Acute changes in heart rate variability in subjects with diabetes following a highway traffic exposure

Robert J. Laumbach, David Q. Rich, Sampada Gandhi, Louis Amorosa, Stephen Schneider, Junfeng Zhang, Pamela Ohman-Strickland, Jicheng Gong, Oleksiy Lelyanov, Howard M. Kipen

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Objective: To pilot a protocol to evaluate acute cardiovascular effects in in-vehicle exposure to traffic air pollutants in people with diabetes. Methods: Twenty-one volunteers with type 2 diabetes were passengers on 90- to 110-minute car rides on a busy highway. We measured in-vehicle particle number and mass (PM2.5) nitrogen dioxide, and carbon monoxide and heart rate, heart rate variability (HRV), and blood pressure. Results: Compared with pre-ride measurements, we found a decrease in high frequency (HF) HRV from pre-ride to next day (ratio 0.66, 95% CI = 0.47 to 0.93) and an increase in low frequency to HF ratio at post-ride (ratio 1.92, 95% CI = 1.21 to 3.05) at post-ride. Interquartile range increases in measured pollutants were associated with next-day decreases in HR HRV. Conclusions: This protocol appears useful for assessing acute adverse cardiovascular effects of in-vehicle exposures among people who have diabetes.

Original languageEnglish (US)
Pages (from-to)324-331
Number of pages8
JournalJournal of occupational and environmental medicine
Volume52
Issue number3
DOIs
StatePublished - Mar 2010

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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