INTERPLAY OF SMOG AND HEALTH CONDITIONS: A PUBLIC HEALTH PERSPECTIVE ON RESPIRATORY, HYPERTENSIVE, AND CARDIOVASCULAR MORBIDITY
Keywords:
Smog, Public Health, Respiratory Conditions, Cardiovascular Morbidity, Hypertension, Environmental PollutionAbstract
Smog as a new form of air pollution has proved to be critical in posing various effects on the general population's health. The relationship between smog and the respiratory, hypertensive, and cardiovascular health of adults forms the focus of this research. The study is based on comparative parameters of demography, blood, and clinical characteristics between smog-exposed and non-exposed individuals. The survey involved 1000 cross-sectional participants: smog-exposed (500) and non-exposed (500). Standard clinical and biochemical protocols were employed in the collection of demographic data, hematological data, and respiratory health status. Quantitative data comparisons were made using descriptive statistics to determine mean differences and, consequently, statistical significance. There was no significant difference noted according to age and gender but the smog exposed had higher BMI (27.82±4.21kg/sq.m, p≤0.024) and a higher proportion in low socioeconomic strata (40.26%, p≤0.044). Serum biochemical analysis identified that white blood cells and total cholesterol were significantly increased in the exposed group (7.22±2.31×10⁹/L, p=0.025; 197.53±40.16 mg/dL, p=0.025) respectively. Of note, we found a reduction in the levels of HDL (39.62±7.83 mg/dl; p≤0.041) and an increase in triglyceride levels (178.24±38.66 mg/dl; p≤0.036) in smog-exposed participants. The respiratory health data showed a raised prevalence of chronic respiratory diseases including asthma (22.67%, p≤0.018) and chronic bronchitis (19.84%, p≤0.022). Hypertension and cardiovascular conditions were also seen more frequently among the subjects affected by smog. The article brings out the severe ill effects of smog, with the focus being on the effects of smog exposure on morbidity among people in terms of respiratory diseases, hypertension, and cardiovascular diseases. These results underscore the role of directed public health strategies and policies in correcting air pollution concentrations while protecting vulnerable groups.
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References
Abbah, A. P. (2023). Long-term health effects of outdoor air pollution on asthma and respiratory symptoms: a systematic review and meta-analysis. https://doi.org/10.1016/j.envres.2022.114604
Bae, S., Kim, J. H., Lim, Y.-H., Park, H. Y., and Hong, Y.-C. (2012). Associations of bisphenol A exposure with heart rate variability and blood pressure. Hypertension 60, 786-793. https://doi.org/10.1161/HYPERTENSIONAHA.112.197715
Bai, H., Jiang, L., Li, T., Liu, C., Zuo, X., Liu, Y., Hu, S., Sun, L., Zhang, M., and Lin, J. (2021). Acute effects of air pollution on lupus nephritis in patients with systemic lupus erythematosus: a multicenter panel study in China. Environmental Research 195, 110875. https://doi.org/10.1016/j.envres.2021.110875
Brook, R. D., Rajagopalan, S., Pope III, C. A., Brook, J. R., Bhatnagar, A., Diez-Roux, A. V., Holguin, F., Hong, Y., Luepker, R. V., and Mittleman, M. A. (2010). Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. Circulation 121, 2331-2378. https://doi.org/10.1161/CIR.0b013e3181dbece1
Cosselman, K. E., Navas-Acien, A., and Kaufman, J. D. (2015). Environmental factors in cardiovascular disease. Nature Reviews Cardiology 12, 627-642. https://doi.org/10.1038/nrcardio.2015.152
Donzelli, G., and Linzalone, N. (2023). Use of scientific evidence to inform environmental health policies and governance strategies at the local level. Environmental Science & Policy 146, 171-184. https://doi.org/10.1016/j.envsci.2023.05.009
Duan, R.-R., Hao, K., and Yang, T. (2020). Air pollution and chronic obstructive pulmonary disease. Chronic diseases and translational medicine 6, 260-269. https://doi.org/10.1016/j.cdtm.2020.05.004
Eze, I. C., Foraster, M., Schaffner, E., Vienneau, D., Héritier, H., Pieren, R., Thiesse, L., Rudzik, F., Rothe, T., and Pons, M. (2018). Transportation noise exposure, noise annoyance and respiratory health in adults: A repeated-measures study. Environment international 121, 741-750. https://doi.org/10.1016/j.envint.2018.10.006
