Indoor Air Pollution and the Risk of Cardiovascular Disease

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  •   Waffa Aswaq Al-Shammari

Abstract

Objective: To measure an association between factors related to indoor air pollution and CVD in the Hail population of Saudi Arabia.


Methodology: A case control study was conducted in King Khalid hospitals. Convenience and random sampling techniques were used to recruit cases and controls. Structured Questionnaire was used to collect data from 302 CVD cases and 300 controls. Data analysis was carried out using SPSS 24.0 statistical software.


Results: The bivariate analysis showed significant association between (i) socio-demographic characteristics (ii) air quality and occupation related variables (iii) ventilation and cooking related factors and (iv) exposure of different types of smoke, and CVD (p<0.001).  The independent risk factors of CVD by Multivariate logistic regression analysis with adjusted odds ratios of variables are:  age groups (25-50 & >50 years) (2.95&22.84); education level (uneducated & primary) (4.39&2.64); cigarette smoking (1.89); shisha smoking (2.12), exposed to cigarette smoke (2.50); burning scented wood (3.09), burning of mosquito repellent (2.18) and kitchen type (2.83) (p<0.001).


Conclusions: This study shows various sources of air pollutants are associated with CVD. The composition of indoor and outdoor air is same in Hail city but amount of contaminants is high in indoor environments. Future studies longitudinal studies are required to confirm the findings of this study.


Keywords: Air Pollution, Cardiovascular Disease, Particulate Matters, Hail City, Saudi Arabi

References

Gilbey SE, Reid CM, Huxley RR, et al. Associations Between Sub-Clinical Markers of Cardiometabolic Risk and Exposure to Residential Indoor Air Pollutants in Healthy Adults in Perth, Western Australia: A Study Protocol. 2019;16(19):3548.

Rajagopalan S, Al-Kindi SG, Brook RD. Air Pollution and Cardiovascular Disease: JACC State-of-the-Art Review. Journal of the American College of Cardiology. 2018;72(17):2054-2070.

Brook RD, Rajagopalan S, Pope III CA, et al. Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. 2010;121(21):2331-2378.

Du Y, Xu X, Chu M, Guo Y, Wang JJJotd. Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence. 2016;8(1):E8.

Miller MR, Newby DEJCr. Air pollution and cardiovascular disease: car sick. 2020;116(2):279-294.

Amoatey P, Omidvarborna H, Baawain MS, Al-Mamun AJEi. Indoor air pollution and exposure assessment of the gulf cooperation council countries: a critical review. 2018;121:491-506.

Samet JM, Bahrami H, Berhane K. Indoor air pollution and cardiovascular disease: new evidence from Iran. In: Am Heart Assoc; 2016.

Carrer P, Fossati S, Forastiere F. Cardiovascular effects of indoor air pollutants. 2007.

Dockery DW, Pope CA, Xu X, et al. An association between air pollution and mortality in six US cities. 1993;329(24):1753-1759.

Pope III CA, Burnett RT, Thurston GD, et al. Cardiovascular mortality and long-term exposure to particulate air pollution: epidemiological evidence of general pathophysiological pathways of disease. 2004;109(1):71-77.

Hong Y-C, Lee J-T, Kim H, Kwon H-JJS. Air pollution: a new risk factor in ischemic stroke mortality. 2002;33(9):2165-2169.

Kettunen J, Lanki T, Tiittanen P, et al. Associations of fine and ultrafine particulate air pollution with stroke mortality in an area of low air pollution levels. 2007;38(3):918-922.

Tsai S-S, Goggins WB, Chiu H-F, Yang C-YJS. Evidence for an association between air pollution and daily stroke admissions in Kaohsiung, Taiwan. 2003;34(11):2612-2616.

Seguel JM, Merrill R, Seguel D, Campagna AC. Indoor Air Quality. American journal of lifestyle medicine. 2017;11(4):284-295.

Rokoff LB, Koutrakis P, Garshick E, et al. Wood stove pollution in the developed world: a case to raise awareness among pediatricians. 2017;47(6):123-141.

Anderson JO, Thundiyil JG, Stolbach AJJoMT. Clearing the air: a review of the effects of particulate matter air pollution on human health. 2012;8(2):166-175.

Weichenthal S, Kulka R, Lavigne E, et al. Biomass burning as a source of ambient fine particulate air pollution and acute myocardial infarction. 2017;28(3):329.

Medgyesi DN, Holmes HA, Angermann JEJIjoer, health p. Investigation of acute pulmonary deficits associated with biomass fuel cookstove emissions in Rural Bangladesh. 2017;14(6):641.

Sigsgaard T, Forsberg B, Annesi-Maesano I, et al. Health impacts of anthropogenic biomass burning in the developed world. 2015;46(6):1577-1588.

Segersson D, Eneroth K, Gidhagen L, et al. Health impact of PM10, PM2. 5 and black carbon exposure due to different source sectors in Stockholm, Gothenburg and Umea, Sweden. 2017;14(7):742.

Lee S-C, Chan L-YJEi. Indoor/outdoor air quality correlation and questionnaire survey at two staff quarters in Hong Kong. 1998;24(7):729-737.

Piddock KC, Gordon SB, Ngwira A, et al. A cross-sectional study of household biomass fuel use among a periurban population in Malawi. 2014;11(6):915-924.

Schwartz J, Morris RJAjoe. Air pollution and hospital admissions for cardiovascular disease in Detroit, Michigan. 1995;142(1):23-35.

Fullerton DG, Bruce N, Gordon SBJTotRSoTM, Hygiene. Indoor air pollution from biomass fuel smoke is a major health concern in the developing world. 2008;102(9):843-851.

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How to Cite
Al-Shammari, W. A. (2020). Indoor Air Pollution and the Risk of Cardiovascular Disease. European Journal of Medical and Health Sciences, 2(5). https://doi.org/10.24018/ejmed.2020.2.5.459