Volume 6, Issue 2, June 2020, Page: 37-43
Short-term Exposure to Household Air Pollution and Risk of Hypertension Among Adults: A Pilot Study in Ibadan
Abiodun Moshood Adeoye, Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria
Adekunle Fakunle, Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria; Department of Occupational and Environmental Health, School of Public Health, University of KwaZulu-Natal, Durban, South Africa
Olajumoke Aderonmu, Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria
Bamidele Tayo, Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Chicago, USA
Received: May 11, 2020;       Accepted: May 28, 2020;       Published: Jun. 4, 2020
DOI: 10.11648/j.jher.20200602.12      View  200      Downloads  80
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.
Keywords
Household Air Pollution, Particulate Matter, Hypertension, Adults, Ibadan
To cite this article
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, Journal of Health and Environmental Research. Vol. 6, No. 2, 2020, pp. 37-43. doi: 10.11648/j.jher.20200602.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Global Burden of Cardiovascular Diseases, C., et al., The Burden of Cardiovascular Diseases Among US States, 1990-2016. JAMA cardiology, 2018. 3 (5): p. 375-389.
[2]
Kearney, P. M., et al., Global burden of hypertension: analysis of worldwide data. Lancet, 2005. 365 (9455): p. 217-23.
[3]
Brook, R. D., et al., Insights into the Mechanisms and Mediators of the Effects of Air Pollution Exposure on Blood Pressure and Vascular Function in Healthy Humans. 2009. 54 (3): p. 659-667.
[4]
Bromfield, S. and P. Muntner, High blood pressure: the leading global burden of disease risk factor and the need for worldwide prevention programs. Current hypertension reports, 2013. 15 (3): p. 134-136.
[5]
Mitsnefes, M. M., et al., Can office blood pressure readings predict masked hypertension? Pediatr Nephrol, 2016. 31 (1): p. 163-6.
[6]
WHO., W. W. H. O. a. G. S. R. o. V. P. G.
[7]
Bonjour, S., et al., Solid fuel use for household cooking: country and regional estimates for 1980-2010. Environ Health Perspect, 2013. 121 (7): p. 784-90.
[8]
Chen, S.-Y., et al., Associations between Long-Term Air Pollutant Exposures and Blood Pressure in Elderly Residents of Taipei City: A Cross-Sectional Study. Environmental health perspectives, 2015. 123 (8): p. 779-784.
[9]
Olopade, C. O., et al., Effect of a clean stove intervention on inflammatory biomarkers in pregnant women in Ibadan, Nigeria: A randomized controlled study. Environment International, 2017. 98: p. 181-190.
[10]
Brook, R. D., A. B. Weder, and S. Rajagopalan, "Environmental hypertensionology" the effects of environmental factors on blood pressure in clinical practice and research. J Clin Hypertens (Greenwich), 2011. 13 (11): p. 836-42.
[11]
Madsen, C. and P. Nafstad, Associations between environmental exposure and blood pressure among participants in the Oslo Health Study (HUBRO). Eur J Epidemiol, 2006. 21 (7): p. 485-91.
[12]
Fuks, K. B., et al., Long-term exposure to ambient air pollution and traffic noise and incident hypertension in seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). Eur Heart J, 2017. 38 (13): p. 983-990.
[13]
Brook, R. D., et al., Extreme Air Pollution Conditions Adversely Affect Blood Pressure and Insulin Resistance: The Air Pollution and Cardiometabolic Disease Study. Hypertension, 2016. 67 (1): p. 77-85.
[14]
Fakunle, A. G., et al., Home Assessment of Indoor Microbiome (HAIM) in Relation to Lower Respiratory Tract Infections among Under-Five Children in Ibadan, Nigeria: The Study Protocol. 2020. 17 (6): p. 1857.
[15]
Ajayi, I., et al., Prevalence of hypertension and associated factors among residents of Ibadan-North Local Government Area of Nigeria. 2016. 13 (1): p. 67-75.
[16]
Lopez, A. D., et al., Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet, 2006. 367 (9524): p. 1747-57.
[17]
Awoke, A., et al., Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovascular Disorders, 2012. 12 (1): p. 113.
[18]
Kumara, W. A., et al., Prevalence and risk factors for resistant hypertension among hypertensive patients from a developing country. BMC Res Notes, 2013. 6: p. 373.
[19]
Coogan, P. F., et al., Air pollution and incidence of hypertension and diabetes mellitus in black women living in Los Angeles. Circulation, 2012. 125 (6): p. 767-72.
[20]
Coogan, P. F., et al., Neighborhood and Individual Socioeconomic Status and Asthma Incidence in African American Women. Ethnicity & disease, 2016. 26 (1): p. 113-122.
[21]
Cai, Y., et al., Associations of Short-Term and Long-Term Exposure to Ambient Air Pollutants With Hypertension: A Systematic Review and Meta-Analysis. Hypertension, 2016. 68 (1): p. 62-70.
[22]
Brook, R. D. and S. Rajagopalan, Particulate matter, air pollution, and blood pressure. Journal of the American Society of Hypertension, 2009. 3 (5): p. 332-350.
[23]
Peixoto, A. and W. White, Circadian blood pressure: Clinical implications based on the pathophysiology of its variability. Kidney international, 2007. 71: p. 855-60.
[24]
Widmer, R. J. and A. Lerman, Endothelial dysfunction and cardiovascular disease. Global cardiology science & practice, 2014. 2014 (3): p. 291-308.
[25]
Dubowsky, S. D., et al., Diabetes, obesity, and hypertension may enhance associations between air pollution and markers of systemic inflammation. Environ Health Perspect, 2006. 114 (7): p. 992-8.
[26]
Sun, S., et al., Short-term exposure to air pollution and incidence of stroke in the Women's Health Initiative. Environment International, 2019. 132: p. 105065.
[27]
Das, I., P. Jagger, and K. Yeatts, Biomass Cooking Fuels and Health Outcomes for Women in Malawi. EcoHealth, 2017. 14 (1): p. 7-19.
[28]
Piddock, K. C., et al., A cross-sectional study of household biomass fuel use among a periurban population in Malawi. Annals of the American Thoracic Society, 2014. 11 (6): p. 915-924.
[29]
Young, B. N., et al., Exposure to household air pollution from biomass cookstoves and blood pressure among women in rural Honduras: A cross-sectional study. 2019. 29 (1): p. 130-142.
[30]
Yip, F., et al., Assessment of traditional and improved stove use on household air pollution and personal exposures in rural western Kenya. Environment international, 2017. 99: p. 185-191.
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