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题名: Gender, Age and Season as Modifiers of the Effects of Diurnal Temperature Range on Emergency Room Admissions for Cause-Specific Cardiovascular Disease among the Elderly in Beijing
作者: Zheng, S(郑山); Wang, MZ(王敏珍); Li, B; Wang, SG; He, SL; Yin, L; Shang, KZ; Li, TS
收录类别: SCIE ; PubMed ; MEDLINE
出版日期: 2016-05
刊名: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
卷号: 13, 期号:5
出版者: MDPI AG
出版地: BASEL
英文摘要: Background: Diurnal temperature range (DTR) is an important index of climate change and variability. It is also a risk factor affecting human health. However, limited evidence is available to illustrate the effect of DTR modification on cause-specific cardiovascular disease among the elderly. Methods: A semi-parametric generalized additive model (GAM) was used to analyze the exposure-effect relationship between DTR and daily emergency room (ER) admissions for cause-specific cardiovascular diseases among the elderly from 2009 to 2011 in Beijing. We examined the effects of DTR for stratified groups by gender and age, and examined the effects of DTR in the warm season and cold season for cause-specific cardiovascular diseases. Results: Significant associations were found between DTR and ER admissions for all cardiovascular and cerebrovascular disease among elderly males, while DTR was significantly associated with ER admissions for all cardiovascular disease, ischemic heart disease and cerebrovascular disease among elderly females. People aged 75 years and older were more vulnerable to DTR. DTR caused greater adverse effects on both genders in the warm season, whereas the effect estimates on females were higher in cold season than in warm season. Conclusions: A short-term increase of DTR was significantly associated with ER admissions for cause-specific cardiovascular disease among the elderly in Beijing. Gender, age and season may modify the acute health effect of DTR. Some prevention programs that target the high risk subgroups in the elderly for impending large temperature changes may reduce the impact of DTR on people's health.
关键词: diurnal temperature range ; modifiers ; elderly ; emergency room admission ; cardiovascular disease ; hypertensive disease ; ischemic heart disease ; cerebrovascular disease
作者部门: [Zheng, Shan ; Wang, Minzhen] Lanzhou Univ, Sch Publ Hlth, Inst Epidemiol & Stat, Lanzhou 73000, Peoples R China ; [Li, Bei ; He, Shilin ; Yin, Ling ; Li, Tanshi] Gen Hosp PLA, Beijing 100853, Peoples R China ; [Wang, Shigong ; Shang, Kezheng] Lanzhou Univ, Coll Atmospher Sci, Lanzhou 730000, Peoples R China ; [Wang, Shigong] Chengdu Univ Informat Technol, Sch Atmospher Sci, Chengdu 610225, Peoples R China
通讯作者: Zheng, S (reprint author), Lanzhou Univ, Sch Publ Hlth, Inst Epidemiol & Stat, Lanzhou 73000, Peoples R China. ; Li, TS (reprint author), Gen Hosp PLA, Beijing 100853, Peoples R China.
学科分类: Environmental Sciences & Ecology
文章类型: Article
所属项目编号: National Natural Science Foundation of China [41505095] ; Fundamental Research Funds for the Central Universities of Lanzhou University [lzujbky-2015-259]
所属项目名称: 国家自然科学基金项目 ; 中央高校基本科研业务费专项资金
项目资助者: NSFC ; LZU
语种: 英语
DOI: 10.3390/ijerph13050447
ISSN号: 1660-4601
WOS记录号: WOS:000377256900004
PM记录号: 27128931
IR记录号: WOS:000377256900004
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内容类型: 期刊论文
URI标识: http://ir.lzu.edu.cn/handle/262010/179634
Appears in Collections:公共卫生学院_期刊论文

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Recommended Citation:
Zheng, S,Wang, MZ,Li, B,et al. Gender, Age and Season as Modifiers of the Effects of Diurnal Temperature Range on Emergency Room Admissions for Cause-Specific Cardiovascular Disease among the Elderly in Beijing[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2016,13(5).
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