Association between wet-bulb globe temperature with peptic ulcer disease in different geographic regions in a large Taiwanese population study.

IF 2.5 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Yuh-Ching Gau, Chia-Yu Kuo, Wei-Yu Su, Wan-Ling Tsai, Ying-Jhen Wu, Ping-Hsun Wu, Ming-Yen Lin, Chih-Da Wu, Chao-Hung Kuo, Szu-Chia Chen
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引用次数: 0

Abstract

Background: Peptic ulcer disease (PUD) is a common and important cause of morbidity worldwide, with a large impact on healthcare costs. Little research has been conducted on the association between wet-bulb globe temperature (WBGT) and PUD. The aim of this study was to explore this association among different geographical regions of Taiwan in a large sample of participants.

Methods: This is a cross-sectional study. The study participants (n = 120,424) were enrolled from the Taiwan Biobank (TWB) and resided across northern, central, southern and eastern Taiwan. Self-reported questionnaires were used to ascertain the occurrence of PUD. Average WBGT values were recorded during working hours (8:00 AM to 5:00 PM) and the noon period (11:00 AM to 2:00 PM) for each participant at 1, 3, and 5 years before the TWB survey year. The association between WBGT and PUD was examined with logistic regression analysis.

Results: The 1-year and 5-year noon WBGT values per 1℃ increase were significantly associated with a low prevalence of PUD in northern Taiwan (odds ratio [OR], 0.960, 95% confidence interval [CI], 0.925-0.955; OR, 0.962, 95% CI, 0.929-0.997; respectively). In contrast, there were no significant associations between WBGT and PUD in central Taiwan. In southern Taiwan, the 1-, 3-, and 5-year WBGT values per 1℃ increase during the noon period (OR, 0.875, 95% CI, 0.873-0.909; OR, 0.860, 95% CI, 0.825-0.896; OR, 0.848, 95% CI, 0.812-0.885; respectively) and working period (OR, 0.852, 95% CI, 0.825-0.880; OR, 0.845, 95% CI, 0.816-0.876; OR, 0.832, 95% CI, 0.0.801-0.863; respectively) were significantly associated with a low prevalence of PUD. However, in eastern Taiwan, the 1-, 3-, and 5-year WBGT values per 1℃ increase during the noon period (OR, 1.074, 95% CI, 1.022-1.127; OR, 1.058, 95% CI, 1.013-1.104; OR, 1.058, 95% CI, 1.013-1.105; respectively), and the 3- and 5-year WBGT values per 1℃ increase during the working period were significantly associated with a high prevalence of PUD (OR, 1.049, 95% CI, 1.003-1.097; OR, 1.047, 95% CI, 1.001-1.095; respectively). Based on nonlinear trend analysis, WBGT was categorized into three groups for the noon period or work period, and the results were similar to and generally consistent with those in linear models.

Conclusion: The associations between WBGT and PUD differed across the geographical regions of Taiwan. In northern and southern Taiwan, increases in average WBGT values were significantly associated with a low prevalence of PUD. In addition, this relationship was much stronger in southern Taiwan than in northern Taiwan. Of note, there was a reverse relationship between WBGT and PUD during the noon and working periods in eastern Taiwan. Further studies are needed to elucidate the effects of WBGT on PUD.

在一项大型台湾人口研究中,不同地理区域的全球湿球温度与消化性溃疡疾病的关系。
背景:消化性溃疡病(PUD)是世界范围内常见且重要的发病原因,对医疗保健费用有很大影响。关于湿球温度(WBGT)与PUD之间关系的研究很少。本研究的目的是探讨台湾不同地理区域的大样本参与者之间的这种联系。方法:这是一个横断面研究。研究参与者(n = 120,424)来自台湾生物库(TWB),分布在台湾北部、中部、南部和东部。采用自我报告问卷来确定PUD的发生。在工作时间(上午8:00至下午5:00)和中午时段(上午11:00至下午2:00),记录每个参与者在调查年度前1年、3年和5年的平均WBGT值。采用logistic回归分析检验WBGT与PUD之间的关系。结果:1℃每升高1年和5年正午WBGT值与台湾北部低PUD患病率显著相关(优势比[OR] 0.960, 95%可信区间[CI] 0.925-0.955;Or为0.962,95% ci为0.929-0.997;分别)。而在台湾中部地区,WBGT与PUD并无显著相关。在台湾南部,每1℃的1年、3年和5年WBGT值在正午时段增加(OR, 0.875, 95% CI, 0.873-0.909;Or为0.860,95% ci为0.825-0.896;Or为0.848,95% ci为0.812-0.885;分别为)和工作时间(OR, 0.852, 95% CI, 0.825-0.880;Or为0.845,95% ci为0.816-0.876;Or为0.832,95% ci为0.0.801-0.863;分别)与PUD的低患病率显著相关。而在台湾东部,每1℃的1年、3年和5年WBGT值在正午时段增加(OR, 1.074, 95% CI, 1.022-1.127;Or为1.058,95% ci为1.013-1.104;Or为1.058,95% ci为1.013-1.105;工作期间每增加1℃的3年和5年WBGT值与PUD的高患病率显著相关(OR, 1.049, 95% CI, 1.003-1.097;Or为1.047,95% ci为1.001-1.095;分别)。基于非线性趋势分析,将中午时段和工作时段的WBGT划分为三组,结果与线性模型相似且基本一致。结论:WBGT与PUD的相关性在台湾不同地理区域存在差异。在台湾北部和南部,平均腰围值的增加与PUD的低患病率显著相关。此外,这种关系在台湾南部比在台湾北部强得多。值得注意的是,在台湾东部的中午和工作时段,WBGT与PUD呈负相关。WBGT对PUD的影响有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Gastroenterology
BMC Gastroenterology 医学-胃肠肝病学
CiteScore
4.20
自引率
0.00%
发文量
465
审稿时长
6 months
期刊介绍: BMC Gastroenterology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of gastrointestinal and hepatobiliary disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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