Why the study?
The health effects of urbanization remain controversial, and its association with reversible subclinical cardiovascular risks like ECG abnormalities has rarely been studied.
Does urbanization reduce the risk of electrocardiogram abnormalities in Chinese adults?
Does urbanization reduce the risk of electrocardiogram abnormalities in Chinese adults?
Increased urbanization in China is associated with a reduced risk of subclinical ECG abnormalities, exhibiting a U-shaped nonlinear exposure-response relationship.
Answers are grounded in this paper and cite their sources.
Higher urbanization linked to fewer ECG abnormalities; supports hypothesis-generating research on urban exposures but should not yet change practice.
The health effects of urbanization are controversial. The association between urbanization and reversible subclinical risks of cardiovascular diseases (e.g., electrocardiogram (ECG) abnormalities) has rarely been studied. This study aimed to assess the association between urbanization and ECG abnormalities in China based on the China National Stroke Screening Survey (CNSSS). We used changes in the satellite-measured impervious surfaces rate and nighttime light data to assess the level of urbanization. Every interquartile increment in the impervious surfaces rate or nighttime light was related to a decreased risk of ECG abnormalities, with odds ratios of 0.894 (95% CI, 0.869-0.920) or 0.809 (95% CI, 0.772-0.847), respectively. And we observed a U-shaped nonlinear exposure-response relationship curve between the impervious surfaces rate and ECG abnormalities. In conclusion, the current average level of urbanization among the studied Chinese adults remains a beneficial factor for reducing cardiovascular risks.
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Mi et al. (2024) studied this question.
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