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

doi:10.3390/ijerph13050447

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	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
	Zheng, S; Wang, MZ; Li, B; Wang, SG; He, SL; Yin, L; Shang, KZ; Li, TS; 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.
刊名	INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
	2016-05
卷号	13 期号:5
关键词	diurnal temperature range modifiers elderly emergency room admission cardiovascular disease hypertensive disease ischemic heart disease cerebrovascular disease
ISSN号	1660-4601
DOI	10.3390/ijerph13050447
文献子类	Article
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.
学科主题	Environmental Sciences & Ecology
出版地	BASEL
资助项目	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
项目编号	National Natural Science Foundation of China [41505095] ; Fundamental Research Funds for the Central Universities of Lanzhou University [lzujbky-2015-259]
语种	英语
WOS记录号	WOS:000377256900004
资助机构	NSFC ; LZU
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/179634]
专题	公共卫生学院_期刊论文
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.
推荐引用方式 GB/T 7714	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).
APA	Zheng, S.,Wang, MZ.,Li, B.,Wang, SG.,He, SL.,...&Li, TS .(2016).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.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,13(5).
MLA	Zheng, S,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".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 13.5(2016).