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Poku asante K, Ae-Ngibise KA, Gibson E, Nuhu MM, Boamah E, Modest AM, Seyram K, Lee A, Yawson AK, Hauser R, Agyei O, Jack D, Iddrisu L, Opoku-Mensah J, Coull B, Wylie B. Pyrethroid pesticide exposure, malaria, and birth size in a ghanaian cohort. Am J Obstet Gynecol 2023. [DOI: 10.1016/j.ajog.2022.11.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Poku asante K, Ae-Ngibise KA, Appiagyei AA, Nuhu MM, Modest AM, Boamah E, Quinn A, Seyram K, Chillrud S, Agyei O, Kinney P, Yawson AK, Jack D, Iddrisu L, Opoku-Mensah J, Lee A, Wylie B. Prenatal Harmattan exposure and birth size: Identifying sensitive windows in pregnancy. Am J Obstet Gynecol 2023. [DOI: 10.1016/j.ajog.2022.11.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Botwe AK, Owusu-Agyei S, Asghar M, Hammar U, Oppong FB, Gyaase S, Dosoo D, Jakpa G, Boamah E, Twumasi MF, Osier F, Färnert A, Asante KP. Correction: Profiles of Plasmodium falciparum infections detected by microscopy through the first year of life in Kintampo a high transmission area of Ghana. PLoS One 2021; 16:e0246773. [PMID: 33534827 PMCID: PMC7857623 DOI: 10.1371/journal.pone.0246773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Quinn AK, Ae-Ngibise KA, Kinney PL, Kaali S, Wylie BJ, Boamah E, Shimbo D, Agyei O, Chillrud SN, Mujtaba M, Schwartz JE, Abdalla M, Owusu-Agyei S, Jack DW, Asante KP. Ambulatory monitoring demonstrates an acute association between cookstove-related carbon monoxide and blood pressure in a Ghanaian cohort. Environ Health 2017; 16:76. [PMID: 28732501 PMCID: PMC5521137 DOI: 10.1186/s12940-017-0282-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 06/26/2017] [Indexed: 05/05/2023]
Abstract
BACKGROUND Repeated exposure to household air pollution may intermittently raise blood pressure (BP) and affect cardiovascular outcomes. We investigated whether hourly carbon monoxide (CO) exposures were associated with acute increases in ambulatory blood pressure (ABP); and secondarily, if switching to an improved cookstove was associated with BP changes. We also evaluated the feasibility of using 24-h ambulatory blood pressure monitoring (ABPM) in a cohort of pregnant women in Ghana. METHODS Participants were 44 women enrolled in the Ghana Randomized Air Pollution and Health Study (GRAPHS). For 27 of the women, BP was measured using 24-h ABPM; home blood pressure monitoring (HBPM) was used to measure BP in the remaining 17 women. Personal CO exposure monitoring was conducted alongside the BP monitoring. RESULTS ABPM revealed that peak CO exposure (defined as ≥4.1 ppm) in the 2 hours prior to BP measurement was associated with elevations in hourly systolic BP (4.3 mmHg [95% CI: 1.1, 7.4]) and diastolic BP (4.5 mmHg [95% CI: 1.9, 7.2]), as compared to BP following lower CO exposures. Women receiving improved cookstoves had lower post-intervention SBP (within-subject change in SBP of -2.1 mmHg [95% CI: -6.6, 2.4] as compared to control), though this result did not reach statistical significance. 98.1% of expected 24-h ABPM sessions were successfully completed, with 92.5% of them valid according to internationally defined criteria. CONCLUSIONS We demonstrate an association between acute exposure to carbon monoxide and transient increases in BP in a West African setting. ABPM shows promise as an outcome measure for assessing cardiovascular health benefits of cookstove interventions. TRIAL REGISTRATION The GRAPHS trial was registered with clinicaltrials.gov on 13 April 2011 with the identifier NCT01335490 .
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Affiliation(s)
- Ashlinn K. Quinn
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th St, 11th floor, New York, 10032 NY USA
| | | | - Patrick L. Kinney
- Department of Environmental Health, Boston University School of Public Health, Boston, MA USA
| | - Seyram Kaali
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
| | - Blair J. Wylie
- Division of Maternal-Fetal Medicine, Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital and Harvard Medical School, Boston, MA USA
| | - Ellen Boamah
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
| | - Daichi Shimbo
- Department of Medicine, Columbia University Medical Center, New York, NY USA
| | - Oscar Agyei
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
| | - Steven N. Chillrud
- Lamont-Doherty Earth Observatory of Columbia University, Palisades, NY USA
| | - Mohammed Mujtaba
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
| | - Joseph E. Schwartz
- Institute for Applied Behavioral Medicine Research, Stony Brook University, Stony Brook, NY USA
- Center for Behavioral Cardiovascular Health, Columbia University, New York, NY USA
| | - Marwah Abdalla
- Center for Behavioral Cardiovascular Health, Columbia University, New York, NY USA
| | - Seth Owusu-Agyei
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
| | - Darby W. Jack
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th St, 11th floor, New York, 10032 NY USA
| | - Kwaku Poku Asante
- Kintampo Health Research Centre, Ghana Health Service, Brong Ahafo Region, Kintampo, Ghana
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