Acute Effects of High-Level PM 2.5 Exposure on Central Blood Pressure

Hypertension. 2019 Dec;74(6):1349-1356. doi: 10.1161/HYPERTENSIONAHA.119.13408. Epub 2019 Oct 21.


Central aortic blood pressure (BP) has been increasingly recognized as having a closer relationship with cardiovascular risks than peripheral BP. However, the effects of particulate matter pollution on central aortic BP have not been clearly demonstrated. In this study, we assessed the association between short-term ambient fine particulate matter (with an aerodynamic diameter ≤2.5 μm; PM2.5) exposure and central aortic BP in a Chinese community-based population. A total of 4715 visits were in our final analysis, including 2151 visits at the baseline and 2564 visits at the follow-up. Central aortic systolic BP (cSBP) was measured noninvasively using the method of radial artery tonometry with Omron HEM-9000AI machine. Data from air pollution monitoring stations were used to estimate daily PM2.5 exposure. Generalized additive mixed models with clinical and meteorologic covariates adjusted were used to examine the association between PM2.5 exposure and cSBP. The relationships between PM2.5 exposure and cSBP were nonlinear, and significant increments of cSBP were observed when the PM2.5 exposure concentration was above 100 μg/cm3. An interquartile range increase (80.25 μg/m3) in daily PM2.5 on the day of cSBP measurement (lag 0 day) was associated with 2.54 mm Hg (95% CI, 0.92-4.16) elevation in cSBP. The associations of PM2.5 with cSBP were not modified by age, sex, body mass index, medications, and comorbid diseases except for cardiovascular disease. Our findings demonstrated that short-term exposure to high concentration of ambient PM2.5 above 100 μg/cm3 was associated with significant increases in central aortic BP in a Chinese community-based population.

Keywords: air pollution; arterial pressure; blood pressure; epidemiology; particulate matter.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Air Pollutants / adverse effects*
  • Blood Pressure / physiology
  • Blood Pressure Determination / methods
  • Cardiovascular Diseases / etiology*
  • Cardiovascular Diseases / physiopathology
  • China
  • Cohort Studies
  • Environmental Exposure / adverse effects*
  • Environmental Monitoring / methods
  • Female
  • Humans
  • Hypertension / etiology*
  • Hypertension / physiopathology
  • Male
  • Maximum Allowable Concentration
  • Middle Aged
  • Particulate Matter / adverse effects*
  • Particulate Matter / analysis*
  • Retrospective Studies
  • Risk Assessment
  • Time Factors


  • Air Pollutants
  • Particulate Matter