Long Term Chronic Exposure to Ozone Air Pollution and Biomarkers of Cardiovascular Diseases in Adult National Health and Nutrition Examination Survey ParticipantsAbstract Number:2747 Arvind Dabass*, Evelyn Talbott, LuAnn Brink, Judy Rager, Fernando Holguin Arvind Dabass* University of Pittsburgh, United States, E-mail Address: [email protected] Search for more papers by this author , Evelyn Talbott University of Pittsburgh, United States, E-mail Address: [email protected] Search for more papers by this author , LuAnn Brink University of Pittsburgh, United States, E-mail Address: [email protected] Search for more papers by this author , Judy Rager University of Pittsburgh, United States, E-mail Address: [email protected] Search for more papers by this author , and Fernando Holguin University of Pittsburgh, United States, E-mail Address: [email protected] Search for more papers by this author AbstractBackground and Aim: Exposure to ozone (O3) has been associated with increased cardiovascular morbidity and mortality, a hypothesized biological mechanism being systemic inflammation. The goal of this study was to examine the association of long term chronic exposure to O3 air pollution with systemic inflammation in adult National Health and Nutrition Examination Survey (NHANES) participants.Methods: 4 cycles (2001-08) of NHANES data were merged with air pollution data obtained from United States Environmental Protection Agency’s modeled fused air quality surface data. Data for analyzing C-reactive protein (CRP) and White Blood Cells (WBC), markers of systemic inflammation, were available for 17071 and 17171 participants respectively. Multiple linear regression models were used for analysis after adjusting for age, gender, race, body mass index (BMI), smoking status, annual average particulate matter (PM2.5). SAS Survey procedure i.e. SURVEYREG was used to account for complex survey design of NHANES. Stratified analyses were conducted for gender, race, BMI and smoking status.Results: Mean (SE) annual average O3 level for the study period was 39.9 (0.30) parts per billion (ppb). Mean (SE) for CRP and WBC were 0.41(0.01) mg/dl and 7.28 *103 (0.03) cells/mm3 respectively. Annual average O3 was significantly positively associated with CRP and WBC. For every 10 ppb increase in annual average O3 level, CRP increased by 6.4 % (95% CI: 1.06-12.03) and WBC by 0.20 *103 cells/mm3 (95% CI: 0.08-0.31). In stratified analyses for CRP, associations were significantly positive in males, current smokers, non-obese and non-Hispanic Whites. In stratified analyses for WBC, associations were significantly positive in all the subgroups except current smokers, non-Hispanic Blacks and Mexican Americans.Conclusion: Long term chronic exposure to O3 air pollution may increase CRP and WBC, thus, partly explaining link between air pollution and cardiovascular diseases.