Keewan Kim, Anna Z Pollack, Carrie J Nobles, Lindsey A Sjaarda, Jessica R Zolton, Jeannie G Radoc, Enrique F Schisterman, Sunni L Mumford
{"title":"Associations between blood cadmium and endocrine features related to PCOS-phenotypes in healthy women of reproductive age: a prospective cohort study.","authors":"Keewan Kim, Anna Z Pollack, Carrie J Nobles, Lindsey A Sjaarda, Jessica R Zolton, Jeannie G Radoc, Enrique F Schisterman, Sunni L Mumford","doi":"10.1186/s12940-021-00749-4","DOIUrl":"https://doi.org/10.1186/s12940-021-00749-4","url":null,"abstract":"<p><strong>Background: </strong>Cadmium is an endocrine disrupting chemical that affects the hypothalamic-pituitary-gonadal axis. Though evidence suggests its potential role in altering androgen synthesis and metabolic pathways that are characteristic of polycystic ovary syndrome (PCOS), its relation in healthy women of reproductive age is largely unknown. As women with mild sub-clinical features of PCOS who do not meet the diagnostic criteria of PCOS may still experience reduced fecundability, investigating associations between cadmium and PCOS-phenotypes among healthy women may provide unique insight into the reproductive implications for many on the PCOS spectrum. Therefore, the objective of this study was to evaluate associations between cadmium and androgens, anti-Müllerian hormone (AMH), and metabolic markers in women of reproductive age.</p><p><strong>Methods: </strong>This was a prospective cohort study of 251 healthy premenopausal women without self-reported PCOS (mean age 27.3 years and BMI 24.1 kg/m<sup>2</sup>). Cadmium was measured in blood collected at baseline. Reproductive hormones and metabolic markers were measured in fasting serum 8 times per menstrual cycle for 2 cycles. Linear mixed models and Poisson regression with a robust error variance were used to examine associations between cadmium and reproductive hormones and metabolic markers and anovulation, respectively.</p><p><strong>Results: </strong>Median (interquartile range) blood cadmium concentrations at baseline were 0.30 (0.19-0.43) µg/L. Higher levels of testosterone (2.2 %, 95 % confidence interval [CI] 0.4, 4.1), sex hormone-binding globulin (2.9 %, 95 % CI 0.5, 5.5), and AMH (7.7 %, 95 % CI 1.1, 14.9) were observed per 0.1 µg/L increase in cadmium concentrations. An 18 % higher probability of a mild PCOS-phenotype (95 % CI 1.06, 1.31), defined by a menstrual cycle being in the highest quartile of cycle-averaged testosterone and AMH levels, was also found per 0.1 µg/L increase in cadmium levels. No associations were observed for insulin and glucose. These findings were consistent even after analyses were restricted to non-smokers or further adjusted for dietary factors to account for potential sources of exposure.</p><p><strong>Conclusions: </strong>Overall, among healthy reproductive-aged women, cadmium was associated with endocrine features central to PCOS, but not with metabolic markers. These suggest its potential role in the hormonal milieu associated with PCOS even at low levels of exposure.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"64"},"PeriodicalIF":6.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00749-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39007126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Douglas J Myers, Polly Hoppin, Molly Jacobs, Richard Clapp, David Kriebel
{"title":"Letter to the Editor: Cancer rates not explained by smoking: how to investigate a single county.","authors":"Douglas J Myers, Polly Hoppin, Molly Jacobs, Richard Clapp, David Kriebel","doi":"10.1186/s12940-021-00737-8","DOIUrl":"https://doi.org/10.1186/s12940-021-00737-8","url":null,"abstract":"","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"62"},"PeriodicalIF":6.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00737-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39006558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chalana M Sol, Charissa van Zwol-Janssens, Elise M Philips, Alexandros G Asimakopoulos, Maria-Pilar Martinez-Moral, Kurunthachalam Kannan, Vincent W V Jaddoe, Leonardo Trasande, Susana Santos
