Abstract
Ambient particulate matter (PM) pollution has been linked to elevated mortality, especially from cardiovascular diseases. However, evidence on the effects of particulate matter pollution on cardiovascular mortality is still limited in Lanzhou, China. This research aimed to examine the associations of daily mean concentrations of ambient air pollutants (PM2.5, PMC, and PM10) and cardiovascular mortality due to overall and cause-specific diseases in Lanzhou. Data representing daily cardiovascular mortality rates, meteorological factors (daily average temperature, daily average humidity, and atmospheric pressure), and air pollutants (PM2.5, PM10, SO2, NO2) were collected from January 1, 2014, to December 31, 2017, in Lanzhou. A quasi-Poisson regression model combined with a distributed lag non-linear model (DLNM) was used to estimate the associations. Stratified analyses were also performed by different cause-specific diseases, including cerebrovascular disease (CD), ischemic heart disease (IHD), heart rhythm disturbances (HRD), and heart failure (HF). The results showed that elevated concentration of PM2.5, PMC, and PM10 had different effects on mortality of different cardiovascular diseases. Only cerebrovascular disease showed a significant positive association with elevated PM2.5. Positive associations were identified between PMC and daily mortality rates from total cardiovascular diseases, cerebrovascular diseases, and ischemic heart diseases. Besides, increased concentration of PM10 was correlated with increased death of cerebrovascular diseases and ischemic heart diseases. For cerebrovascular disease, each 10 μg/m3 increase in PM2.5 at lag4 was associated with increments of 1.22% (95% CI 0.11–2.35%). The largest significant effects for PMC on cardiovascular diseases and ischemic heart diseases were both observed at lag0, and a 10 μg/m3 increment in concentration of PMC was associated with 0.47% (95% CI 0.06–0.88%) and 0.85% (95% CI 0.18–1.52%) increases in cardiovascular mortality and ischemic heart diseases. In addition, it exhibited a lag effect on cerebrovascular mortality as well, which was most significant at lag6d, and an increase of 10 μg/m3 in PMC was associated with a 0.76% (95% CI 0.16–1.37%) increase in cerebrovascular mortality. The estimates of percentage change in daily mortality rates per 10 μg/m3 increase in PM10 were 0.52% (95% CI 0.05–1.02%) for cerebrovascular disease at lag6 and 0.53% (95% CI 0.01–1.05%) for ischemic heart disease at lag0, respectively. Our study suggests that elevated concentration of atmospheric PM (PM2.5, PMC, and PM10) in Lanzhou is associated with increased mortality of cardiovascular diseases and that the health effect of elevated concentration of PM2.5 is more significant than that of PMC and PM10.
Similar content being viewed by others
Abbreviations
- CDC:
-
Center for Disease Control and Prevention
- CVD:
-
Total cardiovascular disease
- DLNM:
-
Distributed lag non-linear model
- GAM:
-
Generalized additive model
- ER:
-
Excessive risk
- RR:
-
Relative risk
References
Adar SD, Filigrana PA, Clements N, Peel JL (2014) Ambient coarse particulate matter and human health: a systematic review and meta-analysis. Curr Environ Health Rep 1(8):258–274
Bhaskaran K, Gasparrini A, Hajat S, Smeeth L, Armstrong B (2013) Time series regression studies in environmental epidemiology. Int J Epidemiol 42(4):1187–1195
Díaz J, Tobías A, Linares C (2012) Saharan dust and association between particulate matter and case-specific mortality: a case-crossover analysis in Madrid (Spain). Environ Health 11(3):11. https://doi.org/10.1186/1476-069X-11-11
Franklin M, Zeka A, Schwartz J (2007) Association between PM2.5 and all-cause and specific-cause mortality in 27 US communities. J Expo Sci Environ Epidemiol 17(3):279–287
Gasparrini A, Armstronga B, Kenwardb MG (2010) Distributed lag non-linear models. Stat Med 29(5):2224–2234
Gasparrini A (2011) Distributed lag linear and non-linear models in R: the package DLNM. J Stat Softw 43(8):1–20
Hong YC, Lee JT, Kim H, Ha EH, Schwartz J, Christiani DC (2002) Effects of air pollutants on acute stroke mortality. Environ Health Perspect 110(2):187–191
Kan H, Jia J, Chen B (2003) Acute stroke mortality and air pollution: new evidence from Shanghai, China. J Occup Health 45(5):321–323
