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Association between Short-Term Exposure to Ozone and Heart Rate Variability: A Systematic Review and Meta-Analysis

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  • Zhiqiang Zong

    (Department of Clinical Medicine, The Second School of Clinical Medicine, Anhui Medical University, 81 Meishan Road, Hefei 230032, China)

  • Mengyue Zhang

    (Department of Clinical Medicine, The Second School of Clinical Medicine, Anhui Medical University, 81 Meishan Road, Hefei 230032, China)

  • Kexin Xu

    (Department of Clinical Medicine, The Second School of Clinical Medicine, Anhui Medical University, 81 Meishan Road, Hefei 230032, China)

  • Yunquan Zhang

    (School of Public Health, Wuhan University of Science and Technology, Wuhan 430065, China)

  • Chengyang Hu

    (Department of Humanistic Medicine, School of Humanistic Medicine, Anhui Medical University, 81 Meishan Road, Hefei 230032, China
    Department of Epidemiology and Biostatistics, School of Public health, Anhui Medical University, 81 Meishan Road, Hefei 230032, China)

Abstract

At present, ambient air pollution poses a significant threat to patients with cardiovascular disease (CVD). The heart rate variability (HRV) is a marker of the cardiac autonomic nervous system, and it is related to air pollution and cardiovascular disease. There is, however, considerable disagreement in the literature regarding the association between ozone (O 3 ) and HRV. To further investigate the effects of short-term exposure to O 3 on HRV, we conducted the first meta-analysis of relevant studies. The percentage change of HRV indicator(s) is the effect estimate extracted for the quantitative analysis in this study. In our meta-analysis, per 10 ppb increase in O 3 was significantly associated with decreases in the time-domain measurements, for standard deviation of the normal-to-normal (NN) interval (SDNN) −1.11% (95%CI: −1.35%, −0.87%) and for root mean square of successive differences (RMSSD) −3.26% (95%CI: −5.42%, −1.09%); in the frequency-domain measurements, for high frequency (HF) −3.01% (95%CI: −4.66%, −1.35%) and for low frequency (LF) −2.14% (95%CI: −3.83%, −0.45%). This study showed short-term exposure to O 3 was associated with reduced HRV indicators in adults, which suggested that the cardiac autonomic nervous system might be affected after O 3 exposure, contributing to the association between O 3 exposure and CVD risk.

Suggested Citation

  • Zhiqiang Zong & Mengyue Zhang & Kexin Xu & Yunquan Zhang & Chengyang Hu, 2022. "Association between Short-Term Exposure to Ozone and Heart Rate Variability: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(18), pages 1-17, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11186-:d:908008
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    References listed on IDEAS

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    1. Yana Jin & Henrik Andersson & Shiqiu Zhang, 2016. "Air Pollution Control Policies in China: A Retrospective and Prospects," IJERPH, MDPI, vol. 13(12), pages 1-22, December.
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