{"title":"Maternal bisphenol urine concentrations, fetal growth and adverse birth outcomes: A population-based prospective cohort.","authors":"Chalana M Sol, Charissa van Zwol-Janssens, Elise M Philips, Alexandros G Asimakopoulos, Maria-Pilar Martinez-Moral, Kurunthachalam Kannan, Vincent W V Jaddoe, Leonardo Trasande, Susana Santos","doi":"10.1186/s12940-021-00747-6","DOIUrl":"https://doi.org/10.1186/s12940-021-00747-6","url":null,"abstract":"<p><strong>Background: </strong>Exposure to bisphenols may affect fetal growth and development. The trimester-specific effects of bisphenols on repeated measures of fetal growth remain unknown. Our objective was to assess the associations of maternal bisphenol urine concentrations with fetal growth measures and birth outcomes and identify potential critical exposure periods.</p><p><strong>Methods: </strong>In a population-based prospective cohort study among 1379 pregnant women, we measured maternal bisphenol A, S and F urine concentrations in the first, second and third trimester. Fetal head circumference, length and weight were measured in the second and third trimester by ultrasound and at birth.</p><p><strong>Results: </strong>An interquartile range increase in maternal pregnancy-averaged bisphenol S concentrations was associated with larger fetal head circumference (difference 0.18 (95% confidence interval (CI) 0.01 to 0.34) standard deviation scores (SDS), p-value< 0.05) across pregnancy. When focusing on specific critical exposure periods, any detection of first trimester bisphenol S was associated with larger second and third trimester fetal head circumference (difference 0.15 (95% CI 0.05 to 0.26) and 0.12 (95% CI 0.02 to 0.23) SDS, respectively) and fetal weight (difference 0.12 (95% CI 0.02 to 0.22) and 0.16 (95% CI 0.06 to 0.26) SDS, respectively). The other bisphenols were not consistently associated with fetal growth outcomes. Any detection of bisphenol S and bisphenol F in first trimester was also associated with a lower risk of being born small size for gestational age (Odds Ratio 0.56 (95% CI 0.38 to 0.74) and 0.55 (95% CI 0.36 to 0.85), respectively). Bisphenols were not associated with risk of preterm birth.</p><p><strong>Conclusions: </strong>Higher maternal bisphenol S urine concentrations, especially in the first trimester, seem to be related with larger fetal head circumference, higher weight and a lower risk of being small size for gestational age at birth.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"60"},"PeriodicalIF":6.0,"publicationDate":"2021-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00747-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38902805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Holly Elser, Rachel Morello-Frosch, Alice Jacobson, Alice Pressman, Marianthi-Anna Kioumourtzoglou, Richard Reimer, Joan A Casey
{"title":"Correction to: Air pollution, methane super-emitters, and oil and gas wells in Northern California: the relationship with migraine headache prevalence and exacerbation.","authors":"Holly Elser, Rachel Morello-Frosch, Alice Jacobson, Alice Pressman, Marianthi-Anna Kioumourtzoglou, Richard Reimer, Joan A Casey","doi":"10.1186/s12940-021-00745-8","DOIUrl":"https://doi.org/10.1186/s12940-021-00745-8","url":null,"abstract":"","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"57"},"PeriodicalIF":6.0,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00745-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38967240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Holly Elser, Rachel Morello-Frosch, Alice Jacobson, Alice Pressman, Marianthi-Anna Kioumourtzoglou, Richard Reimer, Joan A Casey
{"title":"Air pollution, methane super-emitters, and oil and gas wells in Northern California: the relationship with migraine headache prevalence and exacerbation.","authors":"Holly Elser, Rachel Morello-Frosch, Alice Jacobson, Alice Pressman, Marianthi-Anna Kioumourtzoglou, Richard Reimer, Joan A Casey","doi":"10.1186/s12940-021-00727-w","DOIUrl":"https://doi.org/10.1186/s12940-021-00727-w","url":null,"abstract":"<p><strong>Background: </strong>Migraine-an episodic disorder characterized by severe headache that can lead to disability-affects over 1 billion people worldwide. Prior studies have found that short-term exposure to fine particulate matter (PM<sub>2.5</sub>), nitrogen dioxide (NO<sub>2</sub>), and ozone increases risk of migraine-related emergency department (ED) visits. Our objective was to characterize the association between long-term exposure to sources of harmful emissions and common air pollutants with both migraine headache and, among patients with migraine, headache severity.