Air
Pollution May Cause
Later Heart Disease
Excerpt by Neil Sherman, HealthScoutNews
(HealthScoutNews)
-- Air pollution may be damping the heartbeat enough -- even in
young, healthy men -- to pave the way for heart disease later
on, a new study suggests.
Air pollution
changed the heart rates of healthy young men whose job sites were
filled with dirty air, researchers say. But don't change occupations
just yet. The researchers say more study is necessary to prove
a connection between breathing polluted air and heart disease
later in life.
"The
reason for this study is that there have been community-based
epidemiological studies that had linked pollution to cardiac death
in the elderly. But nobody had looked at pollution and its effects
on young, healthy people," says Dr. David Christiani, professor
of occupational medicine and epidemiology at Harvard University's
School of Public Health in Boston, Mass.
Christiani
and his colleagues outfitted each of 40 male boilermakers and
their apprentices with an air pollution-measuring device that
scans for particles 2.5 micrograms or less in diameter. That's
the size of ash and fossil fuel particulates that previous studies
indicated was linked to increased heart disease, say the researchers.
The men, all
about age 38, also wore monitors to record changes in heart rate.
Christiani
says, "These were a good group of men to study because they
were young and strapping, and they are also exposed on a regular
basis to a varied level of fossil fuel particulates in the air."
Christiani
says, "The central finding looked at a fairly simple outcome
called heart rate variability. The heart rate varies quite a bit
from minute to minute. You're sitting, standing, typing, breathing,
emoting and your heart responds accordingly. And that's an important
measure of health. So a decrease in that variability is a problem."
Variability
also is a marker for heart disease in older people, he says.
And those
"young, and strapping men" had a problem. Their normal
heart rate variability, sampled every five minutes, decreased
2.6 percent for every milligram per cubic meter increase of the
particulates, Christiani reports.
"So now
what we have are two pieces of the puzzle -- lowered [heart rate]
variability with established heart disease, and lowered variability
in healthy people," Christiani says. "So the question
is: Is exposure to particulates of this particular size and its
subsequent decrease in heart variability related to heart disease?"
"That's
something we need more research on," he says.
The findings
appear in the latest issue of Circulation: Journal of the American
Heart Association.
The American
Heart Association says air pollution's poisonous chemicals can
increase blood clotting, damage arteries and promote atherosclerosis,
the buildup of fatty deposits in blood vessels. Pollutants also
can damage the lungs, reducing the blood's ability to carry oxygen.
"What's
being studied here is the non-voluntary part of the nervous system
that controls heartbeat and all sorts of other bodily functions,
like breathing," says Dr. Russell Luepker, head of epidemiology
at the University of Minnesota in Minneapolis. "We do know
that heart rate variability is a window into these non-voluntary
parts of the nervous system known as autonomic function."
"Still,
it's a long way from saying these men are getting heart disease
from working in this environment. It's a hint -- a big hint --
but it's no firm evidence. It's still a long way from a causal
relationship."
Christiani
says, "We're continuing to research this. We've received
funding from the National Institutes of Health, and we're going
to follow up on this," he says.
What To
Do: For more information on the possible link between air
pollution and heart disease, see the
American Heart Association or Boston's
Beth Israel Deaconess Medical Center.
Reference
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