Individual-level PM₂.₅ exposure and the time course of impaired heart rate variability: the APACR Study.

Individual-level PM₂.₅ exposure and the time course of impaired heart rate variability: the APACR Study.
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DOI:
10.1038/jes.2010.21
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发表时间:
2011-01
影响因子:
4.5
通讯作者:
--
中科院分区:
医学3区
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--
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我们在106名社区居住的中年非吸烟者中研究了细颗粒物(PM2.5)对心率变异性(HRV)的时间过程和急性影响,心率变异性可测量心脏自主调节(CAM)。24-目视检查24小时逐搏ECG数据。去除了伪影和心跳。采用正常心率数据计算心率变异性指标。个人PM2.5散射比浊法用于估计24小时个人水平的实时PM2.5暴露。我们使用线性混合效应模型来评估PM2.5和HRV指数的1-6小时移动平均值之间的自相关和其他主要混淆因素调整的回归系数。PM2.5的前1-6小时移动平均值的增加与较低的HF,LF和SDNN显著相关,其中4-6小时移动平均值的影响最大,1小时移动平均值的影响最小。例如,1小时和6小时移动平均值增加10 μg/m3分别与log-HF减少0.027和0.068 ms 2相关,分别与log-LF减少0.024和0.071 ms 2相关,分别与SDNN减少0.81和1.75 ms相关(所有p值< 0.05)。PM2.5暴露与CAM的直接损害有关。在PM2.5升高后6小时内出现时间过程,最大影响约为4-6小时。
We examined, in 106 community-dwelling middle-aged non-smokers, the time-course and the acute effects of fine particles (PM2.5) on heart rate variability (HRV), which measures cardiac autonomic modulation (CAM). 24-hour beat-to-beat ECG data were visually examined. Artifacts and arrhythmic beats were removed. Normal beat-to-beat RR data were used to calculate HRV indices. Personal PM2.5 nephelometry was used to estimate 24-hour individual-level real-time PM2.5 exposures. We use linear mixed-effects models to assess autocorrelation- and other major confounder-adjusted regression coefficients between 1-6 hour moving averages of PM2.5 and HRV indices. The increases in preceding 1-6 hour moving averages of PM2.5 was significantly associated with lower HF, LF, and SDNN, with the largest effect size at 4-6 hour moving averages and smallest effects size at 1 hour moving average. For example, a 10 μg/m3 increase in 1-hour and 6-hour moving averages was associated with 0.027 and 0.068 ms2 decrease in log-HF, respectively, and with 0.024 and 0.071 ms2 decrease in log-LF, respectively, and with 0.81 and 1.75 ms decrease in SDNN, respectively (all p values < 0.05). PM2.5 exposures are associated with immediate impairment of CAM. With a time-course of within 6 hours after elevated PM2.5 exposure, with the largest effects around 4-6 hours.
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