دورية أكاديمية
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The Contribution of Declines in Blood Lead Levels to Reductions in Blood Pressure Levels: Longitudinal Evidence in the Strong Heart Family Study.

التفاصيل البيبلوغرافية
العنوان: The Contribution of Declines in Blood Lead Levels to Reductions in Blood Pressure Levels: Longitudinal Evidence in the Strong Heart Family Study.
المؤلفون: Lieberman-Cribbin W; Department of Environmental Health Sciences Columbia University Mailman School of Public Health New York NY USA., Li Z; Office of Capacity Development and Applied Prevention Science, Agency for Toxic Substances and Disease Registry Atlanta GA USA., Lewin M; Office of Community Health and Hazard Assessment, Agency for Toxic Substances and Disease Registry Atlanta GA USA., Ruiz P; Office of Innovation and Analytics, Agency for Toxic Substances and Disease Registry Atlanta GA USA., Jarrett JM; Division for Laboratory Sciences Centers for Disease Control and Prevention Atlanta GA USA., Cole SA; Population Health Program Texas Biomedical Research Institute San Antonio TX USA., Kupsco A; Department of Environmental Health Sciences Columbia University Mailman School of Public Health New York NY USA., O'Leary M; Missouri Breaks Research Industries Research, Inc. Eagle Butte SD USA., Pichler G; Department of Cardiology Karl Landsteiner Institute for Cardiovascular and Critical Care Research, Clinic Floridsdorf Vienna Austria., Shimbo D; Division of Cardiology Columbia University Irving Medical Center New York NY USA., Devereux RB; Weill Cornell Medical College New York NY USA., Umans JG; MedStar Health Research Institute Hyattsville MD USA.; Georgetown-Howard Universities Center for Clinical and Translational Science Washington DC USA., Navas-Acien A; Department of Environmental Health Sciences Columbia University Mailman School of Public Health New York NY USA., Nigra AE; Department of Environmental Health Sciences Columbia University Mailman School of Public Health New York NY USA.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 Jan 16; Vol. 13 (2), pp. e031256. Date of Electronic Publication: 2024 Jan 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Cardiovascular Diseases*/complications , Hypertension*/diagnosis , Hypertension*/epidemiology , Lead*/blood, Adult ; Humans ; American Indian or Alaska Native ; Blood Pressure
مستخلص: Background: Chronic lead exposure is associated with both subclinical and clinical cardiovascular disease. We evaluated whether declines in blood lead were associated with changes in systolic and diastolic blood pressure in adult American Indian participants from the SHFS (Strong Heart Family Study).
Methods and Results: Lead in whole blood was measured in 285 SHFS participants in 1997 to 1999 and 2006 to 2009. Blood pressure and measures of cardiac geometry and function were obtained in 2001 to 2003 and 2006 to 2009. We used generalized estimating equations to evaluate the association of declines in blood lead with changes in blood pressure; cardiac function and geometry measures were considered secondary. Mean blood lead was 2.04 μg/dL at baseline. After ≈10 years, mean decline in blood lead was 0.67 μg/dL. In fully adjusted models, the mean difference in systolic blood pressure comparing the highest to lowest tertile of decline (>0.91 versus <0.27 μg/dL) in blood lead was -7.08 mm Hg (95% CI, -13.16 to -1.00). A significant nonlinear association between declines in blood lead and declines in systolic blood pressure was detected, with significant linear associations where blood lead decline was 0.1 μg/dL or higher. Declines in blood lead were nonsignificantly associated with declines in diastolic blood pressure and significantly associated with declines in interventricular septum thickness.
Conclusions: Declines in blood lead levels in American Indian adults, even when small (0.1-1.0 μg/dL), were associated with reductions in systolic blood pressure. These findings suggest the need to further study the cardiovascular impacts of reducing lead exposures and the importance of lead exposure prevention.
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معلومات مُعتمدة: U01 HL041654 United States HL NHLBI NIH HHS; P42 ES033719 United States ES NIEHS NIH HHS; U01 HL041652 United States HL NHLBI NIH HHS; R01 HL109315 United States HL NHLBI NIH HHS; U01 HL065521 United States HL NHLBI NIH HHS; R01 HL109301 United States HL NHLBI NIH HHS; U01 HL065520 United States HL NHLBI NIH HHS; R01 ES021367 United States ES NIEHS NIH HHS
فهرسة مساهمة: Keywords: American Indians; Strong Heart Study; cardiovascular disease; lead
المشرفين على المادة: 2P299V784P (Lead)
تواريخ الأحداث: Date Created: 20240111 Date Completed: 20240117 Latest Revision: 20240313
رمز التحديث: 20240313
مُعرف محوري في PubMed: PMC10926826
DOI: 10.1161/JAHA.123.031256
PMID: 38205795
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.123.031256