Li G, Zhou M, Cai Y, Zhang Y, Pan X (2011) Does temperature enhance acute mortality effects of ambient particle pollution in Tianjin City, China. Sci Total Environ 409(10):1811–1817
Li L, Lin GZ, Liu HZ, Guo Y, Ou CQ, Chen PY (2015) Can the air pollution index be used to communicate the health risks of air pollution? Environ Pollut 205(10):153–160
Lin H, Liu T, Xiao J, Zeng W, Li X, Guo L, Zhang Y, Xu Y, Tao J, Xian H, Syberg KM, Qian Z, Ma W (2016) Mortality burden of ambient fine particulate air pollution in six Chinese cities: results from the Pearl River Delta study. Environ Int 96(3):91–97
Lu F, Zhou L, Xu Y, Zheng T, Guo Y, Wellenius GA, Bassig BA, Chen X, Wang H, Zheng X (2015) Short-term effects of air pollution on daily mortality and years of life lost in Nanjing, China. Sci Total Environ 536(12):123–129
Ma Y, Chen R, Pan G, Xu X, Song W, Chen B, Kan H (2011) Fine particulate air pollution and daily mortality in Shenyang, China. Sci Total Environ 409(13):2473–2477
Perez L, Medina-Ramón M, Künzli N, Alastuey A, Pey J, Pérez N, Garcia R, Tobias A, Querol X, Sunyer J (2009) Size fractionate particulate matter, vehicle traffic, and case-specific daily mortality in Barcelona, Spain. Environ Sci Technol 43(13):4707–4714
Qu DY, Zhou W, Chen LH, Wang J, Lu CY (2013) Pollution of PM2.5 and PM10 in the aerosol airborne (PM10, PM2.5) in Lanzhou. J Arid Land Resour Environ 27(1):70–74 (in Chinese)
R Development Core Team (2014) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna
Samet JM, Dominici F, Zeger SL, Schwartz J, Dockery DW (2000) The national morbidity, mortality, and air pollution study. Part I: methods and methodologic issues. Res Rep Health Eff Inst 94(2):5–14
Venners SA, Wang B, Xu Z, Schlatter Y, Wang L, Xu X (2003) Particulate matter, sulfurdioxide, and daily mortality in Chongqing, China. Environ Health Perspect 111(4):562–567
Wang L, Kong L, Wu F, Bai Y, Burto R (2005) Preventing chronic diseases in China. Lancet 366(9499):1821–1824
Wang X, Chen R, Meng X, Geng F, Wang C, Kan H (2013) Associations between fine particle, coarse particle, black carbon and hospital visits in a Chinese city. Sci Total Environ 458–460:1–6
Wang X, Nie Y, Chen H, Wang B, Huang T, Xia DS (2016) Pollution characteristics and source apportionment of PM2.5 in Lanzhou City. Chin J Environ Sci 37(5):1619–1628 (in Chinese)
Wang Y, Eliot MN, Wellenius GA (2014) Short-term changes in ambient particulate matter and risk of stroke: a systematic review and meta-analysis. J Am Heart Assoc 3(4):845–847
Wong TW, Tam WS, Yu TS, Wong AH (2002) Associations between daily mortalities from respiratory and cardiovascular diseases and air pollution in Hong Kong, China. Occup Environ Med 59(1):30–35
Wu GP, Hu W, Teng EJ, Wei FS (1999) PM2.5 and PM10 pollution level in the four cities in China. China Environ Sci 19(2):133–137 (in Chinese)
Xie H, Yao Z, Zhang Y, Xu Y, Xu X, Liu T, Lin H, Lao X, Rutherford S, Chu C, Huang C, Baum S, Ma W (2013) Short-term effects of the 2008 cold spell on mortality in three subtropical cities in Guangdong Province, China. Environ Health Perspect 121(2):210–216
Xie W, Li G, Zhao D, Xie X, Wei Z, Wang W, Wang M, Li G, Liu W, Sun J, Jia Z, Zhang Q, Liu J (2015) Relationship between fine particulate air pollution and ischaemic heart disease morbidity and mortality. Heart 101(4):257–263
Yorifuji T, Kawachi I, Sakamoto T, Doi H (2011) Associations of outdoor air pollution with hemorrhagic stroke mortality. J Occup Environ Med 53(2):124–126
Acknowledgments
This study was supported by the Fundamental Research Funds for the Central Universities (lzujbky-2018-kb17).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare that they have no competing interests.
Additional information
Responsible editor: Philippe Garrigues
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(DOC 3.42 mb)
Rights and permissions
About this article
Cite this article
Wu, T., Ma, Y., Wu, X. et al. Association between particulate matter air pollution and cardiovascular disease mortality in Lanzhou, China. Environ Sci Pollut Res 26, 15262–15272 (2019). https://doi.org/10.1007/s11356-019-04742-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11356-019-04742-w