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Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh

Background: We assessed the association of groundwater chemicals with systolic blood pressure (SBP) and diastolic blood pressure (DBP). Methods: Blood pressure data for ≥35-year-olds were from the Bangladesh Demographic and Health Survey in 2011. Groundwater chemicals in 3534 well water samples from...

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Autores principales: Naser, Abu Mohd, Clasen, Thomas F., Luby, Stephen P., Rahman, Mahbubur, Unicomb, Leanne, Ahmed, Kazi M., Doza, Solaiman, Ourshalimian, Shadassa, Chang, Howard H., Stowell, Jennifer D., Narayan, K. M. Venkat, Shamsudduha, Mohammad, Patel, Shivani A., O’Shea, Bethany, Gribble, Matthew O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651438/
https://www.ncbi.nlm.nih.gov/pubmed/31261639
http://dx.doi.org/10.3390/ijerph16132289
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author Naser, Abu Mohd
Clasen, Thomas F.
Luby, Stephen P.
Rahman, Mahbubur
Unicomb, Leanne
Ahmed, Kazi M.
Doza, Solaiman
Ourshalimian, Shadassa
Chang, Howard H.
Stowell, Jennifer D.
Narayan, K. M. Venkat
Shamsudduha, Mohammad
Patel, Shivani A.
O’Shea, Bethany
Gribble, Matthew O.
author_facet Naser, Abu Mohd
Clasen, Thomas F.
Luby, Stephen P.
Rahman, Mahbubur
Unicomb, Leanne
Ahmed, Kazi M.
Doza, Solaiman
Ourshalimian, Shadassa
Chang, Howard H.
Stowell, Jennifer D.
Narayan, K. M. Venkat
Shamsudduha, Mohammad
Patel, Shivani A.
O’Shea, Bethany
Gribble, Matthew O.
author_sort Naser, Abu Mohd
collection PubMed
description Background: We assessed the association of groundwater chemicals with systolic blood pressure (SBP) and diastolic blood pressure (DBP). Methods: Blood pressure data for ≥35-year-olds were from the Bangladesh Demographic and Health Survey in 2011. Groundwater chemicals in 3534 well water samples from Bangladesh were measured by the British Geological Survey (BGS) in 1998–1999. Participants who reported groundwater as their primary source of drinking water were assigned chemical measures from the nearest BGS well. Survey-adjusted linear regression methods were used to assess the association of each groundwater chemical with the log-transformed blood pressure of the participants. Models were adjusted for age, sex, body mass index, smoking status, geographical region, household wealth, rural or urban residence, and educational attainment, and further adjusted for all other groundwater chemicals. Results: One standard deviation (SD) increase in groundwater magnesium was associated with a 0.992 (95% confidence interval (CI): 0.986, 0.998) geometric mean ratio (GMR) of SBP and a 0.991 (95% CI: 0.985, 0.996) GMR of DBP when adjusted for covariates except groundwater chemicals. When additionally adjusted for groundwater chemicals, one SD increase in groundwater magnesium was associated with a 0.984 (95% CI: 0.972, 0.997) GMR of SBP and a 0.990 (95% CI: 0.979, 1.000) GMR of DBP. However, associations were attenuated following Bonferroni-correction for multiple chemical comparisons in the full-adjusted model. Groundwater concentrations of calcium, potassium, silicon, sulfate, barium, zinc, manganese, and iron were not associated with SBP or DBP in the full-adjusted models. Conclusions: Groundwater magnesium had a weak association with lower SBP and DBP of the participants.
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spelling pubmed-66514382019-08-08 Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh Naser, Abu Mohd Clasen, Thomas F. Luby, Stephen P. Rahman, Mahbubur Unicomb, Leanne Ahmed, Kazi M. Doza, Solaiman Ourshalimian, Shadassa Chang, Howard H. Stowell, Jennifer D. Narayan, K. M. Venkat Shamsudduha, Mohammad Patel, Shivani A. O’Shea, Bethany Gribble, Matthew O. Int J Environ Res Public Health Article Background: We assessed the association of groundwater chemicals with systolic blood pressure (SBP) and diastolic blood pressure (DBP). Methods: Blood pressure data for ≥35-year-olds were from the Bangladesh Demographic and Health Survey in 2011. Groundwater chemicals in 3534 well water samples from Bangladesh were measured by the British Geological Survey (BGS) in 1998–1999. Participants who reported groundwater as their primary source of drinking water were assigned chemical measures from the nearest BGS well. Survey-adjusted linear regression methods were used to assess the association of each groundwater chemical with the log-transformed blood pressure of the participants. Models were adjusted for age, sex, body mass index, smoking status, geographical region, household wealth, rural or urban residence, and educational attainment, and further adjusted for all other groundwater chemicals. Results: One standard deviation (SD) increase in groundwater magnesium was associated with a 0.992 (95% confidence interval (CI): 0.986, 0.998) geometric mean ratio (GMR) of SBP and a 0.991 (95% CI: 0.985, 0.996) GMR of DBP when adjusted for covariates except groundwater chemicals. When additionally adjusted for groundwater chemicals, one SD increase in groundwater magnesium was associated with a 0.984 (95% CI: 0.972, 0.997) GMR of SBP and a 0.990 (95% CI: 0.979, 1.000) GMR of DBP. However, associations were attenuated following Bonferroni-correction for multiple chemical comparisons in the full-adjusted model. Groundwater concentrations of calcium, potassium, silicon, sulfate, barium, zinc, manganese, and iron were not associated with SBP or DBP in the full-adjusted models. Conclusions: Groundwater magnesium had a weak association with lower SBP and DBP of the participants. MDPI 2019-06-28 2019-07 /pmc/articles/PMC6651438/ /pubmed/31261639 http://dx.doi.org/10.3390/ijerph16132289 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Naser, Abu Mohd
Clasen, Thomas F.
Luby, Stephen P.
Rahman, Mahbubur
Unicomb, Leanne
Ahmed, Kazi M.
Doza, Solaiman
Ourshalimian, Shadassa
Chang, Howard H.
Stowell, Jennifer D.
Narayan, K. M. Venkat
Shamsudduha, Mohammad
Patel, Shivani A.
O’Shea, Bethany
Gribble, Matthew O.
Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title_full Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title_fullStr Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title_full_unstemmed Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title_short Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh
title_sort groundwater chemistry and blood pressure: a cross-sectional study in bangladesh
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6651438/
https://www.ncbi.nlm.nih.gov/pubmed/31261639
http://dx.doi.org/10.3390/ijerph16132289
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