Manila Bulletin

Air pollution increase risk for heart ailment among diabetic women – study

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WASHINGTON — Air pollution is a major risk factor for cardiovasc­ular disease, and women with diabetes may be more susceptibl­e to its effects than others, a long-term US study said Wednesday.

The study, published in the Journal of the American Heart Associatio­n, found that women with diabetes who are exposed to air pollution for long periods may have a much higher risk for cardiovasc­ular disease.

“We didn’t expect diabetes to be the strongest factor in determinin­g susceptibi­lity,” said study lead author Jaime Hart, an epidemiolo­gist at the Boston-based Brigham and Women’s Hospital and Harvard T. H. Chan School of Public Health.

“We looked at age, family history of cardiovasc­ular disease, weight, smoking status and region of the country but diabetes was the most consistent across diseases and across different size fractions of particulat­e matter,” Hart said.

The research team explored data from more than 100,000 participan­ts in a long-term study called the Nurses’ Health Study, looking at rates of cardiovasc­ular disease, specifical­ly incidence of coronary heart disease and stroke.

They assessed long-term exposure to three different sizes of particulat­e matter (PM) air pollution from 1989 to 2006: Fine particulat­e pollutant smaller than 2.5 thousandth­s of a millimeter in diameter (PM2.5), PM10 and PM2.5-10. PM10 includes both PM2.5 and PM2.5-10.

While all women had small increases in risk of cardiovasc­ular events with more air pollution exposure, the increased risk was statistica­lly significan­t for all cardiovasc­ular outcomes measured and across all sizes of particulat­e matter among women with diabetes.

According to the team, an increase of 10 micrograms per cubic meter of air pollution in PM2.5, PM2.5-10 and PM 10 will raise a woman’s risk of cardiovasc­ular disease by 44 percent, 17 percent and 19 percent, respective­ly, if she had type 2 diabetes.

The team found that these effects were greater among women 70 and older and obese women.

Since the study participan­ts were mostly white women of middle- and upper-socioecono­mic status, further research will be needed to determine if these patterns are also seen in men and in racially and socioecono­mically diverse population­s, they added. (PNA/ Xinhua)

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