气候变化领域集成服务门户(CCPortal): Association between electrocardiographic abnormalities and flood exposure among middle-aged and elderly people: A national longitudinal study in China

CCPortal

DOI	10.1016/j.envint.2024.108484
	Association between electrocardiographic abnormalities and flood exposure among middle-aged and elderly people: A national longitudinal study in China
	Li, Pengfei; Wu, Jingyi; Li, Jiwei; Tong, Mingkun; Liu, Yuanli; Xue, Tao; Guan, Tianjia
发表日期	2024
ISSN	0160-4120
EISSN	1873-6750
起始页码	185
卷号	185
英文摘要	Background: Flooding has become more frequent and intensive due to climate change, particularly in Asian countries. However, evidence on the long-term health effects of floods from large-scale studies on the vulnerable aged population in China is insufflcient. This study analyzed the long-term effects of exposure to flood on electrocardiographic (ECG) abnormalities, a commonly used indicator of cardiovascular disease (CVD) screening, in middle-aged and elderly people. Method: We evaluated the Chinese National Stroke Screening Survey data of 80,711 follow-up records from 38,375 participants aged > 40 years with two or more visits between 2013 and 2018 in this longitudinal study. Flood exposure was assessed as the presence of a satellite-detected flooded area within 500 m of the residence within 5 years before the survey date. The association between ECG abnormalities and flood exposure was analyzed using a random effects model with multiple adjustments. As age is an important CVD risk factor, a varying-coefflcient function was derived to estimate the nonlinear modifying effect of age on the association between ECG abnormalities and flood exposure. The strata-speciflc associations between ECG abnormalities and flood exposure were applied to characterize vulnerability to flood. Results: The fully adjusted model suggested that flood exposure was associated with an increased risk for ECG abnormalities among the middle-aged and elderly population (odds ratio [OR] 1.74, 95 % confldence interval [CI] 1.49, 2.03). The ORs of flood exposure for ECG suggesting atrial flbrillation, ST depression, and left ventricular hypertrophy were 1.85 (95 % CI 1.16, 2.94), 6.92 (95 % CI 5.23, 9.16), and 1.55 (95 % CI 0.66, 3.65), respectively. These associations were generally robust in various subpopulations, while a sublinear curve for the negative modifying effect of age was observed on the population vulnerability to flood. Conclusion: Flood exposure was associated with an increased long-term risk for an ECG abnormality. The need for effective measures to mitigate vulnerability to flood is not negligible in China.
英文关键词	Flood; Electrocardiographic abnormality; Cardiovascular disease; Vulnerability
语种	英语
WOS研究方向	Environmental Sciences & Ecology
WOS类目	Environmental Sciences
WOS记录号	WOS:001186523800001
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/304386
作者单位	Peking University; Peking University; Peking University; Zhejiang University; Chinese Academy of Medical Sciences - Peking Union Medical College; Peking Union Medical College; Peking University
推荐引用方式 GB/T 7714	Li, Pengfei,Wu, Jingyi,Li, Jiwei,et al. Association between electrocardiographic abnormalities and flood exposure among middle-aged and elderly people: A national longitudinal study in China[J],2024,185.
APA	Li, Pengfei.,Wu, Jingyi.,Li, Jiwei.,Tong, Mingkun.,Liu, Yuanli.,...&Guan, Tianjia.(2024).Association between electrocardiographic abnormalities and flood exposure among middle-aged and elderly people: A national longitudinal study in China.ENVIRONMENT INTERNATIONAL,185.
MLA	Li, Pengfei,et al."Association between electrocardiographic abnormalities and flood exposure among middle-aged and elderly people: A national longitudinal study in China".ENVIRONMENT INTERNATIONAL 185(2024).