Associations between outdoor temperature and markers of inflammation: a cohort study

Environmental Health

Research

Joel Schwartz¹  Antonella Zanobetti¹  Jaana I Halonen²  David Sparrow³  Pantel S Vokonas³ 

[1] Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA;Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA;School of Public Health and Clinical Nutrition, University of Kuopio, Kuopio, Finland;Harvard School of Public Health, Landmark Center West, Room 415 E, 401 Park Drive, 02215, Boston, MA, USA;VA Normative Aging Study, Veterans Affairs Boston Healthcare System, Boston, MA, USA;The Department of Medicine, Boston University School of Medicine, Boston, MA, USA;

关键词: Ozone;    Black Carbon;    Inflammation Marker;    Outdoor Temperature;    Indoor Temperature;   

DOI  :  10.1186/1476-069X-9-42

 received in 2010-04-08, accepted in 2010-07-23,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundAssociations between ambient temperature and cardiovascular mortality are well established. This study investigated whether inflammation could be part of the mechanism leading to temperature-related cardiovascular deaths.MethodsThe study population consisted of a cohort of 673 men with mean age of 74.6 years, living in the greater Boston area. They were seen for examination roughly every 4 years, and blood samples for inflammation marker analyses were drawn in 2000-2008 (total of 1254 visits). We used a mixed effects model to estimate the associations between ambient temperature and a variety of inflammation markers (C-reactive protein, white blood cell count, soluble Vascular Cell Adhesion Molecule-1, soluble Intercellular Adhesion Molecule-1, tumor necrosis factor alpha, and interleukins -1β, -6 and -8). Random intercept for each subject and several possible confounders, including combustion-related air pollution and ozone, were used in the models.ResultsWe found a 0 to 1 day lagged and up to 4 weeks cumulative responses in C-reactive protein in association with temperature. We observed a 24.9% increase [95% Confidence interval (CI): 7.36, 45.2] in C-reactive protein for a 5°C decrease in the 4 weeks' moving average of temperature. We observed similar associations also between temperature and soluble Intercellular Adhesion Molecule-1 (4.52%, 95% CI: 1.05, 8.10, over 4 weeks' moving average), and between temperature and soluble Vascular Cell Adhesion Molecule-1 (6.60%, 95% CI: 1.31, 12.2 over 4 weeks' moving average). Penalized spline models showed no deviation from linearity. There were no associations between temperature and other inflammation markers.ConclusionsCumulative exposure to decreased temperature is associated with an increase in inflammation marker levels among elderly men. This suggests that inflammation markers are part of intermediate processes, which may lead to cold-, but not heat-, related cardiovascular deaths.

【 授权许可】

CC BY   
© Halonen et al; licensee BioMed Central Ltd. 2010