Gauderman, W. J., Avol, E., Gilliland, F., Vora, H., Thomas, D., Berhane, K., McConnell, R., Kuenzli, N., Lurmann, F., and Rappaport, E. (2004). The effect of air pollution on lung development from 10 to 18 years of age. New England Journal of Medicine 351, 1057-1067. DOI: 10.1056/NEJMoa04061
Huang, K., Liang, F., Yang, X., Liu, F., Li, J., Xiao, Q., Chen, J., Liu, X., Cao, J., and Shen, C. (2019). Long term exposure to ambient fine particulate matter and incidence of stroke: prospective cohort study from the China-PAR project. Bmj 367. https://doi.org/10.1136/bmj.l6720
Kaur, R., and Pandey, P. (2021). Air pollution, climate change, and human health in Indian cities: a brief review. Frontiers in Sustainable Cities 3, 705131. https://doi.org/10.3389/frsc.2021.705131
Khreis, H., Williams, H., Abdollahpour, S. S., van den Bosch, M., Mudu, P., Tainio, M., Poom, A., Sohrabi, S., and Hankey, S. (2024). The nexus of transportation, the built environment, air pollution and health. Cities & Health, 1-20. https://doi.org/10.1080/23748834.2024.2376389
Liu, C., Chan, K. H., Lv, J., Lam, H., Newell, K., Meng, X., Liu, Y., Chen, R., Kartsonaki, C., and Wright, N. (2022). Long-term exposure to ambient fine particulate matter and incidence of major cardiovascular diseases: a prospective study of 0.5 million adults in China. Environmental science & technology 56, 13200-13211. https://doi.org/10.1021/acs.est.2c03084
Longtine, A. G., Greenberg, N. T., Bernaldo de Quirós, Y., and Brunt, V. E. (2024). The gut microbiome as a modulator of arterial function and age-related arterial dysfunction. American Journal of Physiology-Heart and Circulatory Physiology 326, H986-H1005. https://doi.org/10.1152/ajpheart.00764.2023
Luo, H., Zhang, Q., Niu, Y., Kan, H., and Chen, R. (2023). Fine particulate matter and cardiorespiratory health in China: a systematic review and meta-analysis of epidemiological studies. Journal of Environmental Sciences 123, 306-316. https://doi.org/10.1016/j.jes.2022.04.026
Malik, A., Islam, J., Zaib, G., Ashraf, M. H., Zahid, A., Rashid, A. R., Zia, T., and Ali, Q. (2024). Smog crisis in Lahore: evaluating air quality trends and public health implications. Bulletin of Biological and Allied Sciences Research 2024, 87. https://doi.org/10.54112/bbasr.v2024i1.87
Miller, M. R. (2022). The cardiovascular effects of air pollution: Prevention and reversal by pharmacological agents. Pharmacology & Therapeutics 232, 107996. https://doi.org/10.1080/10937404.2016.1261746
Ogwu, M. C., Imarhiagbe, O., Ikhajiagbe, B., and Osawaru, M. E. (2024). Toward Understanding the Impacts of Air Pollution. Springer. https://doi.org/10.1007/698_2024_1107
Organization, W. H. (2018). "Air quality and health: fact sheet on Sustainable Development Goals (SDGs): health targets." World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/340799
Rajagopalan, S., Al-Kindi, S. G., and Brook, R. D. (2018). Air pollution and cardiovascular disease: JACC state-of-the-art review. Journal of the American College of Cardiology 72, 2054-2070. https://doi.org/10.1016/j.jacc.2018.07.099
Vedanthan, P. K., Nelson, H. S., Agashe, S. N., Mahesh, P., and Katial, R. (2014). "Textbook of Allergy for the Clinician," CRC Press, Taylor & Francis Group.
Vogelmeier, C. F., Criner, G. J., Martinez, F. J., Anzueto, A., Barnes, P. J., Bourbeau, J., Celli, B. R., Chen, R., Decramer, M., and Fabbri, L. M. (2017). Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. American journal of respiratory and critical care medicine 195, 557-582. https://doi.org/10.1164/rccm.201701-0218PP
Wan Mahiyuddin, W. R., Ismail, R., Mohammad Sham, N., Ahmad, N. I., and Nik Hassan, N. M. N. (2023). Cardiovascular and respiratory health effects of fine particulate matters (PM2. 5): a review on time series studies. Atmosphere 14, 856. https://doi.org/10.3390/atmos14050856
Zheng, W. (2024). The Effects of Environmental Factors on Diabetes Mortality: A Spatiotemporal Approach, Queensland University of Technology. https://doi.org/10.5204/thesis.eprints.253509
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