Night Heart Rate Variability and Particulate Exposures Among Boilermaker Construction Workers
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2007/07/01
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Details
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Personal Author:Cavallari JM ; Chen JC ; Christiani, David C. ; Dobson CB ; Eisen EA ; Fang SC ; Schwartz J ; Cavallari JM ; Chen JC ; Christiani, David C. ; Dobson CB ; Eisen EA ; Fang SC ; Schwartz J
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Description:BACKGROUND: Although studies have documented the association between heart rate variability (HRV) and ambient particulate exposures, the association between HRV, especially at night, and metal-rich, occupational particulate exposures remains unclear. OBJECTIVE: Our goal in this study was to investigate the association between long-duration HRV, including nighttime HRV, and occupational PM(2.5) exposures. METHODS: We used 24-hr ambulatory electrocardiograms (ECGs) to monitor 36 male boilermaker welders (mean age of 41 years) over a workday and nonworkday. ECGs were analyzed for HRV in the time domain; rMSSD (square root of the mean squared differences of successive intervals), SDNN (SD of normal-to-normal intervals over entire recording), and SDNN(i) (SDNN for all 5-min segments) were summarized over 24-hr, day (0730-2130 hours), and night (0000-0700 hours) periods. PM(2.5) (particulate matter with an aerodynamic diameter < / = 2.5 microm) exposures were monitored over the workday, and 8-hr time-weighted average concentrations were calculated. We used linear regression to assess the associations between HRV and workday particulate exposures. Matched measurements from a nonworkday were used to control for individual cardiac risk factors. RESULTS: Mean (+/- SD) PM(2.5) exposure was 0.73 +/- 0.50 mg/m(3) and ranged from 0.04 to 2.70 mg/m(3). We observed a consistent inverse exposure-response relationship, with a decrease in all HRV measures with increased PM(2.5) exposure. However, the decrease was most pronounced at night, where a 1-mg/m(3) increase in PM(2.5) was associated with a change of -8.32 [95% confidence interval (CI), -16.29 to -0.35] msec nighttime rMSSD, -14.77 (95% CI, -31.52 to 1.97) msec nighttime SDNN, and -8.37 (95% CI, -17.93 to 1.20) msec nighttime SDNN(i), after adjusting for nonworking nighttime HRV, age, and smoking. CONCLUSION: Metal-rich particulate exposures were associated with decreased long-duration HRV, especially at night. Further research is needed to elucidate which particulate metal constituent is responsible for decreased HRV. [Description provided by NIOSH]
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ISSN:0091-6765
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Volume:115
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Issue:7
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NIOSHTIC Number:nn:20032564
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Citation:Environ Health Perspect 2007 Jul; 115(7):1046-1051
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Contact Point Address:D.C. Christiani, Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, 665 Huntington Ave., SPH1-1402, Boston, MA 02115
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Email:dchristi@hsph.harvard.edu
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Federal Fiscal Year:2007
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Performing Organization:Harvard School of Public Health
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Peer Reviewed:True
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Start Date:20050701
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Source Full Name:Environmental Health Perspectives
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End Date:20280630
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Main Document Checksum:urn:sha-512:c0aa9edb517d8f3895731c4db610c91f03d827ea4469a272342c5bbc92db5b2a96127ef1e2e776fea67889a1697a7dd64ee2fb3d6b4e645be8e81ee343752020
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