The short-term effects of outdoor temperature on blood pressure among children and adolescents: finding from a large sample cross-sectional study in Suzhou, China

被引:8
|
作者
Hu, Jia [1 ]
Shen, Hui [1 ]
Teng, Chen-gang [1 ]
Han, Di [1 ]
Chu, Guang-ping [2 ]
Zhou, Yi-kai [3 ]
Wang, Qi [4 ]
Wang, Bo [1 ]
Wu, Jing-zhi [1 ]
Xiao, Qi [1 ]
Liu, Fang [1 ]
Yang, Hai-bing [1 ]
机构
[1] Suzhou Ctr Dis Prevent & Control, 72 Sanxiang Rd, Suzhou 215004, Jiangsu, Peoples R China
[2] Hlth Ctr Women & Children Gusu Dist, Suzhou, Jiangsu, Peoples R China
[3] Huazhong Univ Sci & Technol, Inst Environm Med, Sch Publ Hlth, MOE Key Lab Environm & Hlth,Tongji Med Coll, Wuhan, Hubei, Peoples R China
[4] Huazhong Univ Sci & Technol, Sch Publ Hlth, Dept Epidemiol & Biostat, Tongji Med Coll, Wuhan, Hubei, Peoples R China
关键词
Adolescents; Blood pressure; Children; Epidemiology; Hypertension; Outdoor temperature; SEASONAL-VARIATION; AMBIENT-TEMPERATURE; AIR-TEMPERATURE; CARDIOVASCULAR-DISEASE; GLOBAL BURDEN; HYPERTENSION; POLLUTION; RISK; AGE; INDIVIDUALS;
D O I
10.1007/s00484-019-01671-8
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Although several studies have demonstrated a short-term association between outdoor temperature and blood pressure (BP) among various adult groups, evidence among children and adolescents is lacking. One hundred ninety-four thousand one hundred four participants from 2016 Health Promotion Program for Children and Adolescents (HPPCA) were analyzed through generalized linear mixed-effects models to estimate the short-term effects of two outdoor temperature variables (average and minimum temperature) on participants' BP. Decreasing outdoor temperature was associated with significant increases in systolic BP (SBP), diastolic BP (DBP), and prevalence of hypertension during lag 0 through lag 6. Additionally, daily minimum temperature showed a more apparent association with participants' BP. The estimated increases (95% confidence interval) in SBP and DBP at lag 0 were 0.82 (0.72, 0.92) mmHg and 2.28 (2.20, 2.35) mmHg for a 1 degrees C decrease in daily minimum temperature, while those values were 0.11 (0.10, 0.12) mmHg and 0.25 (0.24, 0.26) mmHg for a 1 degrees C decrease in daily average temperature, respectively. The effects of temperature on BP were stronger among female, as well as those with young age and low body mass index. It demonstrated that short-term decreases in outdoor temperature were significantly associated with rises in BP among children and adolescents. This founding has some implications for clinical management and research of BP. Meanwhile, public health intervention should be designed to reduce the exposure to cold temperature for protecting children and adolescents' BP.
引用
收藏
页码:381 / 391
页数:11
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