</p><p><strong>Methods: </strong>From the Sutter Health electronic health record database, we identified 89,575 prevalent migraine cases between 2014 and 2018 using a migraine probability algorithm (MPA) score and 270,564 frequency-matched controls. Sutter Health delivers care to 3.5 million patients annually in Northern California. Exposures included 2015 annual average block group-level PM<sub>2.5</sub> and NO<sub>2</sub> concentrations, inverse-distance weighted (IDW) methane emissions from 60 super-emitters located within 10 km of participant residence between 2016 and 2018, and IDW active oil and gas wells in 2015 within 10 km of each participant. We used logistic and negative binomial mixed models to evaluate the association between environmental exposures and (1) migraine case status; and (2) migraine severity (i.e., MPA score > 100, triptan prescriptions, neurology visits, urgent care migraine visits, and ED migraine visits per person-year). Models controlled for age, sex, race/ethnicity, Medicaid use, primary care visits, and block group-level population density and poverty.</p><p><strong>Results: </strong>In adjusted analyses, for each 5 ppb increase in NO<sub>2</sub>, we observed 2% increased odds of migraine case status (95% CI: 1.00, 1.05) and for each 100,000 kg/hour increase in IDW methane emissions, the odds of case status also increased (OR = 1.04, 95% CI: 1.00, 1.08). We found no association between PM<sub>2.5</sub> or oil and gas wells and migraine case status. PM<sub>2.5</sub> was linearly associated with neurology visits, migraine-specific urgent care visits, and MPA score > 100, but not triptans or ED visits. NO<sub>2</sub> was associated with migraine-specific urgent care and ED visits, but not other severity measures. We observed limited or null associations between continuous measures of methane emissions and proximity to oil and gas wells and migraine severity.</p><p><strong>Conclusions: </strong>Our findings illustrate the potential role of long-term exposure to multiple ambient air pollutants for prevalent migraine and migraine severity.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"45"},"PeriodicalIF":6.0,"publicationDate":"2021-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00727-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38882072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandra Bettiol, Elena Gelain, Erika Milanesio, Federica Asta, Franca Rusconi
{"title":"The first 1000 days of life: traffic-related air pollution and development of wheezing and asthma in childhood. A systematic review of birth cohort studies.","authors":"Alessandra Bettiol, Elena Gelain, Erika Milanesio, Federica Asta, Franca Rusconi","doi":"10.1186/s12940-021-00728-9","DOIUrl":"https://doi.org/10.1186/s12940-021-00728-9","url":null,"abstract":"<p><strong>Background: </strong>The first 1000 days of life -including pregnancy and the first 2 years after birth- represent a critical window for health interventions. This systematic review aimed to summarize the evidence on the relationship between traffic-related air pollutants exposure in the first 1000 days of life and the development of wheezing and asthma, with a particular focus on windows of exposure.</p><p><strong>Methods: </strong>Medline and Embase were searched from January 2000 to May 2020 to retrieve population-based birth-cohort studies, including registries, providing quantitative information on the association between exposure to traffic-related air pollutants during pregnancy or early life, and the risk of developing wheezing and asthma in childhood. Screening and selection of the articles were completed independently by three reviewers. The quality of studies was assessed using the Newcastle-Ottawa scale.