Indoor air pollution from solid fuels and hypertension: A systematic review and meta-analysis

Lanyu Li; Aiming Yang; Xiaotao He; Jiangtao Liu; Yueling Ma; Jingping Niu; Bin Luo

doi:10.1016/j.envpol.2020.113914

Indoor air pollution from solid fuels and hypertension: A systematic review and meta-analysis

Environ Pollut. 2020 Apr:259:113914. doi: 10.1016/j.envpol.2020.113914. Epub 2020 Jan 7.

Authors

Lanyu Li¹, Aiming Yang², Xiaotao He¹, Jiangtao Liu¹, Yueling Ma¹, Jingping Niu¹, Bin Luo³

Affiliations

¹ Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China.
² Hong Kong Institute of Diabetes and Obesity, The Chinese University of Hong Kong, Hong Kong, China.
³ Institute of Occupational Health and Environmental Health, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China; Shanghai Key Laboratory of Meteorology and Health, Shanghai, 200030, People's Republic of China. Electronic address: luob@lzu.edu.cn.

PMID: 31935611
DOI: 10.1016/j.envpol.2020.113914

Abstract

Cardiovascular diseases (CVD) are leading global health issue. More studies have linked indoor air pollution from solid fuel usage to hypertension risk, a leading risk factor for CVD. We conducted a systematic review and meta-analysis of observational studies assessing the relationship of indoor air pollution from solid fuel with hypertension risk. Using a protocol standardized a priori, two independent reviewers searched PubMed, the Cochrane Library, Ovid MEDLINE, Web of Science and EMBASE for available studies published before Dec.1, 2019. A random effects model was used to analyse the pooled results. Out of 3740 articles, 47 were reviewed in depth and 11 contributing to this meta-analysis. The use of household solid fuel was significantly associated with an increased risk of hypertension (OR = 1.52, 95% CI = 1.26 to 1.85). The smoking-controlled group (OR = 2.38, 95% CI = 1.58 to 3.60) had greater effect size of hypertension than the uncontrolled group (OR = 1.11, 95% CI = 1.10 to 1.11). These findings implicate that indoor air pollution from solid fuel may be an important risk factor for hypertension.

Keywords: Hypertension; Indoor air pollution; Meta-analysis; Review; Solid fuel.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Air Pollution, Indoor*
Cooking*
Environmental Exposure / statistics & numerical data*
Family Characteristics
Humans
Hypertension / epidemiology*
Risk Factors