From the Journals

Air pollution linked to childhood hypertension

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Research hints at the cause

A paper recently published by the same group outlines a possible mechanism by which PM2.5 might cause harm – specifically, an increase in placental intrauterine inflammation. The study adds evidence to the case that air pollution is linked to hypertension as it includes more economically disadvantaged subjects, children of color, preterm births, and small-for-gestational-age births. Overall, the study imaginatively made use of pediatric data in a disadvantaged urban setting to better understand how air pollution affects an important physiological outcome.

Diane Gold, MD, and Antonella Zanobetti, PhD, are at the Harvard T.H. Chan School of Public Health, Boston.


 

FROM HYPERTENSION


Further analysis suggested that 35% of the association between exposure and elevated BP risk was mediated by birth weight and BMI z score during childhood. When these factors were added to the models, the association between PM exposure and BP risk was no longer significant.

Although the findings are intriguing, they cannot prove causation, according to the researchers.

The study was funded by the National Institutes of Health and the Maternal and Child Health Bureau. Dr. Gold and Dr. Zanobetti have received funding from NIH.

SOURCE: Zhang et al. 2018 Jul. doi: 10.1161/hypertensionaha.117.10944.

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