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Mandal R, Kaur S, Gupta VK, Joshi A. Heavy metals controlling cardiovascular diseases risk factors in myocardial infarction patients in critically environmentally heavy metal-polluted steel industrial town Mandi-Gobindgarh (India). ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2022; 44:3215-3238. [PMID: 34455537 DOI: 10.1007/s10653-021-01068-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 08/04/2021] [Indexed: 06/13/2023]
Abstract
Heavy metals (HMs) have a very significant clinical role in the pathogenesis, progression and management of cardiovascular diseases (CVDs). The prevalence of CVDs was reported to be higher in critically environmentally HM-polluted (EHMP) steel industrial town Mandi-Gobindgarh (India) for the last more than a decade. To ascertain the role of HMs in the onset of CVDs, the present study was chosen to investigate HMs content in myocardial infarction (MI) patients from EHMP steel industrial town Mandi-Gobindgarh. Total of 110 MI patients along with number- and age-matched healthy volunteers were recruited in the present investigation. The CVDs risk factors estimated in MI patients were overweight (higher body mass index), hypertension (higher systolic and diastolic blood pressures), dyslipidaemia (higher serum cholesterol, triglycerides and lower HDL cholesterol), inflammation (higher-serum C reactive protein and aldosterone) and elevated oxidative stress (higher urinary 8-hydroxydeoxyguanosine). An imbalance of serum electrolyte concentrations including Na (hypernatremia), Ca (hypercalcaemia) and K (hypokalaemia) was also observed in MI patients in which CVDs risk factors were found to correlate positively with serum Na and Ca and negatively with serum K, respectively. Hair HM analysis was used as a bio-indicator for monitoring body HM status from past environmental HM exposure in which CVDs risk factors were observed to correlate positively with higher hair concentrations of Zn, Fe, Mo, Pb, As, Ca and Na and negatively with lower hair concentrations of Cu, Mg, Mn and K in MI patients, respectively. Thus, higher hair concentrations of Zn and Pb indicate their higher environmental exposure and possible cause of higher CVDs risk factors in MI patients from Mandi-Gobindgarh.
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Affiliation(s)
- Reshu Mandal
- Department of Zoology, Sri Guru Gobind Singh College, Sector-26, Chandigarh, UT, India.
| | - Sukhbir Kaur
- Department of Zoology, Panjab University, Chandigarh, UT, India
| | - Vinod Kumar Gupta
- Civil Hospital, Mandi-Gobindgarh, Fatehgarh Sahib District, Punjab, India
| | - Amit Joshi
- Department of Biotechnology and Microbial Biotechnology, Sri Guru Gobind Singh College, Sector-26, Chandigarh, UT, India
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Rajak R, Chattopadhyay A. Short and Long Term Exposure to Ambient Air Pollution and Impact on Health in India: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2020; 30:593-617. [PMID: 31070475 DOI: 10.1080/09603123.2019.1612042] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 04/19/2019] [Indexed: 06/09/2023]
Abstract
Health effects attributable to short-term and long-term ambient air pollution (AAP) exposure in Indian population are less understood. This study evaluates the effect of short time and long-term exposure to AAP on respiratory morbidity, mortality and premature mortality for the exposed population. A total of 59 studies are reviewed to examine the effects of short-term exposure (n = 23); long-term exposure (n = 18) and premature mortality (n = 18). Short-term exposures to ambient pollutants have strong associations between COPD, respiratory illnesses and higher rates of hospital admission or visit. The long-term effects of AAP, associated with deficit lung function, asthma, heart attack, cardiovascular mortality and premature mortality have received much attention. Particulate matter (PM2.5 and PM10) is primarily responsible for respiratory health problems. Out of 18 literature reviewed on premature mortality, most (12 of 18) studies have statistically significant associations between AAP exposure and increased premature mortality risk.
