Particulate respirator use and blood pressure: A systematic review and meta-analysis

Publikation: Bidrag til tidsskriftReviewfagfællebedømt

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Particulate respirator use and blood pressure : A systematic review and meta-analysis. / Han, Changwoo; Lim, Youn-Hee; Hong, Yun-Chul.

I: Environmental Pollution, Bind 286, 117574, 01.10.2021.

Publikation: Bidrag til tidsskriftReviewfagfællebedømt

Harvard

Han, C, Lim, Y-H & Hong, Y-C 2021, 'Particulate respirator use and blood pressure: A systematic review and meta-analysis', Environmental Pollution, bind 286, 117574. https://doi.org/10.1016/j.envpol.2021.117574

APA

Han, C., Lim, Y-H., & Hong, Y-C. (2021). Particulate respirator use and blood pressure: A systematic review and meta-analysis. Environmental Pollution, 286, [117574]. https://doi.org/10.1016/j.envpol.2021.117574

Vancouver

Han C, Lim Y-H, Hong Y-C. Particulate respirator use and blood pressure: A systematic review and meta-analysis. Environmental Pollution. 2021 okt. 1;286. 117574. https://doi.org/10.1016/j.envpol.2021.117574

Author

Han, Changwoo ; Lim, Youn-Hee ; Hong, Yun-Chul. / Particulate respirator use and blood pressure : A systematic review and meta-analysis. I: Environmental Pollution. 2021 ; Bind 286.

Bibtex

@article{76367fef1ac24a728a5a882539b0b142,
title = "Particulate respirator use and blood pressure: A systematic review and meta-analysis",
abstract = "People use a particulate respirator in order to reduce exposure to ambient fine particulate matter (PM2.5). Acute exposure to PM2.5 is known to increase blood pressure. However, systematic reviews or meta-analyses on blood pressure-related benefits of using a particulate respirator is lacking. Therefore, we reviewed randomized crossover intervention studies on blood pressure-related effects of particulate matter respirator use. We conducted a literature review of articles found on Embase, Medline, and Cochrane library on August 31, 2020. The study outcomes were systolic and diastolic blood pressure and mean arterial pressure. A random-effect model was used in the meta-analysis. Subgroup analyses, based on age (adult < 60 years, elderly ≥ 60 years), personal PM2.5 exposure levels (High: ≥ 25 μg/m3, Low: < 25 μg/m3), and types of monitoring methods (ambulatory and resting blood pressure) were conducted. We identified 297 references, and seven studies were included in our systematic review. None of the studies used a sham respirator as control and complete allocation concealment and blinding were impossible. The use of a particulate respirator was associated with a -1.23 mmHg (95% confidence interval (CI): -2.53, 0.07) change in systolic blood pressure and a -1.57 mmHg (95% CI: -3.85, 0.71) change in mean arterial pressure. There were significant heterogeneities and possibilities for publication bias. The subgroup analyses revealed that studies involving elderly individuals, those conducted in high PM2.5 personal exposure, and those in which resting blood pressure was monitored demonstrated a larger decrease in blood pressure resulting from respirator use. Further intervention studies with a large sample size and subjects with diverse characteristics and different personal PM2.5 levels may add the evidence to current literature.",
keywords = "Adult, Aged, Air Pollutants/analysis, Air Pollution/analysis, Blood Pressure, Dust, Environmental Exposure/analysis, Humans, Middle Aged, Particulate Matter/analysis, Randomized Controlled Trials as Topic, Ventilators, Mechanical",
author = "Changwoo Han and Youn-Hee Lim and Yun-Chul Hong",
note = "Copyright {\textcopyright} 2021 Elsevier Ltd. All rights reserved.",
year = "2021",
month = oct,
day = "1",
doi = "10.1016/j.envpol.2021.117574",
language = "English",
volume = "286",
journal = "Environmental Pollution",
issn = "0269-7491",
publisher = "Pergamon Press",

}

RIS

TY - JOUR

T1 - Particulate respirator use and blood pressure

T2 - A systematic review and meta-analysis

AU - Han, Changwoo

AU - Lim, Youn-Hee

AU - Hong, Yun-Chul

N1 - Copyright © 2021 Elsevier Ltd. All rights reserved.