</p><p><strong>Results: </strong>Out of 9681 records retrieved, 26 studies from 21 cohorts were included. The most common traffic-related air pollutant markers were particulate matter (PM) and nitric oxides (NOx). The variability in terms of pollutants, exposure assessment methods, and exposure levels chosen to present the results did not allow a meta-analysis. Exposure to PM and NOx in pregnancy (10 cohorts) was consistently associated with an increased risk of asthma development, while the association with wheezing development was unclear. The second trimester of pregnancy seemed to be particularly critical for asthma risk. As for exposure during early life (15 cohorts), most studies found a positive association between PM (7/10 studies) and NOx (11/13 studies) and the risk of asthma development, while the risk of wheezing development was controversial. The period of postnatal exposure, however, was less precisely defined and a partial overlap between the period of exposure measurement and that of outcome development was present in a consistent number of studies (14 out of 15) raising doubts on the associations found.</p><p><strong>Conclusions: </strong>Traffic-related air pollution during pregnancy is associated with an increased risk of asthma development among children and adolescents. The relationship between exposure in the first two years of life and the development of wheezing and asthma needs to be confirmed in studies with more precise exposure assessment.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"46"},"PeriodicalIF":6.0,"publicationDate":"2021-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00728-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38882075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew R Rytel, Rondi Butler, Melissa Eliot, Joseph M Braun, E Andres Houseman, Karl T Kelsey
{"title":"DNA methylation in the adipose tissue and whole blood of Agent Orange-exposed Operation Ranch Hand veterans: a pilot study.","authors":"Matthew R Rytel, Rondi Butler, Melissa Eliot, Joseph M Braun, E Andres Houseman, Karl T Kelsey","doi":"10.1186/s12940-021-00717-y","DOIUrl":"https://doi.org/10.1186/s12940-021-00717-y","url":null,"abstract":"<p><strong>Background: </strong>Between 1962 and 1971, the US Air Force sprayed Agent Orange across Vietnam, exposing many soldiers to this dioxin-containing herbicide. Several negative health outcomes have been linked to Agent Orange exposure, but data is lacking on the effects this chemical has on the genome. Therefore, we sought to characterize the impact of Agent Orange exposure on DNA methylation in the whole blood and adipose tissue of veterans enrolled in the Air Force Health Study (AFHS).</p><p><strong>Methods: </strong>We received adipose tissue (n = 37) and whole blood (n = 42) from veterans in the AFHS. Study participants were grouped as having low, moderate, or high TCDD body burden based on their previously measured serum levels of dioxin. DNA methylation was assessed using the Illumina 450 K platform.</p><p><strong>Results: </strong>Epigenome-wide analysis indicated that there were no FDR-significantly methylated CpGs in either tissue with TCDD burden. However, 3 CpGs in the adipose tissue (contained within SLC9A3, LYNX1, and TNRC18) were marginally significantly (q < 0.1) hypomethylated, and 1 CpG in whole blood (contained within PTPRN2) was marginally significantly (q < 0.1) hypermethylated with high TCDD burden. Analysis for differentially methylated DNA regions yielded SLC9A3, among other regions in adipose tissue, to be significantly differentially methylated with higher TCDD burden. Comparing whole blood data to a study of dioxin exposed adults from Alabama identified a CpG within the gene SMO that was hypomethylated with dioxin exposure in both studies.</p><p><strong>Conclusion: </strong>We found limited evidence of dioxin associated DNA methylation in adipose tissue and whole blood in this pilot study of Vietnam War veterans. Nevertheless, loci in the genes of SLC9A3 in adipose tissue, and PTPRN2 and SMO in whole blood, should be included in future exposure analyses.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"43"},"PeriodicalIF":6.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00717-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25585897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannan Kranc, Victor Novack, Alexandra Shtein, Rimma Sherman, Lena Novack