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Affiliation(s)
- Rahul Rajak
- International Institute for Population Sciences, Mumbai, India
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Affiliation(s)
- Shoaib Faruqi
- Department of Respiratory Medicine, Castle Hill Hospital, The Hull and East Yorkshire Hospitals NHS Trust, Cottingham, UK E-mail:
| | - Woo-Jung Song
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea
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Song WJ, Chang YS, Faruqi S, Kang MK, Kim JY, Kang MG, Kim S, Jo EJ, Lee SE, Kim MH, Plevkova J, Park HW, Cho SH, Morice AH. Defining Chronic Cough: A Systematic Review of the Epidemiological Literature. ALLERGY, ASTHMA & IMMUNOLOGY RESEARCH 2015; 8:146-55. [PMID: 26739408 PMCID: PMC4713878 DOI: 10.4168/aair.2016.8.2.146] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 07/09/2015] [Indexed: 01/29/2023]
Abstract
Purpose Recent evidence suggests a global burden of chronic cough in general populations. However, the definitions vary greatly among epidemiological studies, and none have been validated for clinical relevance. We aimed to examine previous epidemiological definitions in detail and explore the operational characteristics. Methods A systematic review was conducted for epidemiological surveys that reported the prevalence of chronic cough in general adult populations during the years 1980 to 2013. A literature search was performed on Pubmed and Embase without language restriction. Epidemiological definitions for chronic cough were classified according to their components, such as cutoff duration. Meta-analyses were performed for the male-to-female ratio of chronic cough prevalence to explore operational characteristics of epidemiological definitions. Results A total of 70 studies were included in the systematic review. The most common epidemiological definition was identified as 'cough ≥3 months' duration without specification of phlegm (n=50); however, it conflicted with the cutoff duration in current clinical guidelines (cough ≥8 weeks). Meta-analyses were performed for the male-to-female ratio of chronic cough among 28 studies that reported sex-specific prevalence using the most common definition. The pooled male-to-female odds ratio was 1.26 (95% confidence interval 0.92-1.73) with significant heterogeneity (I2=96%, P<0.001), which was in contrast to clinical observations of female predominance from specialist clinics. Subgroup analyses did not reverse the ratio or reduce the heterogeneity. Conclusions This study identified major issues in defining chronic cough in future epidemiological studies. The conflict between epidemiological and clinical diagnostic criteria needs to be resolved. The unexpected difference in the gender predominance between the community and clinics warrants further studies. Clinical validation of the existing definition is required.
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Affiliation(s)
- Woo Jung Song
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Yoon Seok Chang
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.,Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Shoaib Faruqi
- Centre for Cardiovascular and Metabolic Research, Hull York Medical School, Castle Hill Hospital, University of Hull, Cottingham, East Yorkshire, United Kingdom
| | - Min Koo Kang
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Ju Young Kim
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Min Gyu Kang
- Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
| | - Sujeong Kim
- Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
| | - Eun Jung Jo
- Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
| | - Seung Eun Lee
- Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
| | - Min Hye Kim
- Department of Internal Medicine, Ewha Woman's University School of Medicine, Seoul, Korea
| | - Jana Plevkova
- Department of Pathophysiology and Simulation Centre, Jessenius Faculty of Medicine, Comenius University, Martin, Slovak Republic
| | - Heung Woo Park
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Sang Heon Cho
- Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
| | - Alyn H Morice
- Centre for Cardiovascular and Metabolic Research, Hull York Medical School, Castle Hill Hospital, University of Hull, Cottingham, East Yorkshire, United Kingdom.
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Song WJ, Faruqi S, Klaewsongkram J, Lee SE, Chang YS. Chronic cough: an Asian perspective. Part 1: Epidemiology. Asia Pac Allergy 2015; 5:136-44. [PMID: 26240790 PMCID: PMC4521162 DOI: 10.5415/apallergy.2015.5.3.136] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 07/08/2015] [Indexed: 12/20/2022] Open
Abstract
Asia is one of the most diverse and dynamic continents. Due to recent rapid industrialisation and urbanisation, morbidity patterns are likely to be diverse in Asian populations. Chronic cough is a disease condition resulting from host-environmental interactions, and is associated with a high global epidemiological burden. However, the underlying epidemiology remains unclear, particularly in Asia. We performed a literature search to identify peer-reviewed articles on chronic cough in community-based adult Asian populations that have been published between January 2000 and June 2015. In this review, we aim to examine the epidemiological characteristics and determinants of chronic cough in several geographical areas of Asia.
