{"id":183575,"date":"2017-06-14T18:36:01","date_gmt":"2017-06-14T18:36:01","guid":{"rendered":"http:\/\/healthmedicinet.com\/i\/smog-linked-to-bleeding-stomach-ulcers-in-elderly\/"},"modified":"2017-06-14T18:36:01","modified_gmt":"2017-06-14T18:36:01","slug":"smog-linked-to-bleeding-stomach-ulcers-in-elderly","status":"publish","type":"post","link":"http:\/\/healthmedicinet.com\/i\/smog-linked-to-bleeding-stomach-ulcers-in-elderly\/","title":{"rendered":"Smog linked to bleeding stomach ulcers in elderly"},"content":{"rendered":"<p><span id=\"article-text\"><br \/>\n<span id=\"midArticle_start\" \/><\/p>\n<p><span id=\"midArticle_0\" \/><span class=\"article-prime\"><\/p>\n<p><span class=\"articleLocatio\/spann\">(Reuters Health) &#8211; &#8211; Older adults may be more likely to have bleeding stomach ulcers on days when the air has higher levels of nitrogen dioxide, a pollutant produced by car exhaust and power plants, a recent study in Hong Kong suggests. <\/span><\/p>\n<p><\/span><span id=\"midArticle_1\" \/><\/p>\n<p>The researchers focused on what\u2019s known as peptic ulcers, or painful sores lining the stomach or small intestine, which are often caused by bacterial infections but have also been linked to drinking, smoking and certain medications. Untreated bleeding ulcers can lead to bloody vomit or stool, anemia and life-threatening blood loss that requires hospitalization. <\/p>\n<p><span id=\"midArticle_2\" \/><\/p>\n<p>Researchers examined whether short-term spikes in air pollution could also influence the risk of serious bleeds, and estimated a 7.6 percent increased risk of emergency admissions for bleeding peptic ulcers during five-day periods with higher average nitrogen dioxide levels. <\/p>\n<p><span id=\"midArticle_3\" \/><\/p>\n<p>\u201cWe already knew that air pollution exposure may alter intestinal immunity, increase gut permeability and influence intestinal microbial composition, which may contribute to the development of various intestinal diseases,\u201d said senior study author Wai-Keung Leung of the University of Hong Kong. <\/p>\n<p><span id=\"midArticle_4\" \/><\/p>\n<p>\u201cThis is the first time that the association between air pollution and peptic ulcer bleeding, one of the most important complications of peptic ulcer, is being reported,\u201d Leung said by email. <\/p>\n<p><span id=\"midArticle_5\" \/><\/p>\n<p>For the study, researchers examined data on air pollution levels in Hong Kong and 8,566 emergency admissions for bleeding peptic ulcer in adults 65 and older from 2005 to 2010. <\/p>\n<p><span id=\"midArticle_6\" \/><\/p>\n<p>                <span class=\"article-divide first-article-divide\" \/><\/p>\n<p>In addition to nitrogen dioxide, they also looked at concentrations of ozone, an unstable form of oxygen produced when various types of traffic and industrial pollution react with sunlight; sulfur dioxide, a byproduct of fossil fuel combustion and refining minerals like copper, aluminum and iron; and so-called PM 2.5, a mixture of solid particles and liquid droplets smaller than 2.5 micrometers in diameter that can include dust, dirt, soot and smoke.<\/p>\n<p><span id=\"midArticle_7\" \/><\/p>\n<p>They also considered factors that can influence air quality like temperature, humidity and other weather conditions. <\/p>\n<p><span id=\"midArticle_8\" \/><\/p>\n<p>Out of all the air pollutants, only elevated nitrogen dioxide levels were independently associated with an increased risk of emergency admissions for bleeding peptic ulcer, the study team reports in The Lancet Planetary Health. <\/p>\n<p><span id=\"midArticle_9\" \/><\/p>\n<p>                <span class=\"article-divide second-article-divide\" \/><\/p>\n<p>One limitation of the study is its use of air quality readings on the date of the emergency admission to examine the link between the pollutants and bleeding peptic ulcers because, the authors note, it\u2019s possible some people might have developed symptoms triggered several days before they went to the hospital. <\/p>\n<p><span id=\"midArticle_10\" \/><\/p>\n<p>Researchers also didn\u2019t have data on other risk factors for bleeding peptic ulcer such as infections with H. pylori bacteria or regular use of non-steroidal anti-inflammatory (NSAID) medications like aspirin and ibuprofen. <\/p>\n<p><span id=\"midArticle_11\" \/><\/p>\n<p>The results from Asian residents of Hong Kong also might differ from what would be found in other racial or ethnic groups because some people can have a genetic predisposition to this health problem.<\/p>\n<p><span id=\"midArticle_12\" \/><\/p>\n<p>                <span class=\"article-divide third-article-divide\" \/><\/p>\n<p>An earlier study in Canada with a mostly white population didn\u2019t find an association between nitrogen dioxide and bleeding peptic ulcer, the author of that study, Dr. Gilaad Kaplan of the University of Calgary, writes in an accompanying editorial. <\/p>\n<p><span id=\"midArticle_13\" \/><\/p>\n<p>However, residents of Hong Kong were exposed to much higher levels of nitrogen dioxide than people in the Canadian study, Kaplan notes in the editorial. <\/p>\n<p><span id=\"midArticle_14\" \/><\/p>\n<p>\u201cAir pollution is a modifiable risk factor that is linked to diseases throughout the body from the respiratory system to the cardiovascular system, with growing evidence that it may influence the gastrointestinal tract,\u201d Kaplan told Reuters Health by email. <\/p>\n<p><span id=\"midArticle_15\" \/><\/p>\n<p>\u201cAs a modifiable risk factor, people who are at risk for the adverse health effects of air pollution can take action to protect themselves on days when air pollution levels spike locally by avoiding larger sources of pollution when reasonably possible (e.g. avoiding jogging near heavy traffic, working earlier in the day to avoid the worst of rush hour traffic),\u201d Kaplan added. \u201cMoreover, society needs to prioritize actions to continue to improve the air quality of cities.\u201d<\/p>\n<p><span id=\"midArticle_16\" \/><\/p>\n<p \/>\n<p>SOURCE: bit.ly\/2t1OiIZ<\/a> and bit.ly\/2rrdETq<\/a> The Lancet Planetary Health, online May 5, 2017.<\/p>\n<p><span id=\"midArticle_17\" \/><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Reuters Health) &#8211; &#8211; Older adults may be more likely to have bleeding stomach ulcers on days when the air has higher levels of nitrogen dioxide, a pollutant produced by car exhaust and power plants, a recent study in Hong Kong suggests. The researchers focused on what\u2019s known as peptic ulcers, or painful sores lining <a class=\"read-more-link\" href=\"http:\/\/healthmedicinet.com\/i\/smog-linked-to-bleeding-stomach-ulcers-in-elderly\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-183575","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/183575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/comments?post=183575"}],"version-history":[{"count":0,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/183575\/revisions"}],"wp:attachment":[{"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/media?parent=183575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/categories?post=183575"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/tags?post=183575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}