Vascular Function, Inflammation, and Variations in Cardiac Autonomic Responses to Particulate Matter Among Welders
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2009/04/01
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Description:Patients with health conditions associated with impaired vascular function and inflammation may be more susceptible to the adverse health effects of fine particulate (particulate matter with a mass median aerodynamic diameter of < / = 2.5 mum (PM(2.5))) exposure. In 2006, the authors conducted a panel study to investigate directly whether vascular function and inflammation (assessed by C-reactive protein) modify PM(2.5)-associated reductions in heart rate variability among 23 young male workers (mean age, 40 years) from Massachusetts. Concurrent 24-hour ambulatory electrocardiogram and personal PM(2.5) exposure information was collected over a total of 36 person-days, including either or both welding and nonwelding days. Linear mixed models were used to examine the 5-minute standard deviation of normal-to-normal intervals (SDNN) in relation to the moving PM(2.5) averages in the preceding 1-4 hours. C-reactive protein levels and 3 measures of vascular function (augmentation index, mean arterial pressure, and pulse pressure) were determined at baseline. The authors observed an inverse association between the 1-hour PM(2.5) and 5-minute SDNN. Greater SDNN declines were observed among those with C-reactive protein (P(interaction) < 0.001) and augmentation index (P = 0.06) values at or above the 75th percentile and pulse pressure values below the 75th percentile (P < 0.001). Systemic inflammation and poorer vascular function appear to aggravate particle-related declines in heart rate variability among workers. [Description provided by NIOSH]
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ISSN:0002-9262
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Volume:169
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Issue:7
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NIOSHTIC Number:nn:20035202
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Citation:Am J Epidemiol 2009 Apr; 169(7):848-856
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Contact Point Address:Dr. Shona C. Fang, Harvard School of Public Health, 665 Huntington Avenue, Building 1, Room 1402, Boston, MA 02115
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Email:sfang@hsph.harvard.edu
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Federal Fiscal Year:2009
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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:American Journal of Epidemiology
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End Date:20280630
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Main Document Checksum:urn:sha-512:26e95c277aa4c3539451a8ba788cca954ecb32c41d61d830531cdd9eef5dcea68ecd2903b02b081c5b437bb2fd3086f758c0cf262bb770f2848316822ee3296a
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