The association between anthropogenic heat and adult hypertension in Northeast China

Li-Zi Lin; Fan Su; Qiu-Ling Fang; Hung Chak Ho; Yang Zhou; Hui-Min Ma; Duo-Hong Chen; Li-Wen Hu; Gongbo Chen; Hong-Yao Yu; Bo-Yi Yang; Xiao-Wen Zeng; Ming-Deng Xiang; Wen-Ru Feng; Guang-Hui Dong

doi:10.1016/j.scitotenv.2022.152926

The association between anthropogenic heat and adult hypertension in Northeast China

Li-Zi Lin
, Fan Su
, Qiu-Ling Fang
, Hung Chak Ho
, Yang Zhou
, Hui-Min Ma
, Duo-Hong Chen
, Li-Wen Hu
, Gongbo Chen
, Hong-Yao Yu
, Bo-Yi Yang
, Xiao-Wen Zeng
, Ming-Deng Xiang^*
, Wen-Ru Feng^*
, Guang-Hui Dong^*

^*Corresponding author for this work

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

14 Citations (Scopus)

Abstract

Objectives: Although the potential serious threat of anthropogenic heat on human health was receiving considerable attention worldwide, its long-term health effect on blood pressure (BP) remained unknown. We aimed to evaluate the associations of long-term anthropogenic heat exposure with different components of BP and hypertension.

Methods: In this cross-sectional study (Liaoning province, China) conducted in 2009, we included a total of 24,845 Chinese adults (18-74 years). We estimated the anthropogenic heat exposure in 2008 using multisource remote sensing images and ancillary data. We measured systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP), and defined hypertension. We used generalized linear mixed model to examine the associations.

Results: In the adjusted model, the estimates indicated that the difference in SBP, MAP and PP for those in highest quartiles of total anthropogenic heat exposure was greater compared with the lowest quartile (highest quartile: β = 1.11 [95% CI: 0.28-1.94], 0.60 [95% CI: 0.04-1.17], 0.76 [95% CI: 0.17-1.35]). Compared with the lowest quartile, the odds of hypertension were higher among those in higher quartiles (second quartile: OR = 1.17 [95% CI: 1.05-1.30]; third quartile:1.10 [95% CI: 1.1.01-1.21]; highest quartile: 1.17 [95% CI: 1.06-1.28]). These associations were stronger in female participants.

Conclusion: Our study showed that long-term exposure to anthropogenic heat was associated with elevated BP and higher odds of hypertension. These findings suggest that mitigation strategies to reduce anthropogenic heat should be considered.

Original language	English
Article number	152926
Journal	Science of the Total Environment
Volume	815
Online published	5 Jan 2022
DOIs	https://doi.org/10.1016/j.scitotenv.2022.152926
Publication status	Published - 1 Apr 2022
Externally published	Yes

Bibliographical note

Research Keywords

Adult
Blood Pressure
China/epidemiology
Cross-Sectional Studies
Female
Hot Temperature
Humans
Hypertension/epidemiology
Risk Factors

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10.1016/j.scitotenv.2022.152926

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Lin, L.-Z., Su, F., Fang, Q.-L., Ho, H. C., Zhou, Y., Ma, H.-M., Chen, D.-H., Hu, L.-W., Chen, G., Yu, H.-Y., Yang, B.-Y., Zeng, X.-W., Xiang, M.-D., Feng, W.-R., & Dong, G.-H. (2022). The association between anthropogenic heat and adult hypertension in Northeast China. Science of the Total Environment, 815, Article 152926. https://doi.org/10.1016/j.scitotenv.2022.152926

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title = "The association between anthropogenic heat and adult hypertension in Northeast China",

abstract = "Objectives: Although the potential serious threat of anthropogenic heat on human health was receiving considerable attention worldwide, its long-term health effect on blood pressure (BP) remained unknown. We aimed to evaluate the associations of long-term anthropogenic heat exposure with different components of BP and hypertension.Methods: In this cross-sectional study (Liaoning province, China) conducted in 2009, we included a total of 24,845 Chinese adults (18-74 years). We estimated the anthropogenic heat exposure in 2008 using multisource remote sensing images and ancillary data. We measured systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP), and defined hypertension. We used generalized linear mixed model to examine the associations.Results: In the adjusted model, the estimates indicated that the difference in SBP, MAP and PP for those in highest quartiles of total anthropogenic heat exposure was greater compared with the lowest quartile (highest quartile: β = 1.11 [95\% CI: 0.28-1.94], 0.60 [95\% CI: 0.04-1.17], 0.76 [95\% CI: 0.17-1.35]). Compared with the lowest quartile, the odds of hypertension were higher among those in higher quartiles (second quartile: OR = 1.17 [95\% CI: 1.05-1.30]; third quartile:1.10 [95\% CI: 1.1.01-1.21]; highest quartile: 1.17 [95\% CI: 1.06-1.28]). These associations were stronger in female participants.Conclusion: Our study showed that long-term exposure to anthropogenic heat was associated with elevated BP and higher odds of hypertension. These findings suggest that mitigation strategies to reduce anthropogenic heat should be considered.{\textcopyright} 2022 Elsevier B.V. All rights reserved.",

