title: Air pollution and diastolic function in elderly women - Results from the SALIA study cohort.
abstract: Studies linking particulate matter (PM) with heart failure (HF) show inconsistent results. However, the association of air pollution with diastolic function, an important determinant of heart failure, has not been studied yet and is addressed in the presented study.
  
  
  
  402 women (69-79 years) of the clinical follow-up (2007-2010) of the ongoing population-based prospective SALIA (Study on the influence of Air pollution on Lung function, Inflammation and Ageing) cohort were examined using Doppler echocardiography: Of the 291 women with preserved ejection fraction, the ratio of peak early diastolic filling velocity and peak early diastolic mitral annulus velocity (E/E') was collected in 264 and left atrial volume index (LAVI) in 262 women. Residential long-term air pollution exposure (nitrogen oxides, size-fractioned PM) was modeled at baseline and at follow-up, applying land use regression models. We used linear regression to model the cross-sectional associations of air pollutants per interquartile range (IQR) with different measures of diastolic function, adjusting for personal risk factors.
  
  
  
  Median concentrations of annual NOx, NO2, PM2.5, and PM10 at follow-up were 37.7, 25.9, 17.4 and 26.4μg/m(3), respectively. In the fully adjusted models, LAVI was associated with an IQR increase in PM2.5 (1.05 [0.99; 1.12]) and NOx (1.04 [1.00; 1.09]) at follow-up, and with NOx and NO2 (both 1.05 [1.00; 1.11]) at baseline. None of the pollutants were clearly associated with E/E'.
  
  
  
  In this analysis of elderly women, we found suggestive evidence for an association of air pollution with impaired diastolic function.
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany. Electronic address: simone.ohlwein@IUF-duesseldorf.de.
authors.forename: Simone
authors.initials: S
authors.lastname: Ohlwein
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Claudia
authors.initials: C
authors.lastname: Klümper
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Vossoughi
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Dorothea
authors.initials: D
authors.lastname: Sugiri
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Stolz
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Andrea
authors.initials: A
authors.lastname: Vierkötter
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Tamara
authors.initials: T
authors.lastname: Schikowski
authors.affiliation: Department of Cardiology, West-German Heart Center Essen, University of Duisburg-Essen, Germany.
authors.forename: Kaffer
authors.initials: K
authors.lastname: Kara
authors.affiliation: Medizinische II (Kardiologie & Angiologie), Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr-Universität Bochum, Bochum, Germany.
authors.forename: Alfried
authors.initials: A
authors.lastname: Germing
authors.affiliation: IUTA - Institute of Energy and Environmental Technology, Duisburg, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Quass
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany.
authors.forename: Ursula
authors.initials: U
authors.lastname: Krämer
authors.affiliation: IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Auf'm Hennekamp 50, 40225 Düsseldorf, Germany; Heinrich-Heine University, Medical Faculty, Deanery of Medicine, Düsseldorf, Germany.
authors.forename: Barbara
authors.initials: B
authors.lastname: Hoffmann
mesh_terms: D000368:Aged; D000393:Air Pollutants / Q000032:analysis / Q000633:toxicity; D000397:Air Pollution / Q000009:adverse effects* / Q000032:analysis; D001794:Blood Pressure / Q000187:drug effects*; D003430:Cross-Sectional Studies; D015150:Echocardiography, Doppler; D004784:Environmental Monitoring; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D009589:Nitrogen Oxides / Q000032:analysis / Q000633:toxicity; D052638:Particulate Matter / Q000032:analysis / Q000633:toxicity
chemical_list: D000393:Air Pollutants; D009589:Nitrogen Oxides; D052638:Particulate Matter
keywords: Air pollution; Cohort study; Diastolic function; Epidemiology; Heart failure with preserved ejection fraction; Particulate matter