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Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan

Received: 11 May 2020     Accepted: 28 May 2020     Published: 4 June 2020
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Abstract

Air pollution has been associated with elevated blood pressure in adults. Data on this association in Nigeria, with the highest level of pollution in Africa is sparsse. The present study investigated the association between short-term exposure to particulate matter air pollution and hypertension. We conducted a case-control study comprising of 25 adults with hypertension and 25 age-, sex- and geographical location-matched normotensive controls. All participants had 24-hr ambulatory blood pressure (BP) monitoring at the same time as indoor particulate matter monitoring using a real-time particle counter and compared with the WHO guideline limit (25μg/m3). All monitoring was carried out over 24 hours during the wet season. Adjusted odds ratio with 95% confidence interval for the relationship between hypertension and particulate matter exposure was assessed at P<0.05 using unconditional logistic regression model. Mean indoor PM2.5 and PM10 were significantly higher among hypertensive patients (33.68±14.05μg/m3; 45.17±19.53μg/m3) compared to normotensives (17.86±9.50μg/m3; 22.45±11.51μg/m3), p<0.05. We observed strong correlations between PM2.5/PM10 and clinic BP (rs=0.47, p<0.001/rs=0.46, p<0.001), day-time BP (rs=0.59, p<0.001/rs=0.62, p<0.001), night-time BP (rs=0.64, p<0.001/rs=0.67, p<0.001) and BP dipping (rs=0.31, p<0.05/rs=0.29, p<0.05). Household size > 5 persons (aOR: 9.37; CI: 1.37 – 63.95) and PM2.5 > 25µg/m3 (aOR: 5.76; CI: 1.08 – 30.88) significantly increased the odds of hypertension. Short-term exposure to ambient PM air pollution was associated with a higher risk of hypertension. Air pollution reduction strategies may as well help in the prevention and control of hypertension. A large longitudinal study is needed to confirm these findings.

Published in Journal of Health and Environmental Research (Volume 6, Issue 2)
DOI 10.11648/j.jher.20200602.12
Page(s) 37-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Household Air Pollution, Particulate Matter, Hypertension, Adults, Ibadan

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Cite This Article
  • APA Style

    Abiodun Moshood Adeoye, Adekunle Fakunle, Olajumoke Aderonmu, Bamidele Tayo. (2020). Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan. Journal of Health and Environmental Research, 6(2), 37-43. https://doi.org/10.11648/j.jher.20200602.12

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    ACS Style

    Abiodun Moshood Adeoye; Adekunle Fakunle; Olajumoke Aderonmu; Bamidele Tayo. Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan. J. Health Environ. Res. 2020, 6(2), 37-43. doi: 10.11648/j.jher.20200602.12

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    AMA Style

    Abiodun Moshood Adeoye, Adekunle Fakunle, Olajumoke Aderonmu, Bamidele Tayo. Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan. J Health Environ Res. 2020;6(2):37-43. doi: 10.11648/j.jher.20200602.12

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  • @article{10.11648/j.jher.20200602.12,
      author = {Abiodun Moshood Adeoye and Adekunle Fakunle and Olajumoke Aderonmu and Bamidele Tayo},
      title = {Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan},
      journal = {Journal of Health and Environmental Research},
      volume = {6},
      number = {2},
      pages = {37-43},
      doi = {10.11648/j.jher.20200602.12},
      url = {https://doi.org/10.11648/j.jher.20200602.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20200602.12},
      abstract = {Air pollution has been associated with elevated blood pressure in adults. Data on this association in Nigeria, with the highest level of pollution in Africa is sparsse. The present study investigated the association between short-term exposure to particulate matter air pollution and hypertension. We conducted a case-control study comprising of 25 adults with hypertension and 25 age-, sex- and geographical location-matched normotensive controls. All participants had 24-hr ambulatory blood pressure (BP) monitoring at the same time as indoor particulate matter monitoring using a real-time particle counter and compared with the WHO guideline limit (25μg/m3). All monitoring was carried out over 24 hours during the wet season. Adjusted odds ratio with 95% confidence interval for the relationship between hypertension and particulate matter exposure was assessed at P2.5 and PM10 were significantly higher among hypertensive patients (33.68±14.05μg/m3; 45.17±19.53μg/m3) compared to normotensives (17.86±9.50μg/m3; 22.45±11.51μg/m3), p2.5/PM10 and clinic BP (rs=0.47, p 5 persons (aOR: 9.37; CI: 1.37 – 63.95) and PM2.5 > 25µg/m3 (aOR: 5.76; CI: 1.08 – 30.88) significantly increased the odds of hypertension. Short-term exposure to ambient PM air pollution was associated with a higher risk of hypertension. Air pollution reduction strategies may as well help in the prevention and control of hypertension. A large longitudinal study is needed to confirm these findings.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan
    AU  - Abiodun Moshood Adeoye
    AU  - Adekunle Fakunle
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    JO  - Journal of Health and Environmental Research
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    PB  - Science Publishing Group
    SN  - 2472-3592
    UR  - https://doi.org/10.11648/j.jher.20200602.12
    AB  - Air pollution has been associated with elevated blood pressure in adults. Data on this association in Nigeria, with the highest level of pollution in Africa is sparsse. The present study investigated the association between short-term exposure to particulate matter air pollution and hypertension. We conducted a case-control study comprising of 25 adults with hypertension and 25 age-, sex- and geographical location-matched normotensive controls. All participants had 24-hr ambulatory blood pressure (BP) monitoring at the same time as indoor particulate matter monitoring using a real-time particle counter and compared with the WHO guideline limit (25μg/m3). All monitoring was carried out over 24 hours during the wet season. Adjusted odds ratio with 95% confidence interval for the relationship between hypertension and particulate matter exposure was assessed at P2.5 and PM10 were significantly higher among hypertensive patients (33.68±14.05μg/m3; 45.17±19.53μg/m3) compared to normotensives (17.86±9.50μg/m3; 22.45±11.51μg/m3), p2.5/PM10 and clinic BP (rs=0.47, p 5 persons (aOR: 9.37; CI: 1.37 – 63.95) and PM2.5 > 25µg/m3 (aOR: 5.76; CI: 1.08 – 30.88) significantly increased the odds of hypertension. Short-term exposure to ambient PM air pollution was associated with a higher risk of hypertension. Air pollution reduction strategies may as well help in the prevention and control of hypertension. A large longitudinal study is needed to confirm these findings.
    VL  - 6
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    ER  - 

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Author Information
  • Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria

  • Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria

  • Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria

  • Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Chicago, USA

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