Environmental Pollution

Weather and deprivation jointly linked to cardiovascular risk

Low temperature with high deprivation was linked to higher cardiovascular risk than the joint low-risk reference group, with a hazard ratio of 1.55.

Graphical abstract from Environmental Pollution
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Graphical abstract. Cheng et al.
Cohort study of 469,347 UK Biobank participants, against joint low-risk reference groupPopulations

Limit: The temperature association did not persist in comparisons within assessment centers

Follow

Among 469,347 UK Biobank participants, a prospective observational study examined one-year average outdoor temperature, humidity and socioeconomic deprivation—social and economic disadvantage. Researchers recorded 31,626 major cardiovascular events over a median follow-up of 13.7 years.

Higher temperatures were independently linked to lower cardiovascular risk. Higher humidity and greater deprivation were each linked to higher risk. The researchers also examined combinations: compared with the joint low-risk reference group, low temperature with high deprivation had a hazard ratio of 1.55. High humidity with high deprivation had a hazard ratio of 1.51. Hazard ratios compare event rates over follow-up; values above 1 indicate higher rates. The deprivation association held across all analyses that tested alternative ways of analyzing the data.

Why it matters

Cardiovascular disease is an age-related health concern. The findings support considering environmental conditions and social welfare together in efforts to address cardiovascular health disparities.

Caveats

This observational study cannot establish cause and effect. The temperature association did not persist in comparisons within assessment centers, and the humidity association did not persist when the analysis allowed exposures to vary over time.