Publications by authors named "Haidong Kan"

Fine particulate matter has been linked with acute coronary syndrome. Nevertheless, the key constituents remain unclear. Here, we conduct a nationwide case-crossover study in China during 2015-2021 to quantify the associations between fine particulate matter constituents (organic matter, black carbon, nitrate, sulfate, and ammonium) and acute coronary syndrome, and to identify the critical contributors.

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Background: We aimed to assess associations between black carbon (BC) and non-accidental mortality among advance-aged adults in China.

Methods: We conducted a prospective cohort study in 22 provinces of Chinese Longitudinal Healthy Longevity Survey. We calculated concentrations of 3-year average BC, fine particulate matter (PM2.

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The COVID-19 pandemic has underscored the importance of indoor environmental management in transportation hubs, which are critical for pathogen transmission due to high foot traffic. However, research has primarily focused on subways, with limited studies on train stations. In this study, samples were collected at the Shanghai Hongqiao Railway Station in winter, spring, and summer.

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Background: Air pollution is a potential risk factor for kidney disease; however, the impact on kidney failure exacerbation is underexplored. This study assessed the short-term effects of air pollution on hospitalization for kidney failure exacerbation.

Methods: This nationwide, time-stratified, case-crossover study included 45,249 hospitalized patients with kidney failure from 153 hospitals in 20 Chinese provinces between 2013 and 2020.

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Background: Epidemiological studies have demonstrated a causal relationship between ambient ozone (O 3 ) and mortality from chronic obstructive pulmonary disease (COPD), which is the only outcome considered in the Global Burden of Disease Study 2021 for O 3 . This study aims to evaluate the temporal trend and spatial distribution of the COPD burden attributable to O 3 across China from 1990 to 2021.

Methods: The ambient O 3 concentrations in China were estimated.

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Article Synopsis
  • Ambient PM pollution in China poses serious health risks, despite recent declines in overall PM concentrations; understanding of chemical constituents remains limited due to inadequate monitoring.
  • A Super Learner model using satellite data and other information predicts daily organic carbon (OC) concentrations with high accuracy, revealing elevated levels in Northern China from industrial activities and contributions from forest fires in Yunnan.
  • From 2003 to 2019, national OC levels declined by 1.3% annually, with regional variations, and the OC/EC ratio analysis indicated different pollution sources in urban versus rural areas, highlighting the effectiveness of air quality policies post-2013.
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Background: Little evidence is available on the long-term health effects of nitrogen dioxide (NO) in low-income and middle-income populations. We investigated the associations of long-term NO exposure with the incidence of a wide spectrum of disease outcomes, based on data from the China Kadoorie Biobank.

Methods: This prospective cohort study involved 512 724 Chinese adults aged 30-79 years recruited from ten areas of China during 2004-08.

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Importance: Particulate matter exposure has been linked to impaired respiratory health in children, but the respiratory benefits of air purification have not been fully elucidated.

Objectives: To assess the respiratory health outcomes among children exposed to multisetting air purification vs sham purification.

Design, Setting, And Participants: This cluster randomized, double-blind, crossover trial was conducted among healthy school-aged children (10-12 years) in China from April to December 2021.

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Article Synopsis
  • Maternal exposure to particulate matter (PM) may disrupt metabolic processes, particularly glucose and lipid metabolism, in offspring on a high-fat diet (HFD), but the effects could vary by gender.
  • In a study, female mice exposed to PM before and during pregnancy showed that their female offspring developed glucose intolerance and insulin resistance on an HFD, while males did not.
  • Analysis revealed liver issues in female offspring, including altered structure and impaired function, suggesting that prenatal PM exposure negatively impacts their metabolism and highlights the liver's role in these gender-specific effects.
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(1) Objective: This study investigated the relationship between long-term particulate matter (PM) exposure and optic disc parameters-vertical cup-to-disc ratio (vCDR), vertical optic disc diameter (vDD), and vertical optic cup diameter (vCD)-in patients with type 2 diabetes mellitus (T2DM). (2) Methods: A cross-sectional analysis was conducted using data from 65,750 T2DM patients in the 2017-2018 Shanghai Cohort Study of Diabetic Eye Disease (SCODE). Optic disc parameters were extracted from fundus images, and PM exposure was estimated using a random forest model incorporating satellite and meteorological data.

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Floods are becoming more frequent and severe in the context of climate change, with major impacts on human health. However, their effect on infant mortality remains unknown, particularly in low- and middle-income countries. We conducted a sibling-matched case-control study using individual-level data from Demographic and Health Surveys in Africa during 1990-2020.

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Background: Ambient pollution and non-optimal temperature are major risk factors for respiratory health. However, the relationships between short-term exposure to these factors and bronchiectasis mortality remain unknown.

