NO 和 NO 在调整后的逻辑模型中与 ASCVD 风险增加>7.5%相关,OR(95%CI)每增加 10μg/m 分别为 2.17[1.87-2.52]、1.15[1.06-1.24]、1.06[1.04-1.08]和 1.05[1.04-1.06]。在女性中,OR 分别为 1.55[1.19-2.05]、1.22[1.06-1.42]、1.07[1.03-1.10]和 1.04[1.02-1.05]。在两性中,ASCVD 风险与 PM 之间均无关联。我们的研究结果可能表明了空气污染物对 ASCVD 风险的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e4/10569126/6e99991d69c3/ijph-68-1606328-g001.jpg

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