{"title":"Extreme temperature and out-of-hospital-cardiac-arrest. Nationwide study in a hot climate country.","authors":"Hannan Kranc, Victor Novack, Alexandra Shtein, Rimma Sherman, Lena Novack","doi":"10.1186/s12940-021-00722-1","DOIUrl":"https://doi.org/10.1186/s12940-021-00722-1","url":null,"abstract":"<p><strong>Background: </strong>Out-of-hospital-cardiac arrest (OHCA) is frequently linked to environmental exposures. Climate change and global warming phenomenon have been found related to cardiovascular morbidity, however there is no agreement on their impact on OHCA occurrence. In this nationwide analysis, we aimed to assess the incidence of the OHCA events attended by emergency medical services (EMS), in relation to meteorological conditions: temperature, humidity, heat index and solar radiation.</p><p><strong>Methods: </strong>We analyzed all adult cases of OHCA in Israel attended by EMS during 2016-2017. In the case-crossover design, we compared ambient exposure within 72 h prior to the OHCA event with exposure prior to the four control times using conditional logistic regression in a lag-distributed non-linear model.</p><p><strong>Results: </strong>There were 12,401 OHCA cases (68.3% were pronounced dead-on-scene). The patients were on average 75.5 ± 16.2 years old and 55.8% of them were males. Exposure to 90th and 10th percentile of temperature adjusted to humidity were positively associated with the OHCA with borderline significance (Odds Ratio (OR) =1.20, 95%CI 0.97; 1.49 and OR 1.16, 95%CI 0.95; 1.41, respectively). Relative humidity below the 10th percentile was a risk factor for OHCA, independent of temperature, with borderline significance (OR = 1.16, 95%CI 0.96; 1.38). Analysis stratified by seasons revealed an adverse effect of exposure to 90th percentile of temperature when estimated in summer (OR = 3.34, 95%CI 1.90; 3.5.86) and exposure to temperatures below 10th percentile in winter (OR = 1.75, 95%CI 1.23; 2.49). Low temperatures during a warm season and high temperatures during a cold season had a protective effect on OHCA. The heat index followed a similar pattern, where an adverse effect was demonstrated for extreme levels of exposure.</p><p><strong>Conclusions: </strong>Evolving climate conditions characterized by excessive heat and low humidity represent risk factors for OHCA. As these conditions are easily avoided, by air conditioning and behavioral restrictions, necessary prevention measures are warranted.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"38"},"PeriodicalIF":6.0,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00722-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25564103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Stansfeld, Charlotte Clark, Melanie Smuk, John Gallacher, Wolfgang Babisch
{"title":"Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality.","authors":"Stephen Stansfeld, Charlotte Clark, Melanie Smuk, John Gallacher, Wolfgang Babisch","doi":"10.1186/s12940-021-00720-3","DOIUrl":"https://doi.org/10.1186/s12940-021-00720-3","url":null,"abstract":"<p><strong>Background: </strong>Both physical and psychological health outcomes have been associated with exposure to environmental noise. Noise sensitivity could have the same moderating effect on physical and psychological health outcomes related to environmental noise exposure as on annoyance but this has been little tested.</p><p><strong>Methods: </strong>A cohort of 2398 men between 45 and 59 years, the longitudinal Caerphilly Collaborative Heart Disease study, was established in 1984/88 and followed into the mid-1990s. Road traffic noise maps were assessed at baseline. Psychological ill-health was measured in phase 2 in 1984/88, phase 3 (1989/93) and phase 4 (1993/7). Ischaemic heart disease was measured in clinic at baseline and through hospital records and records of deaths during follow up. We examined the longitudinal associations between road traffic noise and ischaemic heart disease morbidity and mortality using Cox Proportional Hazard Models and psychological ill-health using Logistic Regression; we also examined whether noise sensitivity and noise annoyance might moderate these associations. We also tested if noise sensitivity and noise annoyance were longitudinal predictors of ischaemic heart disease morbidity and mortality and psychological ill-health.