Evidence map›Paper›PMID 38439026›Full record

ArticleBMC medicine2024

The role of lifestyle in the association between long-term ambient air pollution exposure and cardiovascular disease: a national cohort study in China.

Xiangming Hu, Luke D Knibbs, Yingling Zhou, Yanqiu Ou, Guang-Hui Dong, Haojian Dong

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
12.9field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Ambient PMEnvironment & health (Washington, D.C.) · 2026
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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

6 authors at 3 institutions in 2 countries.

Xiangming Hu *Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Luke D Knibbs *School of Public Health, The University of Sydney, Camperdown, NSW, 2006, Australia.
Yingling ZhouDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.
Yanqiu OuDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. gzouyanqiu@163.com.
Guang-Hui DongGuangdong Provincial Engineering Technology Research Center of Environmental Pollution and Health Risk Assessment, Department of Occupational and Environmental Health, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, China. donggh5@mail.sysu.edu.cn.
Haojian DongDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China. donghaojian@gdph.org.cn.ORCID 0000-0002-4388-8623
Guangdong Academy of Medical Sciences · CNSun Yat-sen University · CNThe University of Sydney · AU

Funding

the National Key Research and Development Program of China 2018YFE0106900the National Natural Science Foundation of China 81872582the National Natural Science Foundation of China 81872583the National Natural Science Foundation of China 82073502the National Natural Science Foundation of China 82103823the National Natural Science Foundation of China 82373529the National Natural Science Foundation of China M-0420The Science and Technology Project of Tibet Autonomous Region Technology Project of Tibet Autonomous RegionThe Science and Technology Project of Tibet Autonomous Region The Science
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) caused by air pollution poses a considerable burden on public health. We aim to examine whether lifestyle factors mediate the associations of air pollutant exposure with the risk of CVD and the extent of the interaction between lifestyles and air pollutant exposure regarding CVD outcomes.

methodsWe included 7000 participants in 2011-2012 and followed up until 2018. The lifestyle evaluation consists of six factors as proxies, including blood pressure, blood glucose, blood lipids, body mass index, tobacco exposure, and physical activity, and the participants were categorized into three lifestyle groups according to the number of ideal factors (unfavorable, 0-1; intermediate, 2-4; and favorable, 5-6). Satellite-based spatiotemporal models were used to estimate exposure to ambient air pollutants (including particles with diameters ≤ 1.0 μm [PM

resultsAfter adjusting for covariates, per 10 μg/m

conclusionsLifestyle partially mediated the association of air pollution with CVD, and adherence to a healthy lifestyle could protect middle-aged and elderly people from the adverse effects of air pollution regarding CVD.

Indexed as

Air PollutantsAir PollutionCardiovascular DiseasesAgedChinaCohort StudiesHumansLife StyleMiddle AgedNitrogen DioxideParticulate MatterAir PollutantsNitrogen DioxideParticulate MatterAmbient air pollutionCardiovascular diseaseChina Health and Retirement Longitudinal StudyHealthy lifestyle

Identifiers

PMID38439026
PMCPMC10913402
OpenAlexW4392626544

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Registered trials

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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.