Background: several adverse effects of ozone (O3) and nitrogen dioxide (NO2) are assessed using combined oxidant capacity (Ox) and redox-weighted oxidant capacity (Owtx) as surrogates. However, the associations of oxidant capacity (Ox and Owtx) with platelet-based inflammatory indicators and the potential modifying role of physical activity (PA) remain unclear. Methods: 31 318 participants were selected from the baseline survey of the Henan Rural Cohort Study. The Ox and Owtx were calculated based on O3 and NO2. The International Physical Activity Questionnaire was used to evaluate PA. Platelet-based inflammatory indicators were obtained from the data of physical examination. Generalized linear models were applied to explore associations between atmospheric oxidation capacity indicators (O3, Ox, Owtx, and NO2) and platelet-based inflammatory indicators and whether PA modified these associations. Results: O3, Ox, and Owtx were positively associated with platelet-based inflammatory indicators (PCT, PLT, PLR, SII, MLR and SIRI). The estimated β values and 95% confidence intervals (CIs) for PLT in response to a 5 μg m-3 increment in O3, Ox, and Owtx were 19.267 × 109 L-1 (95% CI: 17.493, 21.041 × 109 L-1), 6.226 × 109 L-1 (95% CI: 5.502, 6.950 × 109 L-1), and 14.664 × 109 L-1 (95% CI: 13.101, 16.227 × 109 L-1), respectively. The corresponding values for SIRI were 0.134 × 109 L-1 (95% CI: 0.111, 0.156 × 109 L-1), 0.064 × 109 L-1 (95% CI: 0.055, 0.073 × 109 L-1), and 0.135 × 109 L-1 (95% CI: 0.115, 0.155 × 109 L-1). And similar results were observed for NO2. Furthermore, we observed positive associations of O3, Ox, Owtx, and NO2 with platelet-based inflammatory indicators attenuated by increased PA levels. Conclusions: exposure to O3, Ox, Owtx, and NO2 was positively associated with platelet-based inflammatory indicators, and these associations were modified by PA. The findings suggested that a healthy lifestyle of PA might be an effective measure against early adverse effects of air pollution.
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