Ryu Matsuo1, Takehiro Michikawa1, Kayo Ueda1, Tetsuro Ago1, Hiroshi Nitta1, Takanari Kitazono1, Masahiro Kamouchi2. 1. From the Department of Health Care Administration and Management (R.M., M.K.), Department of Medicine and Clinical Science (R.M., T.A., T.K.), and Center for Cohort Studies (T.K., M.K.), Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Environmental Epidemiology Section, Center for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba, Japan (T.M., K.U., H.N.); and Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Japan (K.U.). 2. From the Department of Health Care Administration and Management (R.M., M.K.), Department of Medicine and Clinical Science (R.M., T.A., T.K.), and Center for Cohort Studies (T.K., M.K.), Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Environmental Epidemiology Section, Center for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba, Japan (T.M., K.U., H.N.); and Department of Environmental Engineering, Graduate School of Engineering, Kyoto University, Japan (K.U.). kamouchi@hcam.med.kyushu-u.ac.jp.
Abstract
BACKGROUND AND PURPOSE: There is a strong association between ambient concentrations of particulate matter (PM) and cardiovascular disease. However, it remains unclear whether acute exposure to fine PM (PM2.5) triggers ischemic stroke events and whether the timing of exposure is associated with stroke risk. We, therefore, examined the association between ambient PM2.5 and occurrence of ischemic stroke. METHODS: We analyzed data for 6885 ischemic stroke patients from a multicenter hospital-based stroke registry in Japan who were previously independent and hospitalized within 24 hours of stroke onset. Time of symptom onset was confirmed, and the association between PM (suspended PM and PM2.5) and occurrence of ischemic stroke was analyzed by time-stratified case-crossover analysis. RESULTS: Ambient PM2.5 and suspended PM at lag days 0 to 1 were associated with subsequent occurrence of ischemic stroke (ambient temperature-adjusted odds ratio [95% confidence interval] per 10 μg/m3: suspended PM, 1.02 [1.00-1.05]; PM2.5, 1.03 [1.00-1.06]). In contrast, ambient suspended PM and PM2.5 at lag days 2 to 3 or 4 to 6 showed no significant association with stroke occurrence. The association between PM2.5 at lag days 0 to 1 and ischemic stroke was maintained after adjusting for other air pollutants (nitrogen dioxide, photochemical oxidants, or sulfur dioxide) or influenza epidemics and was evident in the cold season. CONCLUSIONS: These findings suggest that short-term exposure to PM2.5 within 1 day before onset is associated with the subsequent occurrence of ischemic stroke.
BACKGROUND AND PURPOSE: There is a strong association between ambient concentrations of particulate matter (PM) and cardiovascular disease. However, it remains unclear whether acute exposure to fine PM (PM2.5) triggers ischemic stroke events and whether the timing of exposure is associated with stroke risk. We, therefore, examined the association between ambient PM2.5 and occurrence of ischemic stroke. METHODS: We analyzed data for 6885 ischemic strokepatients from a multicenter hospital-based stroke registry in Japan who were previously independent and hospitalized within 24 hours of stroke onset. Time of symptom onset was confirmed, and the association between PM (suspended PM and PM2.5) and occurrence of ischemic stroke was analyzed by time-stratified case-crossover analysis. RESULTS: Ambient PM2.5 and suspended PM at lag days 0 to 1 were associated with subsequent occurrence of ischemic stroke (ambient temperature-adjusted odds ratio [95% confidence interval] per 10 μg/m3: suspended PM, 1.02 [1.00-1.05]; PM2.5, 1.03 [1.00-1.06]). In contrast, ambient suspended PM and PM2.5 at lag days 2 to 3 or 4 to 6 showed no significant association with stroke occurrence. The association between PM2.5 at lag days 0 to 1 and ischemic stroke was maintained after adjusting for other air pollutants (nitrogen dioxide, photochemical oxidants, or sulfur dioxide) or influenza epidemics and was evident in the cold season. CONCLUSIONS: These findings suggest that short-term exposure to PM2.5 within 1 day before onset is associated with the subsequent occurrence of ischemic stroke.
Authors: Xinye Qiu; Yaguang Wei; Yan Wang; Qian Di; Tamar Sofer; Yara Abu Awad; Joel Schwartz Journal: Environ Res Date: 2019-12-30 Impact factor: 6.498
Authors: Markus Karjalainen; Anton Kontunen; Sampo Saari; Topi Rönkkö; Jukka Lekkala; Antti Roine; Niku Oksala Journal: PLoS One Date: 2018-04-12 Impact factor: 3.240
Authors: Zachary J Rhinehart; Ellen Kinnee; Utibe R Essien; Melissa Saul; Emily Guhl; Jane E Clougherty; Jared W Magnani Journal: JAMA Netw Open Date: 2020-09-01