</p><p><strong>Results: </strong>Road traffic noise was not associated with ischaemic heart disease morbidity or mortality. Neither noise sensitivity nor noise annoyance moderated the effects of road traffic noise on ischaemic heart disease morbidity or mortality. High noise sensitivity was associated with lower ischaemic heart disease mortality risk (HR = 0.74, 95%CI 0.57, 0.97). Road traffic noise was associated with Phase 4 psychological ill-health but only among those exposed to 56-60dBA (fully adjusted OR = 1.82 95%CI 1.07, 3.07). Noise sensitivity moderated the association of road traffic noise exposure with psychological ill-health. High noise sensitivity was associated longitudinally with psychological ill-health at phase 3 (OR = 1.85 95%CI 1.23, 2.78) and phase 4 (OR = 1.65 95%CI 1.09, 2.50). Noise annoyance predicted psychological ill-health at phase 4 (OR = 2.47 95%CI 1.00, 6.13).</p><p><strong>Conclusions: </strong>Noise sensitivity is a specific predictor of psychological ill-health and may be part of a wider construct of environmental susceptibility. Noise sensitivity may increase the risk of psychological ill-health when exposed to road traffic noise. Noise annoyance may be a mediator of the effects of road traffic noise on psychological ill-health.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"32"},"PeriodicalIF":6.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00720-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25516167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of short-term exposure to particulate air pollution on heart rate variability in normal-weight and obese adults.","authors":"Luyi Li, Dayu Hu, Wenlou Zhang, Liyan Cui, Xu Jia, Di Yang, Shan Liu, Furong Deng, Junxiu Liu, Xinbiao Guo","doi":"10.1186/s12940-021-00707-0","DOIUrl":"https://doi.org/10.1186/s12940-021-00707-0","url":null,"abstract":"<p><strong>Background: </strong>The adverse effects of particulate air pollution on heart rate variability (HRV) have been reported. However, it remains unclear whether they differ by the weight status as well as between wake and sleep.</p><p><strong>Methods: </strong>A repeated-measure study was conducted in 97 young adults in Beijing, China, and they were classified by body mass index (BMI) as normal-weight (BMI, 18.5-24.0 kg/m<sup>2</sup>) and obese (BMI ≥ 28.0 kg/m<sup>2</sup>) groups. Personal exposures to fine particulate matter (PM<sub>2.5</sub>) and black carbon (BC) were measured with portable exposure monitors, and the ambient PM<sub>2.5</sub>/BC concentrations were obtained from the fixed monitoring sites near the subjects' residences. HRV and heart rate (HR) were monitored by 24-h Holter electrocardiography. The study period was divided into waking and sleeping hours according to time-activity diaries. Linear mixed-effects models were used to investigate the effects of PM<sub>2.5</sub>/BC on HRV and HR in both groups during wake and sleep.</p><p><strong>Results: </strong>The effects of short-term exposure to PM<sub>2.5</sub>/BC on HRV were more pronounced among obese participants. In the normal-weight group, the positive association between personal PM<sub>2.5</sub>/BC exposure and high-frequency power (HF) as well as the ratio of low-frequency power to high-frequency power (LF/HF) was observed during wakefulness. In the obese group, personal PM<sub>2.5</sub>/BC exposure was negatively associated with HF but positively associated with LF/HF during wakefulness, whereas it was negatively correlated to total power and standard deviation of all NN intervals (SDNN) during sleep. An interquartile range (IQR) increase in BC at 2-h moving average was associated with 37.64% (95% confidence interval [CI]: 25.03, 51.51%) increases in LF/HF during wakefulness and associated with 6.28% (95% CI: - 17.26, 6.15%) decreases in SDNN during sleep in obese individuals, and the interaction terms between BC and obesity in LF/HF and SDNN were both statistically significant (p < 0.05). The results also suggested that the effects of PM<sub>2.5</sub>/BC exposure on several HRV indices and HR differed in magnitude or direction between wake and sleep.</p><p><strong>Conclusions: </strong>Short-term exposure to PM<sub>2.5</sub>/BC is associated with HRV and HR, especially in obese individuals. The circadian rhythm of HRV should be considered in future studies when HRV is applied.</p>","PeriodicalId":520610,"journal":{"name":"Environmental health : a global access science source","volume":" ","pages":"29"},"PeriodicalIF":6.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12940-021-00707-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25485922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}