Blood Pressure After a Heightened Pesticide Spray Period Among Children Living in Agricultural Communities in Ecuador
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2019/08/01
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Description:Introduction: Agricultural pesticide spray periods increase the pesticide exposure potential of children living nearby and growing evidence indicates that they may affect children's health. We examined the association of time following a heightened agricultural production period, the Mother's Day flower harvest (May), with children's blood pressure (BP). Methods: We included cross-sectional information of 313 children ages 4-9 years in Ecuadorian agricultural communities (the ESPINA study). Examinations occurred during a period of low flower production, but within 63-100 days (mean=81.5, SD=10.9) following the Mother's Day harvest. BP was measured twice using a pediatric sphygmomanometer and BP percentiles appropriate for age, gender and height were calculated. Results: Participants were 51% male, 1.6% hypertensive and 7.7% had elevated BP. The mean (SD) BP percentiles were: systolic: 51.7 (23.9); diastolic: 33.3 (20.3). There was an inverse relationship between of time after the spray season with percentiles of systolic (difference [B] per 10.9 days after the harvest: -4.3 [95%CI: -6.9, -1.7]) and diastolic BP (ß: -7.5 [-9.6, -5.4]) after adjusting for race, heart rate and BMI-for-age z-score. A curvilinear association with diastolic BP was observed. For every 10.9 days that a child was examined sooner after the harvest, the OR of elevated BP/hypertension doubled (OR: 2.0, 95% CI: 1.3, 3.1). Time after the harvest was positively associated with acetylcholinesterase. Conclusions: Children examined sooner after a heightened pesticide spray period had higher blood pressure and pesticide exposure markers than children examined later. Further studies with multiple exposure-outcome measures across pesticide spray periods are needed. [Description provided by NIOSH]
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ISSN:0013-9351
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Pages in Document:335-342
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Volume:175
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NIOSHTIC Number:nn:20056440
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Citation:Environ Res 2019 Aug; 175:335-342
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Contact Point Address:Jose R. Suarez-Lopez, Department of Family and Preventive Medicine, University of California-San Diego, 9500 Gilman Drive #0725, La Jolla, CA, 92093-0725, USA
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Email:jrsuarez@ucsd.edu
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Federal Fiscal Year:2019
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Performing Organization:University of Minnesota Twin Cities
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Peer Reviewed:True
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Start Date:20070930
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Source Full Name:Environmental Research
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End Date:20090531
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Main Document Checksum:urn:sha-512:838e78015184d17169937c3f40332f2f7a3d0376ce3cb4ffc56a924cd8b7ee20b7b24c16d69e26adb00289b89dc4aecdf96820b9cda524ac5a2dc33b376b44d8
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