{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:10:00Z","timestamp":1792811400609,"version":"4.5.0"},"reference-count":60,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,5,20]]},"abstract":"<jats:sec id=\"jah310776-sec-0001\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Occupational biomass pollutant exposure as observed in charcoal workers may have significant cardiovascular effects. This study aims to ascertain the prevalence and risk factors of hypertension and high pulse pressure (HPP), a marker of arterial stiffness, in charcoal workers compared with a control group of agricultural workers from the Democratic Republic of Congo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310776-sec-0002\" xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      The charcoal worker and agricultural worker groups (n=485; median age, 35\u201340\u2009years) were composed of male charcoal producers (n=229), charcoal saleswomen (n=72), male farmers (n=118), and vegetable saleswomen (n=66). We assessed workplace air pollution, sociodemographic parameters, self\u2010reported physical activity, body composition, exhaled air carbon monoxide, and blood pressure. Hypertension and HPP prevalences were determined. Logistic regression, adjusted for confounding variables was used to identify the risk factors. Charcoal workplaces were more polluted than agricultural workplaces (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.01). Charcoal producers performed higher levels of physical activity (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.018) and demonstrated higher levels of exhaled air carbon monoxide (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.0001) and pulse pressure (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.006), and higher prevalence of grade 1 hypertension (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.007), isolated systolic hypertension (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.04), and HPP (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.02) than farmers. Overall, hypertension (adjusted odds ratio [aOR], 11.76 [95% CI, 6.26\u201322.13]), level of particulate matter &lt;10\u2009\u03bcm pollutants (aOR, 1.001 [95% CI, 1.0002\u20131.0017]), smoking (aOR, 2.21 [95% CI, 1.15\u20134.24]) and low education (aOR, 2.14 [95% CI, 1.10\u20134.17]) were independently associated with HPP. The level of particulate matter &lt;1.0\u2009\u03bcm pollutants (aOR, 1.0009 [95% CI, 1.0002\u20131.0015]), male sex (aOR, 2.09 [95% CI, 1.21\u20133.64]), and job seniority (aOR, 1.022 [95% CI, 1.004\u20131.044]) were independently associated with isolated systolic hypertension.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310776-sec-0004\" xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Charcoal producers appear to develop isolated systolic hypertension and HPP more, both indices of cardiovascular events in which occupational biomass particles seem to play an early significant role.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.124.038747","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T05:40:26Z","timestamp":1747114826000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Hypertension and Elevated Pulse Pressure Responsive to Biomass Pollutants Exposures in Young Workers From the Democratic Republic of Congo: A Cross\u2010Sectional Analysis"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8609-5228","authenticated-orcid":false,"given":"Pierre","family":"Lofuta Olenga Vuvu","sequence":"first","affiliation":[{"name":"University of Kinshasa","place":["Democratic Republic of Congo"]},{"name":"Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1317-5945","authenticated-orcid":false,"given":"Malgorzata","family":"Klass","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9769-419X","authenticated-orcid":false,"given":"Nathalie","family":"Pauwen","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9059-4441","authenticated-orcid":false,"given":"Augustin","family":"Kipula","sequence":"additional","affiliation":[{"name":"University of Kinshasa","place":["Democratic Republic of Congo"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia Perez","family":"Bogerd","sequence":"additional","affiliation":[{"name":"University Hospital Erasme, Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-9771","authenticated-orcid":false,"given":"Alain","family":"Van Muylem","sequence":"additional","affiliation":[{"name":"University Hospital Erasme, Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]},{"name":"Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Van de Borne","sequence":"additional","affiliation":[{"name":"University Hospital Erasme, Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4505-7815","authenticated-orcid":false,"given":"Gael","family":"Deboeck","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Libre de Bruxelles","place":["Brussels, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvab316"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-02925-4"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joclim.2021.100035"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000597"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000003480"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ancard.2014.05.003"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-018-0481-5"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-1236-y"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemep.2020.100581"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-018-3401-4"},{"key":"e_1_3_2_12_2","first-page":"499","article-title":"Prevalence of hypertension and risk factors for hemodynamic disorders in Kinshasa coalmen","volume":"66","author":"Lofuta OVP","year":"2019","unstructured":"Lofuta OVP, Kipula MA, Nkakudulu BH, Ngoy VB, Lepira BF, Kayembe JMN. 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