Long-term impacts of ambient fine particulate matter exposure on overweight or obesity in Chinese adults: The China-PAR project

Huang，Sihan1,2,3; Zhang，Xinyu1,2,3; Liu，Zhongying1,2; Liang，Fengchao4; Li，Jianxin1,2; Huang，Keyong1,2; Yang，Xueli5; Chen，Jichun1,2; Liu，Xiaoqing6; Cao，Jie1,2; Chen，Shufeng1,2; Shen，Chong7; Yu，Ling8; Zhao，Yingxin9; Deng，Ying10; Hu，Dongsheng11,12; Huang，Jianfeng1,2; Liu，Yang13; Lu，Xiangfeng1,2; Liu，Fangchao1,2; Gu，Dongfeng1,2,14

2021-10-01

10.1016/j.envres.2021.111611

ENVIRONMENTAL RESEARCH   影响因子和分区

0013-9351

1096-0953

Although emerging researches have linked ambient fine particulate matter (PM) to obesity, evidence from high-polluted regions is still lacking. We thus assessed the long-term impacts of PM on body mass index (BMI) and the risk of the prevalence of overweight/obesity (BMI≥25 kg/m), by incorporating the well-established Prediction for Atherosclerotic Cardiovascular Disease Risk in China (China-PAR) project comprising 77,609 participants with satellite-based PM estimates at 1-km spatial resolution. The average of long-term PM level was 70.4 μg/m, with the range of 32.1–94.2 μg/m. Each 10 μg/m increment of PM was associated with 0.421 kg/m (95% confidence interval [CI]: 0.402, 0.439) and 13.5% (95% CI: 12.8%, 14.3%) increased BMI and overweight/obesity risk, respectively. Moreover, compared with the lowest quartile of PM (≤57.5 μg/m), the relative risk of the prevalence of overweight/obesity from the highest quartile (>85.9 μg/m) was 1.611 (95% CI: 1.566, 1.657). The exposure-response curve suggested a non-linear relationship between PM exposure and overweight/obesity. Besides, the association was modified by age, diabetes mellitus, hypertension and dyslipidemia status. Our study provides the evidence for the adverse impacts of long-term PM on BMI and overweight/obesity in China, and the findings are important for policy development on air quality, especially in severely polluted areas.

Body mass index Fine particulate matter Long-term Obesity Overweight

SCI

英语

其他

WOS:000704375100006

ENVIRONMENT/ECOLOGY

2-s2.0-85109136685

Scopus

1.Department of Epidemiology,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,China
2.Key Laboratory of Cardiovascular Epidemiology,Chinese Academy of Medical Sciences,Beijing,100037,China
3.Department of Epidemiology and Biostatistics,College of Public Health,Zhengzhou University,Zhengzhou,450001,China
4.School of Public Health and Emergency Management,Southern University of Science and Technology,Shenzhen,518055,China
5.Department of Occupational and Environmental Health,School of Public Health,Tianjin Medical University,Tianjin,No. 22 Meteorological Station Road, Heping District,300070,China
6.Division of Epidemiology,Guangdong Provincial People's Hospital and Cardiovascular Institute,Guangzhou,510080,China
7.Department of Epidemiology,Center for Global Health,School of Public Health,Nanjing Medical University,Nanjing,211166,China
8.Department of Cardiology,Fujian Provincial Hospital,Fuzhou,350014,China
9.Cardio-Cerebrovascular Control and Research Center,Institute of Basic Medicine,Shandong Academy of Medical Sciences,Jinan,250062,China
10.Center for Chronic and Noncommunicable Disease Control and Prevention,Sichuan Center for Disease Control and Prevention,Chengdu,610041,China
11.Department of Epidemiology and Health Statistics,College of Public Health,Zhengzhou University,Zhengzhou,450001,China
12.Department of Biostatistics and Epidemiology,School of Public Health,Shenzhen University Health Science Center,Shenzhen,518071,China
13.Gangarosa Department of Environmental Health,Rollins School of Public Health,Emory University,Atlanta,30322,United States
14.School of Medicine,Southern University of Science and Technology,Shenzhen,518055,China

Huang，Sihan,Zhang，Xinyu,Liu，Zhongying,et al. Long-term impacts of ambient fine particulate matter exposure on overweight or obesity in Chinese adults: The China-PAR project[J]. ENVIRONMENTAL RESEARCH,2021,201.

Huang，Sihan.,Zhang，Xinyu.,Liu，Zhongying.,Liang，Fengchao.,Li，Jianxin.,...&Gu，Dongfeng.(2021).Long-term impacts of ambient fine particulate matter exposure on overweight or obesity in Chinese adults: The China-PAR project.ENVIRONMENTAL RESEARCH,201.

Huang，Sihan,et al."Long-term impacts of ambient fine particulate matter exposure on overweight or obesity in Chinese adults: The China-PAR project".ENVIRONMENTAL RESEARCH 201(2021).