Association of environmental and behavioural factors with cardiovascular disease mortality
Abstract Aims Recognizing the rising concern of environmental impacts on health, the study aims to explore how specific environmental factors such as air pollution, humidity, and temperature variations contribute to the prevalence of cardiovascular disease (CVD) mortality, emphasizing the role of ai...
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| Format: | Article |
| Language: | English |
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Wiley
2025-02-01
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| Series: | ESC Heart Failure |
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| Online Access: | https://doi.org/10.1002/ehf2.14976 |
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| author | Bahadır Açıktepe Sevval Nil Esirgun Mehmet Kocak |
| author_facet | Bahadır Açıktepe Sevval Nil Esirgun Mehmet Kocak |
| author_sort | Bahadır Açıktepe |
| collection | DOAJ |
| description | Abstract Aims Recognizing the rising concern of environmental impacts on health, the study aims to explore how specific environmental factors such as air pollution, humidity, and temperature variations contribute to the prevalence of cardiovascular disease (CVD) mortality, emphasizing the role of air quality, climate variables, and lifestyle factors in the disease mortality specifically. Methods and results Analysis of province‐level data on CVD mortality in Turkey from 2010 to 2019, assessing the correlations with environmental and lifestyle factors like particulate matter, sulfur dioxide, meteorological variables, and smoking and alcohol consumption. The study employs the SAS TRAJ procedure and Ordinal Logistic Regression for statistical analysis. The multiplicity correction was done through Benjamini–Hoechberg false discovery rate (FDR) approach. As expected, both smoking and alcohol consumption were found to be significantly associated with CVD mortality (odds ratio (OR): 1.10, 95% CI: 1.08, 1.11, P‐value < 0.0001). While median Air Pressure and Humidity were among the most significant markers with OR of 1.10 indicating an increasing CVD mortality, their variability metrics such as coefficient of variation (CV) showed significant protective effects with OR of 0.37 and 0.89, respectively. Temperature and its variability seemed to be protective overall. Conclusions Our research highlights the significant influence of environmental factors on cardiovascular health, especially air pressure and humidity, beyond the known factors such as smoking and alcohol consumption. These findings suggest the need for comprehensive public health strategies that address both environmental and lifestyle risk factors to effectively reduce the burden of cardiovascular diseases. |
| format | Article |
| id | doaj-art-34f40e2f23604d2b847ad9f2af78fa49 |
| institution | DOAJ |
| issn | 2055-5822 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj-art-34f40e2f23604d2b847ad9f2af78fa492025-08-20T03:17:13ZengWileyESC Heart Failure2055-58222025-02-0112140140710.1002/ehf2.14976Association of environmental and behavioural factors with cardiovascular disease mortalityBahadır Açıktepe0Sevval Nil Esirgun1Mehmet Kocak2International School of Medicine Istanbul Medipol University Istanbul TurkeyInternational School of Medicine Istanbul Medipol University Istanbul TurkeyInternational School of Medicine Istanbul Medipol University Istanbul TurkeyAbstract Aims Recognizing the rising concern of environmental impacts on health, the study aims to explore how specific environmental factors such as air pollution, humidity, and temperature variations contribute to the prevalence of cardiovascular disease (CVD) mortality, emphasizing the role of air quality, climate variables, and lifestyle factors in the disease mortality specifically. Methods and results Analysis of province‐level data on CVD mortality in Turkey from 2010 to 2019, assessing the correlations with environmental and lifestyle factors like particulate matter, sulfur dioxide, meteorological variables, and smoking and alcohol consumption. The study employs the SAS TRAJ procedure and Ordinal Logistic Regression for statistical analysis. The multiplicity correction was done through Benjamini–Hoechberg false discovery rate (FDR) approach. As expected, both smoking and alcohol consumption were found to be significantly associated with CVD mortality (odds ratio (OR): 1.10, 95% CI: 1.08, 1.11, P‐value < 0.0001). While median Air Pressure and Humidity were among the most significant markers with OR of 1.10 indicating an increasing CVD mortality, their variability metrics such as coefficient of variation (CV) showed significant protective effects with OR of 0.37 and 0.89, respectively. Temperature and its variability seemed to be protective overall. Conclusions Our research highlights the significant influence of environmental factors on cardiovascular health, especially air pressure and humidity, beyond the known factors such as smoking and alcohol consumption. These findings suggest the need for comprehensive public health strategies that address both environmental and lifestyle risk factors to effectively reduce the burden of cardiovascular diseases.https://doi.org/10.1002/ehf2.14976Air pollutionCardiovascular diseasesCVD mortalityEnvironmental markersEpidemiologyPublic health |
| spellingShingle | Bahadır Açıktepe Sevval Nil Esirgun Mehmet Kocak Association of environmental and behavioural factors with cardiovascular disease mortality ESC Heart Failure Air pollution Cardiovascular diseases CVD mortality Environmental markers Epidemiology Public health |
| title | Association of environmental and behavioural factors with cardiovascular disease mortality |
| title_full | Association of environmental and behavioural factors with cardiovascular disease mortality |
| title_fullStr | Association of environmental and behavioural factors with cardiovascular disease mortality |
| title_full_unstemmed | Association of environmental and behavioural factors with cardiovascular disease mortality |
| title_short | Association of environmental and behavioural factors with cardiovascular disease mortality |
| title_sort | association of environmental and behavioural factors with cardiovascular disease mortality |
| topic | Air pollution Cardiovascular diseases CVD mortality Environmental markers Epidemiology Public health |
| url | https://doi.org/10.1002/ehf2.14976 |
| work_keys_str_mv | AT bahadıracıktepe associationofenvironmentalandbehaviouralfactorswithcardiovasculardiseasemortality AT sevvalnilesirgun associationofenvironmentalandbehaviouralfactorswithcardiovasculardiseasemortality AT mehmetkocak associationofenvironmentalandbehaviouralfactorswithcardiovasculardiseasemortality |