Evidence map›Paper›PMID 41074187›Full record

ArticleTropical medicine and health2025

Effects of solar radiation exposure on ischemic heart disease mortality: country-level spatial regression models.

Haruka Kato, Satomi Ikeuchi, Susumu Tanimura

Abstract read
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Article in Tropical medicine and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Haruka KatoDepartment of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.ORCID http://orcid.org/0009-0009-7017-4130
Satomi IkeuchiDepartment of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.ORCID http://orcid.org/0000-0003-4688-334X
Susumu TanimuraDepartment of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. aruminat@med.mie-u.ac.jp.ORCID http://orcid.org/0000-0003-2897-8249

Funding

MEXT KAKENHI JP21K10444
6 · The paper itself

Abstract

backgroundPrevious studies have analyzed the association between sun exposure and ischemic heart disease (IHD). However, the association has not been assessed globally and may differ when adjusting for spatial dependency. This study aimed to clarify whether this global association remains even while incorporating spatial adjustment.

methodsThe most recent age-adjusted IHD mortality data (per 100,000) by country (1987-2022) were obtained from the World Health Organization (WHO) database as the dependent variable. As the independent variable, global solar radiation (GSR) data (MJ/m

resultsAfter listwise deletion of missing values, 94 countries remained. The mean (SD) IHD mortality rates for males and females were 96.5 (80.4) and 52.4 (48.0), respectively. The mean (SD) GSR was 15.9 (3.7). In the OLS model, GSR showed a significant negative association with IHD mortality (males: β =  - 8.82, p = 0.002; females: β =  - 6.31, p < 0.001). The spatial lag model was the best fit for both sexes, and the association persisted (males: β =  - 4.78, p = 0.041; females: β =  - 3.86, p = 0.005). Stratified analysis largely supported these findings. However, coefficients substantially decreased after spatial adjustment.

conclusionsSun exposure retained a significant inverse association with ischemic heart disease mortality after adjusting for spatial dependency, although adjustment markedly reduced the strength of association. However, our results require careful interpretation due to several limitations in the study.

Indexed as

Cardiovascular diseasesGlobal healthGlobal solar radiationInternationalityMyocardial ischemiaSpatial analysisSpatial regressionSunlight

Identifiers

PMID41074187
PMCPMC12512395

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