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首頁> 外文學(xué)位 >The Cardiovascular Impact of Household Air Pollution in Semi-Urban and Rural Communities in Puno, Peru.
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The Cardiovascular Impact of Household Air Pollution in Semi-Urban and Rural Communities in Puno, Peru.

機(jī)譯:秘魯普諾市半城市和農(nóng)村社區(qū)家庭空氣污染對(duì)心血管的影響。

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摘要

Background: The Global Burden of Disease Study estimated the global cardiovascular disease burden attributed to household air pollution from biomass fuel combustion based on data from ambient air pollution exposure. The effect of biomass fuel use on cardiac geometry and function has not been well described. Our objective was to determine the association between air pollution from biomass fuel use with cardiac structure and function by transthoracic echocardiography.;Methods: We identified a random sample of residents living in the high-altitude region of Puno, Peru. Daily biomass fuel use was self-reported in a questionnaire. Each participant underwent transthoracic echocardiography. Multivariable linear regression analyses were used to examine the relationship between biomass fuel use with each echocardiographic variable, adjusting for age, sex, height, body mass index, diabetes, physical activity, and tobacco use.;Results: 187 participants were included in this analysis; 80 biomass fuel users and 107 nonusers. Fifty-eight percent of the participants were women. After adjusting for multiple variables, daily exposure to biomass fuel smoke was associated with increased left ventricular internal diastolic diameter, left atrial diameter, left atrial area (4-chamber and 2-chamber), septal E', and lateral E'. There was no relationship between biomass fuel use with left ventricular systolic function or right ventricular size or function.;Conclusion: Daily biomass fuel use was associated with increased left ventricular and left atrial size in a population-based sample of individuals living at high-altitude in Puno, Peru. This difference in cardiac structure potentially increases the risk for multiple adverse cardiovascular outcomes in biomass fuel users. Additional studies are needed to better describe the association between household air pollution from biomass fuel use and cardiovascular outcomes.
機(jī)譯:背景:《全球疾病負(fù)擔(dān)研究》根據(jù)來自環(huán)境空氣污染暴露的數(shù)據(jù),估計(jì)了由于生物質(zhì)燃料燃燒導(dǎo)致的家庭空氣污染而導(dǎo)致的全球心血管疾病負(fù)擔(dān)。生物質(zhì)燃料的使用對(duì)心臟的幾何形狀和功能的影響尚未得到很好的描述。我們的目標(biāo)是通過胸腔超聲心動(dòng)圖確定使用生物質(zhì)燃料產(chǎn)生的空氣污染與心臟結(jié)構(gòu)和功能之間的關(guān)系。方法:我們從秘魯普諾高海拔地區(qū)的居民中隨機(jī)抽取了一個(gè)樣本。每日生物質(zhì)燃料使用量通過問卷進(jìn)行自我報(bào)告。每位參與者都進(jìn)行了胸腔超聲心動(dòng)圖檢查。多變量線性回歸分析用于檢查生物量燃料使用與每個(gè)超聲心動(dòng)圖變量之間的關(guān)系,并調(diào)整年齡,性別,身高,體重指數(shù),糖尿病,體育鍛煉和煙草使用。結(jié)果:該分析包括187名參與者。 ; 80個(gè)生物質(zhì)燃料使用者和107個(gè)非使用者。 58%的參與者是女性。在調(diào)整了多個(gè)變量之后,每天暴露于生物質(zhì)燃料煙霧會(huì)導(dǎo)致左心室舒張末期內(nèi)徑,左心房直徑,左心房面積(4室和2室),中隔E'和側(cè)向E'增加。生物質(zhì)燃料的使用與左心室收縮功能或右心室的大小或功能之間沒有關(guān)系。結(jié)論:每日生物量燃料的使用與居住在高海拔地區(qū)的人群樣本中左心室和左心房大小的增加有關(guān)在秘魯普諾。心臟結(jié)構(gòu)的這種差異可能會(huì)增加生物質(zhì)燃料使用者發(fā)生多種不利心血管結(jié)果的風(fēng)險(xiǎn)。需要進(jìn)行其他研究以更好地描述使用生物質(zhì)燃料引起的家庭空氣污染與心血管疾病結(jié)果之間的關(guān)系。

著錄項(xiàng)

  • 作者

    Burroughs Pena, Melissa.;

  • 作者單位

    Duke University.;

  • 授予單位 Duke University.;
  • 學(xué)科 Medicine.;Environmental health.;Latin American studies.;Latin American history.
  • 學(xué)位 M.S.
  • 年度 2015
  • 頁碼 37 p.
  • 總頁數(shù) 37
  • 原文格式 PDF
  • 正文語種 eng
  • 中圖分類
  • 關(guān)鍵詞

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