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Relationship between daily exposure to biomass fuel smoke and blood pressure in high-altitude Peru

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dc.contributor.author Burroughs Pena, Melissa
dc.contributor.author Romero Rivero, Karina Maribel
dc.contributor.author Velazquez, Eric J.
dc.contributor.author Davila-Roman, Victor G.
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Wise, Robert A.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Checkley, William
dc.date.accessioned 2019-02-06T14:52:36Z
dc.date.available 2019-02-06T14:52:36Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5323
dc.description.abstract Household air pollution from biomass fuel use affects 3 billion people worldwide; however, few studies have examined the relationship between biomass fuel use and blood pressure. We sought to determine if daily biomass fuel use was associated with elevated blood pressure in high altitude Peru and if this relationship was affected by lung function. We analyzed baseline information from a population-based cohort study of adults aged >/= 35 years in Puno, Peru. Daily biomass fuel use was self-reported. We used multivariable regression models to examine the relationship between daily exposure to biomass fuel smoke and blood pressure outcomes. Interactions with sex and quartiles of forced vital capacity were conducted to evaluate for effect modification. Data from 1004 individuals (mean age, 55.3 years; 51.7% women) were included. We found an association between biomass fuel use with both prehypertension (adjusted relative risk ratio, 5.0; 95% confidence interval, 2.6-9.9) and hypertension (adjusted relative risk ratio, 3.5; 95% confidence interval, 1.7-7.0). Biomass fuel users had a higher systolic blood pressure (7.0 mm Hg; 95% confidence interval, 4.4-9.6) and a higher diastolic blood pressure (5.9 mm Hg; 95% confidence interval, 4.2-7.6) when compared with nonusers. We did not find interaction effects between daily biomass fuel use and sex or percent predicted forced vital capacity for either systolic blood pressure or diastolic blood pressure. Biomass fuel use was associated with a higher likelihood of having hypertension and higher blood pressure in Peru. Reducing exposure to household air pollution from biomass fuel use represents an opportunity for cardiovascular prevention. en_US
dc.language.iso eng
dc.publisher Wolters Kluwer Health
dc.relation.ispartofseries Hypertension
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Follow-Up Studies en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Latin America en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Peru/epidemiology en_US
dc.subject Altitude en_US
dc.subject Blood Pressure en_US
dc.subject blood pressure en_US
dc.subject air pollution en_US
dc.subject global health en_US
dc.subject health status disparities en_US
dc.subject Incidence en_US
dc.subject Rural Population en_US
dc.subject Air Pollution, Indoor/adverse effects en_US
dc.subject Biomass en_US
dc.subject Smoke/adverse effects en_US
dc.subject Environmental Illness/complications/epidemiology en_US
dc.subject Hypertension/epidemiology/etiology en_US
dc.subject indoor air pollution en_US
dc.subject rural health en_US
dc.title Relationship between daily exposure to biomass fuel smoke and blood pressure in high-altitude Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1161/HYPERTENSIONAHA.114.04840
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn 1524-4563


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