No association between temperature and deaths from cardiovascular and cerebrovascular diseases during the cold season in Astana, Kazakhstan--the second coldest capital in the world.
No association between temperature and deaths from cardiovascular and cerebrovascular diseases during the cold season in Astana, Kazakhstan--the second coldest capital in the world.
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DOI：
10.3402/ijch.v71i0.19769
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发表时间：
2012
影响因子：
1.3
通讯作者：
Menne B
中科院分区：
文献类型：
--
作者：
Grjibovski AM;Nurgaliyeva N;Kosbayeva A;Menne B
欧洲和北美的一些研究报告了低温与循环系统疾病死亡率之间的联系。然而，寒冷的影响因环境而异，需要在世界其他地区进行进一步的研究。在世界第二冷的首都哈萨克斯坦阿斯塔纳研究温度与循环系统疾病死亡率之间的关系。从城市登记办公室收集了2000-2001年和2006-2010年寒冷期间（10月至3月）哈萨克斯坦阿斯塔纳18岁及以上成年人中高血压疾病（ICD-10代码：I10-I15）、缺血性心脏病（I20-I25）和脑血管疾病（I60-I69）的每日死亡人数。利用泊松回归控制气压（滞后0-3的平均值）、风速以及月份、年份、周末和节假日的影响，研究了死亡率与平均视温和最低视温（滞后0-15的平均值）之间的关系。使用平均和最低温度重复分析。总体而言，分别有320人、4468人和2364人死于高血压疾病、缺血性心脏病和脑血管疾病。在任何研究结果中，均未发现平均、平均表观温度、最低或最低表观温度之间存在显著关联。与欧洲的研究结果相反，我们没有发现体表温度与心脑血管原因导致的死亡率之间存在负相关。缺乏联系背后的因素可能与西伯利亚的城市环境相似，即集中供暖的房屋和在户外穿大量冬衣的文化。有必要进一步研究哈萨克斯坦人口对气候因素的敏感性及其适应能力。
Several European and North American studies have reported associations between cold temperatures and mortality from diseases of the circulatory system. However, the effects of cold vary between the settings warranting further research in other parts of the world. To study associations between temperature and mortality from selected diseases of circulatory system in Astana, Kazakhstan – the second coldest capital in the world. Daily counts of deaths from hypertensive diseases (ICD-10 codes: I10–I15), ischemic heart disease (I20–I25) and cerebrovascular diseases (I60–I69) among adults 18 years and older in Astana, Kazakhstan, during cold periods (October–March) in 2000–2001 and 2006–2010 were collected from the City Registry Office. Associations between mortality and mean apparent temperature and minimum apparent temperature (average for lags 0–15) were studied using Poisson regression controlling for barometric pressure (average for lags 0–3), wind speed and effects of month, year, weekends and holidays. Analyses were repeated using mean and minimum temperatures. Overall, there were 320, 4468 and 2364 deaths from hypertensive disorders, ischemic heart disease and cerebrovascular diseases, respectively. No significant associations between either mean, mean apparent, minimum or minimum apparent temperatures were found for any of the studied outcomes. Contrary to the European findings, we did not find inverse associations between apparent temperatures and mortality from cardiovascular or cerebrovascular causes. Factors behind the lack of association may be similar to those in urban settings in Siberia, that is, centrally heated houses and a culture of wearing large volumes of winter clothes outdoors. Further research on the sensitivity of the population in Kazakhstan to climatic factors and its adaptive capacity is warranted.
影响因子：
5
作者：
Analitis, A.;Katsouyanni, K.;Michelozzi, P.
通讯作者：
Michelozzi, P.
影响因子：
6.3
作者：
Peel, M. C.;Finlayson, B. L.;McMahon, T. A.
通讯作者：
McMahon, T. A.
影响因子：
--
作者：
Donaldson, GC;Ermakov, SP;Keatinge, WR
通讯作者：
Keatinge, WR