Association of a hotter climate with lower wind speed and increased cardiovascular hospitalizations in a tropical dryland.

IF 3 3区 地球科学 Q2 BIOPHYSICS
Klézio Silva Monte, Alexandre Cunha Costa, Clara Beatriz Costa da Silva, Rafaella Pessoa Moreira
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引用次数: 0

Abstract

Climate change can lead to an increase in major adverse cardiovascular events (MACE), but little is known about the long-term effects of this change on the prevalence of hospitalizations for stroke and acute myocardial infarction (AMI) in tropical drylands. Therefore, this study evaluated the association between trends in stroke and AMI hospitalizations and climatic variables (CVs) (2008-2019) in a large tropical semi-arid region at municipality scale. Initially, the trend components of the monthly time series for hospitalizations due to stroke, AMI, and CVs were calculated. Then, the association between the trends in stroke and AMI hospitalizations and CVs was analyzed using a generalized additive model. Finally, the study investigated whether the trends in stroke and AMI hospitalizations and CVs for each municipality were increasing, decreasing, or insignificant. Among the 14 municipalities studied, all showed a significant association between stroke and AMI hospitalizations and CVs, with the association being more pronounced for AMI than for stroke. Overall, MACE showed an increasing trend, with 10 municipalities exhibiting an increasing trend for stroke and 12 for AMI. The increasing trend in stroke and AMI was associated with a rising trend in air temperature and with a declining trend in wind speed. No consistent pattern was found for absolute humidity and precipitation. This study supports the need to implement strategies for the prevention of MACE, considering the impact of climate change, such as monitoring open space meteorological variables, extreme heat campaigns, and the implementation of urban green spaces.

热带旱地较热的气候与较低的风速和心血管住院率增加的关系。
气候变化可导致主要不良心血管事件(MACE)的增加,但人们对这一变化对热带旱地中风和急性心肌梗死(AMI)住院率的长期影响知之甚少。因此,本研究在一个大型热带半干旱区以城市为尺度评估了中风和AMI住院趋势与气候变量(CVs)(2008-2019)之间的关系。首先,计算每月因卒中、AMI和cv而住院的时间序列的趋势成分。然后,使用广义加性模型分析卒中和AMI住院趋势与cv之间的关系。最后,该研究调查了每个城市中风和急性心肌梗死住院和cv的趋势是增加、减少还是不显著。在研究的14个城市中,所有城市都显示卒中与AMI住院和cv之间存在显著关联,AMI的关联比卒中更明显。总体而言,MACE呈上升趋势,其中10个城市卒中呈上升趋势,12个城市AMI呈上升趋势。卒中和AMI的增加趋势与气温的上升趋势和风速的下降趋势有关。绝对湿度和降水量没有一致的模式。本研究支持在考虑气候变化影响的基础上实施MACE预防策略的必要性,如监测开放空间气象变量、极端高温运动和实施城市绿地。
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
CiteScore
6.40
自引率
9.40%
发文量
183
审稿时长
1 months
期刊介绍: The Journal publishes original research papers, review articles and short communications on studies examining the interactions between living organisms and factors of the natural and artificial atmospheric environment. Living organisms extend from single cell organisms, to plants and animals, including humans. The atmospheric environment includes climate and weather, electromagnetic radiation, and chemical and biological pollutants. The journal embraces basic and applied research and practical aspects such as living conditions, agriculture, forestry, and health. The journal is published for the International Society of Biometeorology, and most membership categories include a subscription to the Journal.
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