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探究炎热环境对心血管疾病死亡风险的影响。

Exploring the effect of a sweltering environment on the risk of death from cardiovascular diseases.

作者信息

Chen Zhaocong, Li Wangchao, Zhu Zhengjie, Miao Xueliang, Jiang Shuai, Li Caiming

机构信息

The Second Clinical Medical College of Guangdong Medical University, Dongguan, Guangdong, China.

Huizhou Meteorological Bureau, Huizhou, Guangdong, China.

出版信息

Front Neurol. 2024 Dec 20;15:1481384. doi: 10.3389/fneur.2024.1481384. eCollection 2024.

Abstract

BACKGROUND

A substantial body of research has demonstrated a notable impact of hot temperatures on mortality from cardiovascular diseases (CVDs). However, a paucity of studies has addressed the influence of sweltering conditions on CVD mortality.

OBJECTIVE

To investigate the effect of sweltering conditions on mortality from CVD among permanent residents of Huizhou City, using the temperature-humidity index (THI) as an indicator.

METHODS

This study employs descriptive statistics, distributed lag non-linear model (DLNM) and general algebraic modeling system (GAMs) with the THI as an indicator in order to examine the impact of sweltering conditions on the mortality of CVD among permanent residents of Huizhou City.

RESULTS

Sweltering conditions increase the risk of death from CVDs and have a cumulative lag effect. The greater the THI, the more pronounced the increase in mortality, and after a certain range, the mortality rate from CVDs increases significantly, and the effect is gender-specific. The lag effect generally peaks in 2-3 days, and the lag effect of stroke mortality is longer and deeper than that of coronary heart disease (CAD) mortality.

CONCLUSION

Sweltering increased the mortality of cardiovascular diseases in Huizhou city, so we should pay attention to public health intervention strategies under sweltering.

摘要

背景

大量研究表明高温对心血管疾病(CVD)死亡率有显著影响。然而,针对闷热环境对CVD死亡率影响的研究较少。

目的

以温湿度指数(THI)为指标,调查闷热环境对惠州市常住人口CVD死亡率的影响。

方法

本研究采用描述性统计、分布滞后非线性模型(DLNM)和以THI为指标的广义代数建模系统(GAMs),以检验闷热环境对惠州市常住人口CVD死亡率的影响。

结果

闷热环境会增加CVD死亡风险,并具有累积滞后效应。THI越高,死亡率增加越明显,在一定范围后,CVD死亡率显著上升,且该效应存在性别差异。滞后效应一般在2 - 3天达到峰值,中风死亡率的滞后效应比冠心病(CAD)死亡率的更长、更深。

结论

闷热环境增加了惠州市心血管疾病的死亡率,因此应关注闷热环境下的公共卫生干预策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/913b/11697591/b8a4f555fa36/fneur-15-1481384-g001.jpg

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