The association between air pollution and blood pressure in traffic controllers in Santo André, São Paulo, Brazil

Chiarelli, Paulo Sérgio; Pereira, Luiz Alberto Amador; Saldiva, Paulo; Ferreira, Celso; Garcia, Maria Lúcia Bueno; Braga, Alfésio Luı́s Ferreira; Martins, Lourdes Conceição

doi:10.1016/j.envres.2011.04.007

Cited by 57 publications

(40 citation statements)

References 35 publications

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“…Entre os demais artigos, cinco estudos 8,11,[24][25][26] também evidenciaram associação entre o fator de risco ocupacional analisado e a hipertensão. Trata-se de um total de seis artigos 8,11,[24][25][26][27] sobre outros fatores de riscos ocupacionais, com a seguinte distribuição: tempo de trabalho (dois), solventes (um), poluição do ar (um) e uso de medicamentos para inibir o sono (um).…”

Section: Outrosunclassified

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Hipertensão arterial e trabalho: fatores de risco

Andrade¹

2016

Rev. Bras. Med. Trab.

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Fonte de financiamento: nenhuma REVISÃO DE LITERATURA RESUMO | Contexto: A hipertensão arterial sistêmica (HAS) constitui um dos principais problemas de saúde pública da atualidade. Sabe-se que a etiologia da HAS é multifatorial. Com relação aos fatores associados ao desenvolvimento dessa patologia, tem-se discutido na literatura a exposição a fatores ocupacionais como um risco independente para o desenvolvimento de hipertensão. Objetivos: Este estudo teve por objetivo realizar uma revisão de literatura sobre fatores ocupacionais e hipertensão arterial sistê-mica. Métodos: Uma consulta de artigos selecionados publicados num período de cinco anos (2008-2012) nas principais bases de dados eletrônicas: SciELO, MEDLINE e LILACS. Resultados: Dentre os fatores ocupacionais analisados, o ruído se destacou como possivelmente associado à hipertensão arterial, seguido de trabalho em turnos. Conclusão: Apesar de os resultados apontarem ruído e trabalho em turnos como fatores possivelmente associados à hipertensão arterial, são necessários mais estudos sobre o tema -HAS e fatores ocupacionais -para ampliar a compreensão dessa problemática. Palavras-chave | hipertensão; saúde do trabalhador; fatores de risco. ABSTRACT | Context:Systemic arterial hypertension (SAH) is one of the main public health issues in our time. The etiology of SAH is known to be multifactorial. Regarding the factors associated with the development of this condition, literature has discussed the exposure to occupational factors as an independent risk for the development of hypertension. Objectives: This study aimed at conducting a literature review about occupational factors and systemic arterial hypertension. Methods: A search for papers published in a five-year period (2008)(2009)(2010)(2011)(2012) was carried out in the main electronic databases: SciELO, MEDLINE, and LILACS. Results: Among the occupational factors analyzed, noise stood out as being possibly associated with arterial hypertension, followed by working shifts. Conclusion: Even though the results indicate noise and working shifts as factors that are possibly associated with arterial hypertension, further studies about the subject are required -SAH and occupational factors -to improve the understanding of this theme.

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Section: Outrosunclassified

“…Trata-se de um total de seis artigos 8,11,[24][25][26][27] sobre outros fatores de riscos ocupacionais, com a seguinte distribuição: tempo de trabalho (dois), solventes (um), poluição do ar (um) e uso de medicamentos para inibir o sono (um).…”

Section: Outrosunclassified

Hipertensão arterial e trabalho: fatores de risco

Andrade¹

2016

Rev. Bras. Med. Trab.

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“…Gouveia et al 12 observed an association between atmospheric pollution and an increase in hospitalizations due to circulatory diseases in the metropolitan area of São Paulo, Brazil. Recent studies also found that changes in blood pressure were associated with exposure to air pollution 13,14,15 . Currently, acute myocardial infarction and cerebrovascular disease are the main causes of death in Brazil 16 .…”

Section: Introductionmentioning

confidence: 99%

Circulatory disease mortality rates in the elderly and exposure to PM2.5 generated by biomass burning in the Brazilian Amazon in 2005

2013

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“…11-13 This has also been described among urban roadway law enforcement officers in Brazil. 14 In conclusion, location matters because it provides the walkability conditions for leisure-time physical activity, but walking to go to work might be deleterious in Brazilian cities, perhaps because this increases the exposure to air pollutants.…”

Section: Data From the Brazilian Longitudinal Study Of Adult Health (mentioning

confidence: 99%

Green areas, clean air and cardiovascular health in the city of São Paulo

Lotufo

2017

Sao Paulo Med. J.

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This year of 2017 is the inaugural term for most mayors in Brazilian cities, including Mr. João Doria, in the largest city of Brazil, São Paulo. During the electoral period, debate on healthcare issues focused on access, either to medical care or to high-cost examinations. Mr. Doria prioritized access at primary healthcare units, so that people could undergo imaging examinations during the night with the claim of "no queues for examinations"! Mr. Doria's proposal was driven by marketers and not by a serious evaluation of health determinants.Considering that cardiovascular diseases are the leading cause of death in São Paulo, and most frequently among people living in the poorest districts, 1,2 we have a question: How will Mr.Doria remedy the high and unequal burden of cardiovascular diseases? Will this be achieved through greater access to echocardiography, angiography, nuclear medicine etc.?Absolutely not. This goal is more likely to be achieved through actions to improve and support cardiovascular health outside of the Health Department. Specifically, the mayor should look towards the Parks & Green Areas and Transportation Departments. We have enough evidence to advocate that increasing the green areas of the city and exchanging diesel-fueled buses for vehicles equipped with cleaner engines will have an impact on the burden of heart diseases and stroke that will benefit all the citizens of this city.Our proposal is not presumptuous. Rather, it results from knowledge coming from contemporary research on cardiovascular epidemiology, including data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). 3 The focus within cardiological preventive actions is shifting from only identifying lifestyle and genetic factors that predispose towards high incidence and lethality of cardiovascular diseases, to a more open view of the meaning of risk factors for a population, and not just for individuals. 4 Air pollution, noise and physical inactivity may be consequences of the geography of cities, with long distances from home to work that place strain on accessing education, shopping and leisure activities. 5 Data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)ELSA-Brasil is a cohort of 15,105 men and women living in six large cities of Brazil: São Paulo, Rio de Janeiro, Salvador, Belo Horizonte, Porto Alegre and Vitória. 3 It has investigated the association between the subjects' self-perception of the opportunities for physical activity in their neighborhoods (by applying the "walking environment" scales that were originally used in the Multi-Ethnic Study of Atherosclerosis) and their frequency of leisure-time physical activity (LTPA), through the International Physical Activity Questionnaire. The result was that perception that the neighborhood was more walkable was positively associated with engaging in LTPA and doing so for longer periods per week. Compared with subjects who saw their community as less walkable, those who perceived it as more walkable had a 70% greater chance of engagi...

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The association between air pollution and blood pressure in traffic controllers in Santo André, São Paulo, Brazil

Cited by 57 publications

References 35 publications

Hipertensão arterial e trabalho: fatores de risco

Hipertensão arterial e trabalho: fatores de risco

Circulatory disease mortality rates in the elderly and exposure to PM2.5 generated by biomass burning in the Brazilian Amazon in 2005

Green areas, clean air and cardiovascular health in the city of São Paulo

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