PY - 2021/10/1

Y1 - 2021/10/1

N2 - People use a particulate respirator in order to reduce exposure to ambient fine particulate matter (PM2.5). Acute exposure to PM2.5 is known to increase blood pressure. However, systematic reviews or meta-analyses on blood pressure-related benefits of using a particulate respirator is lacking. Therefore, we reviewed randomized crossover intervention studies on blood pressure-related effects of particulate matter respirator use. We conducted a literature review of articles found on Embase, Medline, and Cochrane library on August 31, 2020. The study outcomes were systolic and diastolic blood pressure and mean arterial pressure. A random-effect model was used in the meta-analysis. Subgroup analyses, based on age (adult < 60 years, elderly ≥ 60 years), personal PM2.5 exposure levels (High: ≥ 25 μg/m3, Low: < 25 μg/m3), and types of monitoring methods (ambulatory and resting blood pressure) were conducted. We identified 297 references, and seven studies were included in our systematic review. None of the studies used a sham respirator as control and complete allocation concealment and blinding were impossible. The use of a particulate respirator was associated with a -1.23 mmHg (95% confidence interval (CI): -2.53, 0.07) change in systolic blood pressure and a -1.57 mmHg (95% CI: -3.85, 0.71) change in mean arterial pressure. There were significant heterogeneities and possibilities for publication bias. The subgroup analyses revealed that studies involving elderly individuals, those conducted in high PM2.5 personal exposure, and those in which resting blood pressure was monitored demonstrated a larger decrease in blood pressure resulting from respirator use. Further intervention studies with a large sample size and subjects with diverse characteristics and different personal PM2.5 levels may add the evidence to current literature.

AB - People use a particulate respirator in order to reduce exposure to ambient fine particulate matter (PM2.5). Acute exposure to PM2.5 is known to increase blood pressure. However, systematic reviews or meta-analyses on blood pressure-related benefits of using a particulate respirator is lacking. Therefore, we reviewed randomized crossover intervention studies on blood pressure-related effects of particulate matter respirator use. We conducted a literature review of articles found on Embase, Medline, and Cochrane library on August 31, 2020. The study outcomes were systolic and diastolic blood pressure and mean arterial pressure. A random-effect model was used in the meta-analysis. Subgroup analyses, based on age (adult < 60 years, elderly ≥ 60 years), personal PM2.5 exposure levels (High: ≥ 25 μg/m3, Low: < 25 μg/m3), and types of monitoring methods (ambulatory and resting blood pressure) were conducted. We identified 297 references, and seven studies were included in our systematic review. None of the studies used a sham respirator as control and complete allocation concealment and blinding were impossible. The use of a particulate respirator was associated with a -1.23 mmHg (95% confidence interval (CI): -2.53, 0.07) change in systolic blood pressure and a -1.57 mmHg (95% CI: -3.85, 0.71) change in mean arterial pressure. There were significant heterogeneities and possibilities for publication bias. The subgroup analyses revealed that studies involving elderly individuals, those conducted in high PM2.5 personal exposure, and those in which resting blood pressure was monitored demonstrated a larger decrease in blood pressure resulting from respirator use. Further intervention studies with a large sample size and subjects with diverse characteristics and different personal PM2.5 levels may add the evidence to current literature.

KW - Adult

KW - Aged

KW - Air Pollutants/analysis

KW - Air Pollution/analysis

KW - Blood Pressure

KW - Dust

KW - Environmental Exposure/analysis

KW - Humans

KW - Middle Aged

KW - Particulate Matter/analysis

KW - Randomized Controlled Trials as Topic

KW - Ventilators, Mechanical

U2 - 10.1016/j.envpol.2021.117574

DO - 10.1016/j.envpol.2021.117574

M3 - Review

C2 - 34438496

VL - 286

JO - Environmental Pollution

JF - Environmental Pollution

SN - 0269-7491

M1 - 117574

ER -

ID: 279200261