Yan Jia-Min, Zhang Min-Zhe, He Qi-Qiang
Department of Laboratory Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, P. R. China.
School of Public Health, Wuhan University, Wuhan, P. R. China.
Hypertens Res. 2024 Dec;47(12):3458-3466. doi: 10.1038/s41440-024-01928-9. Epub 2024 Oct 3.
To examine the association of household fuel use with prehypertension regression among middle-aged and older people based on the China Health and Retirement Longitudinal Study (CHARLS), we included a total of 3501 participants with prehypertension at baseline, and they were followed up from 2011-2012 to 2015-2016 with information on blood pressure and household solid fuel use (heating and cooking fuels). Cox proportional hazards regression models were used to explore the hazard ratio (HR) and 95% confidence interval (CI) between fuel use and prehypertension regression. Additionally, we investigated the impact of switching fuels (2011-2013) on the regression to normotension during the 4-year follow-up. Linear regression was used to examine the effect of household fuel use on changes in blood pressure. Compared to solid fuel users, those who used clean fuel for heating at baseline had a positive effect on the regression of prehypertension (HR: 1.28, 95% CI: 1.08-1.53). Participants who used clean fuels for both heating and cooking had increased odds for the regression of prehypertension (HR: 1.32, 95% CI: 1.09-1.60). Compared to consistent solid fuel users, those who consistently used clean fuel for heating had a higher likelihood of transitioning from prehypertension to normotension (HR: 1.36, 95% CI: 1.06-1.73) and exhibited 2.45 mmHg lower systolic blood pressure. In conclusion, household clean fuel use for heating was positively associated with the regression of prehypertension to normotension. Furthermore, switching from solid fuel to clean fuel for heating could reduce the risk of prehypertension in Chinese middle-aged and older adults.
基于中国健康与养老追踪调查（CHARLS），为研究中老年人群家庭燃料使用与高血压前期逆转之间的关联，我们纳入了3501名基线时患有高血压前期的参与者，并在2011 - 2012年至2015 - 2016年期间对他们进行随访，收集血压和家庭固体燃料使用情况（取暖和烹饪燃料）的信息。采用Cox比例风险回归模型来探讨燃料使用与高血压前期逆转之间的风险比（HR）和95%置信区间（CI）。此外，我们研究了在4年随访期间（2011 - 2013年）燃料转换对血压恢复正常的影响。使用线性回归来检验家庭燃料使用对血压变化的影响。与固体燃料使用者相比，基线时使用清洁燃料取暖的人群对高血压前期的逆转有积极影响（HR：1.28，95%CI：1.08 - 1.53）。取暖和烹饪均使用清洁燃料的参与者高血压前期逆转的几率增加（HR：1.32，95%CI：1.09 - 1.60）。与持续使用固体燃料的人群相比，持续使用清洁燃料取暖的人群从高血压前期转变为正常血压的可能性更高（HR：1.36，95%CI：1.06 - 1.73），并且收缩压降低了2.45mmHg。总之，家庭使用清洁燃料取暖与高血压前期逆转至正常血压呈正相关。此外，从固体燃料转换为清洁燃料取暖可降低中国中老年成年人患高血压前期的风险。
