气候变化领域集成服务门户(CCPortal): Associations between heat waves and chronic kidney disease in China: The modifying role of land cover

CCPortal

DOI	10.1016/j.envint.2024.108657
	Associations between heat waves and chronic kidney disease in China: The modifying role of land cover
	Wang, Wanzhou; Wang, Fulin; Yang, Chao; Wang, Jinwei; Liang, Ze; Zhang, Feifei; Li, Pengfei; Zhang, Luxia
发表日期	2024
ISSN	0160-4120
EISSN	1873-6750
起始页码	186
卷号	186
英文摘要	The increasing frequency of heat waves under the global urbanization and climate change background poses elevating risks of chronic kidney disease (CKD). Nevertheless, there has been no evidence on associations between long -term exposures to heat waves and CKD as well as the modifying effects of land cover patterns. Based on a national representative population -based survey on CKD covering 47,086 adults and high spatial resolution datasets on temperature and land cover data, we found that annual days of exposure to heat waves were associated with increased odds of CKD prevalence. For one day/year increases in HW_975_4d (above 97.5 % of annual maximum temperature and lasting for at least 4 consecutive days), the odds ratio (OR) of CKD was 1.14 (95 %CI: 1.12, 1.15). Meanwhile, stronger associations were observed in regions with lower urbanicity [rural: 1.14 (95 %CI: 1.12, 1.16) vs urban: 1.07 (95 %CI: 1.03, 1.11), Pinteraction < 0.001], lower water body coverage [lower: 1.14 (95 %CI: 1.12, 1.16) vs higher: 1.02 (95 %CI: 0.98, 1.05), Pinteraction < 0.001], and lower impervious area coverage [lower: 1.16 (95 %CI: 1.14, 1.18) vs higher: 1.06 (95 %CI: 1.03, 1.10), Pinteraction = 0.008]. In addition, this study found disparities in modifying effects of water bodies and impervious areas in rural and urban settings. In rural regions, the associations between heat waves and CKD prevalence showed a consistent decreasing trend with increases in both proportions of water bodies and impervious areas (Pinteraction < 0.05). Nevertheless, in urban regions, we observed significant effect modification by water bodies, but not by impervious areas. Our study indicates the need for targeted land planning as part of adapting to the kidney impacts of heat waves, with a focus on urbanization in rural regions, as well as water body construction and utilization in both rural and urban regions.
英文关键词	Heat wave; Chronic kidney disease; Land cover; Urban -rural disparity; Urbanization
语种	英语
WOS研究方向	Environmental Sciences & Ecology
WOS类目	Environmental Sciences
WOS记录号	WOS:001230743500001
来源期刊	ENVIRONMENT INTERNATIONAL
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/303709
作者单位	Peking University; Peking University; Peking University; Chinese Academy of Medical Sciences - Peking Union Medical College; Peking University; Peking University; Peking University
推荐引用方式 GB/T 7714	Wang, Wanzhou,Wang, Fulin,Yang, Chao,et al. Associations between heat waves and chronic kidney disease in China: The modifying role of land cover[J],2024,186.
APA	Wang, Wanzhou.,Wang, Fulin.,Yang, Chao.,Wang, Jinwei.,Liang, Ze.,...&Zhang, Luxia.(2024).Associations between heat waves and chronic kidney disease in China: The modifying role of land cover.ENVIRONMENT INTERNATIONAL,186.
MLA	Wang, Wanzhou,et al."Associations between heat waves and chronic kidney disease in China: The modifying role of land cover".ENVIRONMENT INTERNATIONAL 186(2024).