Air pollution and diastolic function in elderly women - Results from the SALIA study cohort

Background Studies linking particulate matter (PM) with heart failure (HF) show inconsistent results. However, the association of air pollution with diastolic function, an important determinant of heart failure, has not been studied yet and is addressed in the presented study. Methods 402 women (69–79 years) of the clinical follow-up (2007–2010) of the ongoing population-based prospective SALIA (Study on the influence of Air pollution on Lung function, Inflammation and Ageing) cohort were examined using Doppler echocardiography: Of the 291 women with preserved ejection fraction, the ratio of peak early diastolic filling velocity and peak early diastolic mitral annulus velocity ( E / E ′) was collected in 264 and left atrial volume index (LAVI) in 262 women. Residential long-term air pollution exposure (nitrogen oxides, size-fractioned PM) was modeled at baseline and at follow-up, applying land use regression models. We used linear regression to model the cross-sectional associations of air pollutants per interquartile range (IQR) with different measures of diastolic function, adjusting for personal risk factors. Results Median concentrations of annual NO x , NO 2 , PM 2.5 , and PM 10 at follow-up were 37.7, 25.9, 17.4 and 26.4 μg/m 3 , respectively. In the fully adjusted models, LAVI was associated with an IQR increase in PM 2.5 (1.05 [0.99; 1.12]) and NO x (1.04 [1.00; 1.09]) at follow-up, and with NO x and NO 2 (both 1.05 [1.00; 1.11]) at baseline. None of the pollutants were clearly associated with E / E ′. Conclusions In this analysis of elderly women, we found suggestive evidence for an association of air pollution with impaired diastolic function.