title: The influence of air pollution on cardiovascular and pulmonary function and exercise capacity: Canadian Health Measures Survey (CHMS).
abstract: BACKGROUND
  Air pollution has been associated with adverse cardiovascular effects.
  
  
  OBJECTIVE
  To measure the association between air pollution, spirometry, blood pressure, and exercise capacity.
  
  
  METHODS
  We used data from 5604 subjects collected during the Canada Health Measures Survey to test the association between air pollution measured on the day of the survey and spirometry (n=5011 subjects), blood pressure, and exercise capacity (n=3789 subjects).
  
  
  RESULTS
  An interquartile range (IQR) increase in ozone (17.0 ppb) was significantly associated with a 0.883% higher resting heart rate, a 0.718% higher systolic and 0.407% higher diastolic blood pressure, a 0.393% lower FEV1/FVC expressed as a percentage of predicted, and a 1.52% reduction in the aerobic fitness score (p<0.05). Resting systolic and diastolic blood pressure were approximately 0.5 mmHg higher for an (IQR 4.5 μg/m3) increase in PM2.5 (IQR 4.5 μg/m3) and 1 mmHg higher for a 12.6 ppb increase in NO2 (IQR 12.6 ppb). An increase in PM2.5 was also associated with an approximate 0.4% decrease in percent predicted FEV1 and FVC (p<0.05).
  
  
  CONCLUSIONS
  Exposure to higher concentrations of air pollution was associated with higher resting blood pressure and lower ventilatory function. Ozone was associated with reduced exercise capacity.
authors: Biostatistics Section, Biostatistics and Epidemiology Division, Environmental Health Science & Research Bureau, Health Canada, 50 Columbine Driveway, Ottawa, ON, Canada K1A 0K9. sabit_cakmak@hc-sc.gc.ca
authors: Sabit
authors: S
authors: Cakmak
authors: Robert
authors: R
authors: Dales
authors: Judith
authors: J
authors: Leech
authors: Ling
authors: L
authors: Liu
mesh_terms: D000397:Air Pollution; D002170:Canada; D015444:Exercise; D006334:Heart Function Tests; D006801:Humans; D012129:Respiratory Function Tests