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Ambient air pollutants aggravate association of snoring with prevalent hypertension: results from the Henan Rural Cohort.

Abstract：

AIM:We aimed to assess if snoring and ambient air pollutants were jointly associated with prevalent hypertension in a cross-sectional study. METHODS:A total of 28440 participants aged 18-79 years were obtained from the Henan Rural Cohort. Snoring evaluated using Pittsburgh sleep quality index (PSQI) scale was classified into 'Never', '<3 times/week' and '≥3 times/week' groups. Concentrations of air pollutants (PM1, PM2.5, PM10, and NO2) were evaluated by a satellite-based spatiotemporal model. The independent and joint associations between snoring and air pollutants on prevalence of hypertension were analyzed by logistic regression models. RESULTS:The mean age of all participants was 56.0 ± 12.2 years. The frequencies and prevalence of participants with hypertension were 3666 (32.39%) in men and 5576(32.57%) in women, respectively. The odds ratio (OR) and 95% confidence interval (CI) of participants with snoring frequency of <3 times/week, ≥3 times/week was 1.10(1.02-1.20), and 1.15(1.08-1.23) for hypertension, compared to those without snoring. Participants with a snoring (≥3 times/week) and higher exposure concentrations of PM1, PM2.5, PM10, and NO2 had 2.58-fold(95% CI: 2.30-2.90), 3.03-fold(95% CI: 2.69-3.41), 2.89-fold(95% CI: 2.57-3.25) and 2.75-fold(95% CI: 2.44-3.10) for hypertension, compared to those without snoring and low concentrations of air pollutants. Additionally, participants with high PM1 and ≥3 times/week snoring (OR: 1.32, 95% CI: 1.18-1.48) was at a higher likelihood for prevalent hypertension, compared to those without snoring and with high PM1. CONCLUSIONS:Snoring and high ambient air pollutants might be important predictors of hypertension, and higher concentration of PM1 might aggravate the association between snoring and hypertension.

journal_name

Chemosphere

journal_title

Chemosphere

authors

Zhang H,Li S,Chen G,Abdulai T,Liu X,Wang Y,Liang H,Hou J,Huo W,Mao Z,Wang C,Bie R

doi

10.1016/j.chemosphere.2020.127108

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

127108

eissn

0045-6535

issn

1879-1298

pii

S0045-6535(20)31301-1

journal_volume

256

pub_type

杂志文章

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Ambient air pollutants aggravate association of snoring with prevalent hypertension: results from the Henan Rural Cohort.