Methods: A nationwide, time-stratified case-crossover study across Mainland China was conducted from 2013 to 2019.

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To investigate the association of long-term exposure to air pollution with incident arrhythmia from various causes, this prospective cohort study included 442,386 participants from the UK Biobank cohort. Residential annual average exposures at baseline were evaluated, including fine particles (PM), coarse particles (PM), nitrogen dioxide (NO), and nitrogen oxides (NO). We further constructed a composite air pollution score (APS) to evaluate the concomitant exposure to these four pollutants.

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Article Synopsis
  • The study investigates the link between short-term exposure to air pollutants and emergency visits for upper gastrointestinal bleeding (UGIB) in Hong Kong from 2017 to 2022.
  • Exposure to high levels of particulate matter (PM) and nitrogen monoxide (NO) significantly increases the risk of UGIB, particularly after a few days of exposure and more so in males and the elderly.
  • The research highlights that colder seasons amplify the risk, with NO exposure having a greater attributed burden compared to PM despite both being harmful.
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The heightened vulnerability of individuals with HIV to environmental stressors is well-recognized, yet the role of air pollution in exacerbating HIV-related mortality remains underexplored. In this nationwide, individual-level case-crossover study conducted from 2013 to 2019, we investigated the association between short-term exposure to criteria air pollutants and HIV-related mortality. Our analysis of 38,510 HIV-related deaths revealed significant associations between exposure to PM, PM, NO, and CO and increased mortality risk.

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Background: Fine particulate matter (PM) occurs within a mixture of other pollutant gases that interact and impact its composition and toxicity. To characterize the local toxicity of PM, it is useful to have an index that accounts for the whole pollutant mix, including gaseous pollutants. We consider a recently proposed pollutant mixture complexity index (PMCI) to evaluate to which extent it relates to PM toxicity.

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Background: Higher greenness was associated with a lower risk of adult mortality. However, the effects of greenness on the mortality of infant and child under-5 have not been fully examined.

Objectives: The association of greenness on the infant mortality rate (IMR) and child under-5 mortality rate (U5MR) in 147 Chinese cities from 2009 to 2020 was evaluated.

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Accurate exposure assessment is important for conducting PM-related epidemiological studies, which have been limited thus far. In this study, we aimed to develop an ensemble machine learning method to estimate PM concentrations in mainland China during 2013-2020. The study was conducted in two stages.

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Article Synopsis
  • Non-optimal temperature significantly contributes to global disease burden, but most studies have focused on outdoor temperatures, potentially leading to misclassification of personal temperature exposure.
  • The CKB-Air study analyzed temperature data from 477 participants across personal, household, and outdoor settings during summer and winter in China, recording around 88,000 person-hours of data.
  • The study found strong correlations between personal and household temperatures in winter and significant predictors for personal temperature exposure, achieving good prediction accuracy, while identifying a U-shaped relationship between personal temperature exposure and heart rate.
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  • The study investigates how daily rainfall characteristics—like intensity, duration, and frequency—affect mortality rates from all causes, cardiovascular issues, and respiratory problems across 34 countries from 1980 to 2020.
  • It utilizes a time series analysis to evaluate the association between daily mortality and rainfall events that occur at different return periods (one, two, and five years), including the effects of extreme rainfall with a 14-day lag.
  • The results indicate that extreme rainfall events (five-year return period) correlate with increased mortality rates, particularly for respiratory cases, while moderate rainfall shows protective effects, and the impact varies based on climate and vegetation.
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Background: Exposure to ambient ozone has been associated with extrapulmonary health, but the underlying mechanisms remain to be understood. LncRNAs are involved in the regulation of gene expression, but their regulatory mechanisms in ozone-related health effects are scarcely explored.

Objective: To investigate genome-wide lncRNA changes after short-term ozone exposure and their regulatory roles in ozone exposure and gene expression.

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Background: To assess the long-term impact of residential air pollution and green space exposure on cause-specific mortality in individuals with type 2 diabetes mellitus (T2DM).

Methods: This study includes 174,063 participants newly diagnosed with T2DM from a prospective cohort in Shanghai, China, enrolled between 2011 and 2013. Residential annual levels of air pollutants, including fine (PM) and coarse (PM) particulate matter, nitrogen dioxide (NO), along with the normalized difference vegetation index (NDVI), were derived from satellite-based exposure models.

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Background: Maintaining normal levels of 25-hydroxyvitamin D [25(OH)D] and parathyroid hormone (PTH) is crucial for preserving skeletal health. However, evidence regarding the associations of exposure to air pollution with serum 25(OH)D and PTH were limited and ambiguous. Hence, the objective of this cross-sectional study was to systematically evaluate the association between air pollution [particulate matter ≤ 2.

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