Time Course of Heart Rate Variability Decline Following Particulate Matter Exposures in an Occupational Cohort
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2008/03/15
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Description:Although research suggests that particles influence cardiac autonomic response as evidenced by decreases in heart rate variability (HRV), the time course of the response remains unclear. Using a crossover panel study, we monitored 36 male boilermaker welders, occupationally exposed to metal-rich particulate matter (PM) to investigate the temporal trend of hourly HRV subsequent to PM exposure. Ambulatory electrocardiograms were collected over work (exposure) and non-work (control) periods and the mean of the standard deviations of all normal-to-normal intervals for all 5-min segments (SDNN(i)) was calculated hourly for up to 14-hrs post-work. The exposure-response relationship was examined with linear mixed effects regression models to account for participants monitored over multiple occasions. Models were adjusted for non-work HRV to control for diurnal fluctuations and individual predictors of HRV. The mean (SD) work PM(2. 5) concentration was 1.12 (0.76) mg/m(3). Hourly SDNN(i) was consistently lower post-work as compared to the same time period on a non-work day. HRV was inversely associated with work PM(2. 5) exposures in each of the 14-hrs post-work. The hourly associations suggested an early and later phase response, with the largest regression coefficients observed 2-3 hrs (beta = -6.86 (95% CI: -11.91, -1.81) msec/1 mg/m(3) at 3-hrs), and then 9-13 hrs (beta = -8.60 (95% CI: -17.45, 0.24) msec/1 mg/m(3) at 11-hrs), after adjusting for non-work HRV, smoking status, and age. This investigation demonstrates declines in HRV for up to 14 hours following PM exposure and a multiphase cardiovascular autonomic response with immediate (2 hrs) and delayed (9-13 hrs) responses. [Description provided by NIOSH]
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ISSN:0895-8378
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Pages in Document:415-422
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Volume:20
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Issue:4
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NIOSHTIC Number:nn:20054476
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Citation:Inhal Toxicol 2008 Mar; 20(4):415-422
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Contact Point Address:Jennifer M. Cavallari, ScD, CIH, Harvard School of Public Health, Environmental and Occupational Medicine and Epidemiology Program, 665 Huntington Ave., SPH1-1420, Boston, MA 02115
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Email:jcavalla@hsph.harvard.edu
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Federal Fiscal Year:2008
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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:Inhalation Toxicology
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End Date:20280630
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Main Document Checksum:urn:sha-512:c400c5048d49b66cf45ed9ca6805000123fbcd57b0f967be1344b559fa87fb5d6f212dffd2d854b04138791ad29f4f240a5eb8d2aa94d5a3c6c69f7cf2350767
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