Hypertension

Blood Pressure Effect of Traffic-Related Air Pollution : A Crossover Trial of In-Vehicle Filtration

Ann Intern MedPublished Randomised crossover trial

Authors' conclusion

Filtration of TRAP may mitigate its adverse effects on blood pressure rapidly and at 24 hours.

Study context

Population
Normotensive persons aged 22 to 45 years on scripted in-vehicle commutes through traffic, Seattle, 2014 to 201613 with complete data
Participants
16 persons
Comparison
Unfiltered vs high-efficiency particulate air (HEPA)-filtered in-vehicle air during on-road commutes
Primary endpoint
BP and retinal vasculature (CRAE)
Methodological detailsparticipant-blinded, Imprecise estimates due to small sample size; seasonal imbalance by exposure order
  • Participant-blinded
  • Imprecise estimates due to small sample size; seasonal imbalance by exposure order

Primary result

As reported in the abstract

Adjusted BP (adjusted for predrive levels, order, carryover) · 1 hour
Unfiltered vs FilteredDifference, mm Hg (95% CI)
DBP
4.7(0.9–8.4)
SBP
4.5(−1.2 to 10.2)

Further findings

OutcomeDifference (mm Hg) (CI)
Adjusted BP · up to 24 hoursUnfilteredvs FilteredDBP3.8 (0.02–7.5)
Adjusted BP · up to 24 hoursUnfilteredvs FilteredSBP1.1 (−4.6 to 6.8)
OutcomeDifference (μm) (CI)
Adjusted mean CRAEWider unfiltered2.7 (−1.5 to 6.8)

Particle count

Filtration reduced particle count
86%

Original publication

Blood Pressure Effect of Traffic-Related Air Pollution : A Crossover Trial of In-Vehicle Filtration. Ann Intern Med. Published 28 November 2023. doi:10.7326/m23-1309

Composed by AI from the published abstract and checked against it. How Briefs are made →

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