Evidence map›Paper›PMID 25753976›Full record

ArticleHypertension (Dallas, Tex. : 1979)2015

Relationship between daily exposure to biomass fuel smoke and blood pressure in high-altitude Peru.

Melissa Burroughs Peña, Karina M Romero, Eric J Velazquez, Victor G Davila-Roman, Robert H Gilman, Robert A Wise, J Jaime Miranda, William Checkley

Registry-linked trialAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05524987 (Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru), which is not on this map. Cited by 40 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05524987 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Addressing HyperteNsion and Diabetes Through Community-Engaged Systems in Puno, Peru (ANDES Study)

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2023 to 2026Enrolled1,068ConditionsHypertension, DiabetesArmsANDES INTERVENTION
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Prevalence of hypertension and its relationship with altitude in highland areas: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Melissa Burroughs PeñaFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
Karina M RomeroFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
Eric J VelazquezFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
Victor G Davila-RomanFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
Robert H GilmanFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
Robert A WiseFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
J Jaime MirandaFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru.
William CheckleyFrom the Division of Cardiology, Department of Medicine and Duke Clinical Research Institute, Duke University, Durham, NC (M.B.P., E.J.V.); Biomedical Research Unit, A.B. PRISMA, Lima, Peru (K.M.R.); Division of Cardiology, Department of Medicine, Washington University, St. Louis, MO (V.G.D.-R.); Program in Global Disease Epidemiology and Control, Department of International Health, Bloomberg School of Public Health (R.H.G.) and Division of Pulmonary and Critical Care Medicine, School of Medicine (R.A.W., W.C.), Johns Hopkins University, Baltimore, MD; and CRONICAS Center of Excellence in Chronic Diseases (R.H.G., J.J.M., W.C.) and Department of Medicine (J.J.M.), Universidad Peruana Cayetano Heredia, Lima, Peru. wcheckl1@jhmi.edu.

Funding

Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
Acute Lung Injury: Application of Novel Approaches to Longitudinal Data AnalysisR00HL096955 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHECKLEY, WILLIAM · 2011 to 2013
$723k
FIC NIH HHS R25 TW009337FIC NIH HHS R25TW009337Medical Research Council MR/K007467/1NHLBI NIH HHS HHSN268200900033CNHLBI NIH HHS R00 HL096955NHLBI NIH HHS R00HL096955
6 · The paper itself

Abstract

Household air pollution from biomass fuel use affects 3 billion people worldwide; however, few studies have examined the relationship between biomass fuel use and blood pressure. We sought to determine if daily biomass fuel use was associated with elevated blood pressure in high altitude Peru and if this relationship was affected by lung function. We analyzed baseline information from a population-based cohort study of adults aged ≥ 35 years in Puno, Peru. Daily biomass fuel use was self-reported. We used multivariable regression models to examine the relationship between daily exposure to biomass fuel smoke and blood pressure outcomes. Interactions with sex and quartiles of forced vital capacity were conducted to evaluate for effect modification. Data from 1004 individuals (mean age, 55.3 years; 51.7% women) were included. We found an association between biomass fuel use with both prehypertension (adjusted relative risk ratio, 5.0; 95% confidence interval, 2.6-9.9) and hypertension (adjusted relative risk ratio, 3.5; 95% confidence interval, 1.7-7.0). Biomass fuel users had a higher systolic blood pressure (7.0 mm Hg; 95% confidence interval, 4.4-9.6) and a higher diastolic blood pressure (5.9 mm Hg; 95% confidence interval, 4.2-7.6) when compared with nonusers. We did not find interaction effects between daily biomass fuel use and sex or percent predicted forced vital capacity for either systolic blood pressure or diastolic blood pressure. Biomass fuel use was associated with a higher likelihood of having hypertension and higher blood pressure in Peru. Reducing exposure to household air pollution from biomass fuel use represents an opportunity for cardiovascular prevention.

Indexed as

AltitudeBiomassRural PopulationAdultAgedAir Pollution, IndoorBlood PressureEnvironmental IllnessFemaleFollow-Up StudiesHumansHypertensionIncidenceMaleMiddle AgedPeruSmokeair pollutionblood pressureglobal healthhealth status disparitiesindoor air pollutionLatin Americarural health

Identifiers

PMID25753976
PMCPMC4466100

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.