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Affiliation(s)
- Woo-Jung Song
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-799, Korea
- Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul 110-799, Korea
| | - Shoaib Faruqi
- Department of Cardiovascular and Respiratory Studies, University of Hull and Hull York Medical School, Castle Hill Hospital, Cottingham HU16 5JQ, UK
| | - Jettanong Klaewsongkram
- Division of Allergy and Clinical Immunology, Department of Medicine, Faculty of Medicine, Allergy and Clinical Immunology Research Group, Chulalongkorn University, Bangkok 10330, Thailand
| | - Seung-Eun Lee
- Department of Internal Medicine, Pusan National University School of Medicine, Yangsan 626-700, Korea
| | - Yoon-Seok Chang
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-799, Korea
- Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul 110-799, Korea
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam 463-707, Korea
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Liu HY, Bartonova A, Schindler M, Sharma M, Behera SN, Katiyar K, Dikshit O. Respiratory disease in relation to outdoor air pollution in Kanpur, India. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2013. [PMID: 23697693 PMCID: PMC3678152 DOI: 10.1080/19338244.2012.701246#.viq3m7rh1e4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
This paper examines the effect of outdoor air pollution on respiratory disease in Kanpur, India, based on data from 2006. Exposure to air pollution is represented by annual emissions of sulfur dioxide (SO(2)), particulate matter (PM), and nitrogen oxides (NO(x)) from 11 source categories, established as a geographic information system (GIS)-based emission inventory in 2 km × 2 km grid. Respiratory disease is represented by number of patients who visited specialist pulmonary hospital with symptoms of respiratory disease. The results showed that (1) the main sources of air pollution are industries, domestic fuel burning, and vehicles; (2) the emissions of PM per grid are strongly correlated to the emissions of SO(2) and NO(x); and (3) there is a strong correlation between visits to a hospital due to respiratory disease and emission strength in the area of residence. These results clearly indicate that appropriate health and environmental monitoring, actions to reduce emissions to air, and further studies that would allow assessing the development in health status are necessary.
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Affiliation(s)
- Hai-Ying Liu
- Norwegian Institute for Air Research (NILU), Kjeller, Norway
| | - Alena Bartonova
- Norwegian Institute for Air Research (NILU), Kjeller, Norway
- For comments and further information, address correspondence to Alena Bartonova, Norwegian Institute for Air Research (NILU), Instituttveien 18, Postboks 100, 2027 Kjeller, Norway. E-mail:
| | - Martin Schindler
- Department of Applied Mathematics, Technical University of Liberec, Czech Republic
| | - Mukesh Sharma
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
| | - Sailesh N. Behera
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
| | - Kamlesh Katiyar
- Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Swaroop Nagar, Kanpur, Uttar Pradesh, India
| | - Onkar Dikshit
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
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Liu HY, Bartonova A, Schindler M, Sharma M, Behera SN, Katiyar K, Dikshit O. Respiratory disease in relation to outdoor air pollution in Kanpur, India. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2013; 68:204-17. [PMID: 23697693 PMCID: PMC3678152 DOI: 10.1080/19338244.2012.701246] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
This paper examines the effect of outdoor air pollution on respiratory disease in Kanpur, India, based on data from 2006. Exposure to air pollution is represented by annual emissions of sulfur dioxide (SO(2)), particulate matter (PM), and nitrogen oxides (NO(x)) from 11 source categories, established as a geographic information system (GIS)-based emission inventory in 2 km × 2 km grid. Respiratory disease is represented by number of patients who visited specialist pulmonary hospital with symptoms of respiratory disease. The results showed that (1) the main sources of air pollution are industries, domestic fuel burning, and vehicles; (2) the emissions of PM per grid are strongly correlated to the emissions of SO(2) and NO(x); and (3) there is a strong correlation between visits to a hospital due to respiratory disease and emission strength in the area of residence. These results clearly indicate that appropriate health and environmental monitoring, actions to reduce emissions to air, and further studies that would allow assessing the development in health status are necessary.
