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Air pollution linked to high blood pressure in children; other studies address air quality and the heart

Air pollution linked to high blood pressure in children; other studies address air quality and the heart
Science
A meta-analysis of 14 air pollution studies from around the world found that exposure to high levels of air pollutants during childhood increases the likelihood of high blood pressure in children and adolescents, and their risk for high blood pressure as adults. The study is published in a special issue on air pollution in the Journal of the American Heart Association, an open access journal of the American Heart Association.

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Other studies look at: the effects of diesel exhaust on the muscle sympathetic nerve; the impact of pollutants on high blood pressure; rates of hospital readmission for heart failure among those exposed to high levels of ambient air pollution; and risk of stroke and heart attack after long-term exposure to high levels of particulate matter. The studies include health outcomes of people who were exposed to pollutants in the United States, China and Europe.

High blood pressure during childhood and adolescence is a risk factor for hypertension and heart disease in adulthood. Studies on air pollution and blood pressure in adolescents and children, however, have produced inconsistent conclusions. This systematic review and meta-analysis pooled information from 14 studies focused on the association between air pollution and blood pressure in youth. The large analysis included data for more than 350,000 children and adolescents (mean ages 5.4 to 12.7 years of age).

"Our analysis is the first to closely examine previous research to assess both the quality and magnitude of the associations between air pollution and blood pressure values among children and adolescents," said lead study author Yao Lu, M.D., Ph.D., professor of the Clinical Research Center at the Third Xiangya Hospital at Central South University in Changsha, China, and professor in the department of life science and medicine at King s College London. "The findings provide evidence of a positive association between short- and long-term exposure to certain environmental air pollutants and blood pressure in children and adolescents."

The analysis included 14 studies published through September 6, 2020, exploring the impact of long-term exposure (?30 days) and/or short-term exposure (<30 days) of ambient air pollution on blood pressure levels of adolescents and/or children in China and/or countries in Europe.

The studies were divided into groups based upon length of exposure to air pollution and by composition of air pollutants, specifically nitrogen dioxide and particulate matter with diameter ?10 ?m or ?2.5 ?m. (The majority of research linking heart disease with particulate matter focuses on particle matter mass, which is categorized by aerodynamic diameter -- ?m or PM.) Fine particles are defined as PM2.5 and larger; coarse particles are defined at PM10; and the concentrations of particulate matter are typically measured in their mass per volume of air (?g/m3).

The meta-analysis concluded:

"To reduce the impact of environmental pollution on blood pressure in children and adolescents, efforts should be made to reduce their exposure to environmental pollutants," said Lu. "Additionally, it is also very important to routinely measure blood pressure in children and adolescents, which can help us identify individuals with elevated blood pressure early."

The results of the analysis are limited to the studies included, and they did not include data on possible interactions between different pollutants, therefore, the results are not generalizable to all populations. Additionally, the analysis included the most common and more widely studied pollutants vs. air pollutants confirmed to have heart health impact, of which there are fewer studies.

The study was funded by the National Natural Science Foundation of China; Hunan Youth Talent Project; the Natural Science Foundation of Hunan Province; and the Fundamental Research Funds for Central Universities of Central South University.

Materials provided by American Heart Association . Note: Content may be edited for style and length.

American Heart Association. "Air pollution linked to high blood pressure in children; other studies address air quality and the heart." ScienceDaily. ScienceDaily, 4 May 2021. .

American Heart Association. "Air pollution linked to high blood pressure in children; other studies address air quality and the heart." ScienceDaily. www.sciencedaily.com/releases/2021/05/210504112554.htm (accessed May 4, 2021).

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July 20, 2020 — Regular physical activity is a healthy way to prevent and reduce high blood pressure, even in places where pollution levels are relatively high. Air pollution increases high blood pressure risk, yet ...

May 14, 2018 — Children who were exposed to higher levels air pollution while in the womb had a higher risk of elevated blood pressure in childhood. This is one of the first studies to show that air pollution may ...

Sep. 29, 2016 — Hypertension, more commonly known as high blood pressure, has increased significantly in children, paralleling the current childhood obesity epidemic.  Although we know that adult hypertension can ...

May 31, 2016 — High blood pressure was associated with short-term and long-term exposure to some air pollutants commonly associated with the burning/combustion of fossil fuels, dust and dirt, a new study shows. ...
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