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Exposure to fine particulate matter and acute effects on blood pressure: effect modification by measures of obesity and location
  1. S Kannan1,
  2. J T Dvonch2,
  3. A J Schulz3,
  4. B A Israel3,
  5. G Mentz3,
  6. J House4,
  7. P Max5,
  8. A G Reyes6
  1. 1
    Department of Nutrition, School of Public Health and Health Sciences, University of Massachusetts, Amherst, USA
  2. 2
    Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, USA
  3. 3
    Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, USA
  4. 4
    Survey Research Center and Sociology Department, University of Michigan, Ann Arbor, USA
  5. 5
    Detroit Department of Health and Wellness Promotion, Detroit, Michigan, USA
  6. 6
    Detroit Hispanic Development Corporation, Detroit, Michigan, USA
  1. Correspondence to Dr S Kannan, Assistant Professor, Department of Nutrition, 224 Chenoweth Laboratory, School of Public Health and Health Sciences, University of Massachusetts, 100 Holdsworth Way, Amherst, MA 01003, USA; srimathik{at}; skannan{at}


Background: Observational studies and controlled experiments have provided evidence that airborne particulate matter (PM) is capable of acutely increasing blood pressure (BP) in certain scenarios. The goal of this study was to evaluate whether and to what extent obesity and community location affect relationships between fine particulate matter (PM2.5) and blood pressure (BP) measures.

Methods: Using data from a stratified random sample survey of adults conducted in 2002–3 in Detroit, Michigan, we tested body mass index (BMI) and waist circumference (WCIR) in separate models as effect modifiers of the relationship between PM2.5 exposure and BP. We also tested interactions with community location. Models were adjusted for covariates with established pro-hypertensive effects.

Results: PM2.5 exposure was positively associated with increased pulse pressure (PP) for those categorised as obese (BMI⩾30) across lags 2 (β 4.16, p<0.05) and 3 days (β 2.55, p<0.05) prior to BP measure. WCIR similarly modified the effect of exposure to PM2.5 on PP (β 4.34, p<0.003). The observed effects were enhanced in the community with closer proximity to local emissions of PM2.5, and for residents classified as obese (BMI⩾30) or with WCIR above high-risk cuts points.

Conclusions: This community-based study suggests that positive associations between PM2.5 exposure and PP and systolic BP are enhanced in areas proximate to sources of PM 2.5 emissions. These patterns were observed for all residents, but were more visible and consistent among those who were obese. Research is needed to examine the mechanistic pathways by which air particles interact with obesity and location to affect BP, and inform community interventions to reduce the population burden of hypertension and related co-morbidities.

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  • Funding Research presented here was funded in part by the National Institute of Health—National Institute for Environmental Health Sciences, Research Triange Park, North Carolina, USA, no. RO1 ES10936-0.

  • Competing interests None.

  • Ethics approval Ethics approval was given by the University of Michigan Institutional Review Board for Protection of Human Subjects.

  • Provenance and Peer review Not commissioned; externally peer reviewed.