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Affiliation(s)
- Hai-Ying Liu
- Norwegian Institute for Air Research (NILU), Kjeller, Norway
| | - Alena Bartonova
- Norwegian Institute for Air Research (NILU), Kjeller, Norway
- For comments and further information, address correspondence to Alena Bartonova, Norwegian Institute for Air Research (NILU), Instituttveien 18, Postboks 100, 2027 Kjeller, Norway. E-mail:
| | - Martin Schindler
- Department of Applied Mathematics, Technical University of Liberec, Czech Republic
| | - Mukesh Sharma
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
| | - Sailesh N. Behera
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
| | - Kamlesh Katiyar
- Ganesh Shankar Vidyarthi Memorial (GSVM) Medical College, Swaroop Nagar, Kanpur, Uttar Pradesh, India
| | - Onkar Dikshit
- Department of Civil Engineer, Indian Institute of Technology Kanpur, Uttar Pradesh, India
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Nautiyal J, Garg ML, Kumar MS, Khan AA, Thakur JS, Kumar R. Air pollution and cardiovascular health in Mandi-Gobindgarh, Punjab, India - a pilot study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2007; 4:268-82. [PMID: 18180537 PMCID: PMC3732397 DOI: 10.3390/ijerph200704040002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2007] [Accepted: 11/02/2007] [Indexed: 12/01/2022]
Abstract
Large number of epidemiological studies to know the effect of air pollution on the general mortality and morbidity, and the cardiopulmonary morbidity and mortality are concentrated in USA and Europe. Regional differences in air pollution necessitate regional level health effects studies. Present study is a cross sectional pilot study from India, an Asian country. A sample of population from an industrial town 'Mandi Gobindgarh' and a nonindustrial town 'Morinda' were selected. A cross-sectional household survey was done in both the towns. One hundred subjects were selected from each of the towns. Ambient air quality data was collected for both towns over a period of 10-months to assess seasonal variations. In the present study the average PM10 (particulate matter with < or = 10 microm aerodynamic diameter) levels in Morinda were 99.54 microg/m3 and in Mandi Gobindgarh 161.20 microg/m3. As per NAAQS the permitted levels of PM10 is 50 microg/m3 taken as annual average (arithmetic mean). Elemental analysis of the aerosol samples found the concentration levels to be higher in Mandi- Gobindgarh than Morinda. The population in Gobindgarh shows a higher prevalence of symptoms of angina and cardiovascular disease considered in the study as compared to Morinda. When the same data is viewed in terms of male and female population, the female population is found to show these symptoms marginally higher than their counterparts. Considering the results of present study it can be stated that the increased levels of different pollutants and the higher prevalence of cardiovascular symptoms in Mandi-Gobindgarh (Industrial town) than the Morinda (Non-Industrial town) is because of the association of PM pollution with cardiovascular diseases. Keeping in view the current status of literature, further studies in this direction are needed in a country like India. Such data will also be globally relevant.
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Affiliation(s)
- Jyoti Nautiyal
- Department of Biophysics, Panjab University, Chandigarh- 160014,
India
- Present: Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201,
USA
| | - ML. Garg
- Department of Biophysics, Panjab University, Chandigarh- 160014,
India
| | - Manoj Sharma Kumar
- Department of Community Medicine, Post Graduate Institute of Medical Education and research, Chandigarh-160012,
India
| | - Asif Ali Khan
- Department of Community Medicine, Post Graduate Institute of Medical Education and research, Chandigarh-160012,
India
| | - Jarnail S. Thakur
- Department of Community Medicine, Post Graduate Institute of Medical Education and research, Chandigarh-160012,
India
| | - Rajesh Kumar
- Department of Community Medicine, Post Graduate Institute of Medical Education and research, Chandigarh-160012,
India
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