keywords = "Adult, Blood Pressure, China/epidemiology, Cross-Sectional Studies, Female, Hot Temperature, Humans, Hypertension/epidemiology, Risk Factors",

author = "Li-Zi Lin and Fan Su and Qiu-Ling Fang and Ho, \{Hung Chak\} and Yang Zhou and Hui-Min Ma and Duo-Hong Chen and Li-Wen Hu and Gongbo Chen and Hong-Yao Yu and Bo-Yi Yang and Xiao-Wen Zeng and Ming-Deng Xiang and Wen-Ru Feng and Guang-Hui Dong",

year = "2022",

month = apr,

day = "1",

doi = "10.1016/j.scitotenv.2022.152926",

language = "English",

volume = "815",

journal = "Science of the Total Environment",

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publisher = "Elsevier B.V.",

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TY - JOUR

T1 - The association between anthropogenic heat and adult hypertension in Northeast China

AU - Lin, Li-Zi

AU - Su, Fan

AU - Fang, Qiu-Ling

AU - Ho, Hung Chak

AU - Zhou, Yang

AU - Ma, Hui-Min

AU - Chen, Duo-Hong

AU - Hu, Li-Wen

AU - Chen, Gongbo

AU - Yu, Hong-Yao

AU - Yang, Bo-Yi

AU - Zeng, Xiao-Wen

AU - Xiang, Ming-Deng

AU - Feng, Wen-Ru

AU - Dong, Guang-Hui

PY - 2022/4/1

Y1 - 2022/4/1

N2 - Objectives: Although the potential serious threat of anthropogenic heat on human health was receiving considerable attention worldwide, its long-term health effect on blood pressure (BP) remained unknown. We aimed to evaluate the associations of long-term anthropogenic heat exposure with different components of BP and hypertension.Methods: In this cross-sectional study (Liaoning province, China) conducted in 2009, we included a total of 24,845 Chinese adults (18-74 years). We estimated the anthropogenic heat exposure in 2008 using multisource remote sensing images and ancillary data. We measured systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP), and defined hypertension. We used generalized linear mixed model to examine the associations.Results: In the adjusted model, the estimates indicated that the difference in SBP, MAP and PP for those in highest quartiles of total anthropogenic heat exposure was greater compared with the lowest quartile (highest quartile: β = 1.11 [95% CI: 0.28-1.94], 0.60 [95% CI: 0.04-1.17], 0.76 [95% CI: 0.17-1.35]). Compared with the lowest quartile, the odds of hypertension were higher among those in higher quartiles (second quartile: OR = 1.17 [95% CI: 1.05-1.30]; third quartile:1.10 [95% CI: 1.1.01-1.21]; highest quartile: 1.17 [95% CI: 1.06-1.28]). These associations were stronger in female participants.Conclusion: Our study showed that long-term exposure to anthropogenic heat was associated with elevated BP and higher odds of hypertension. These findings suggest that mitigation strategies to reduce anthropogenic heat should be considered.© 2022 Elsevier B.V. All rights reserved.

AB - Objectives: Although the potential serious threat of anthropogenic heat on human health was receiving considerable attention worldwide, its long-term health effect on blood pressure (BP) remained unknown. We aimed to evaluate the associations of long-term anthropogenic heat exposure with different components of BP and hypertension.Methods: In this cross-sectional study (Liaoning province, China) conducted in 2009, we included a total of 24,845 Chinese adults (18-74 years). We estimated the anthropogenic heat exposure in 2008 using multisource remote sensing images and ancillary data. We measured systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP), and defined hypertension. We used generalized linear mixed model to examine the associations.Results: In the adjusted model, the estimates indicated that the difference in SBP, MAP and PP for those in highest quartiles of total anthropogenic heat exposure was greater compared with the lowest quartile (highest quartile: β = 1.11 [95% CI: 0.28-1.94], 0.60 [95% CI: 0.04-1.17], 0.76 [95% CI: 0.17-1.35]). Compared with the lowest quartile, the odds of hypertension were higher among those in higher quartiles (second quartile: OR = 1.17 [95% CI: 1.05-1.30]; third quartile:1.10 [95% CI: 1.1.01-1.21]; highest quartile: 1.17 [95% CI: 1.06-1.28]). These associations were stronger in female participants.Conclusion: Our study showed that long-term exposure to anthropogenic heat was associated with elevated BP and higher odds of hypertension. These findings suggest that mitigation strategies to reduce anthropogenic heat should be considered.© 2022 Elsevier B.V. All rights reserved.

KW - Adult

KW - Blood Pressure

KW - China/epidemiology

KW - Cross-Sectional Studies

KW - Female

KW - Hot Temperature

KW - Humans

KW - Hypertension/epidemiology

KW - Risk Factors

U2 - 10.1016/j.scitotenv.2022.152926

DO - 10.1016/j.scitotenv.2022.152926

M3 - RGC 21 - Publication in refereed journal

C2 - 34998766

SN - 0048-9697

VL - 815

JO - Science of the Total Environment

JF - Science of the Total Environment

M1 - 152926

ER -

The association between anthropogenic heat and adult hypertension in Northeast China

Abstract

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Research Keywords

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