Environmental Health

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Influence of mercury exposure on blood pressure, resting heart rate and heart rate variability in French Polynesians: a cross-sectional study

Beatriz Valera1, Éric Dewailly1,2*, Paul Poirier3,4, Emilie Counil5,6 and Edouard Suhas7

Author Affiliations

1 Axe Santé des Populations et Environnement, Centre de Recherche du CHUQ, 2875 Boulevard Laurier, Québec, G1V 2M2, Canada

2 Department of Social and Preventive Medicine, Laval University, 1050 avenue de la Médecine, Quebec, G1V 0A6, Canada

3 Quebec Heart and Lung Institute, Laval Hospital Research Centre, 2725 Chemin Sainte-Foy, Québec, G1V 4G5, Canada

4 Faculty of Pharmacy, Laval University, 1050 avenue de la Médecine, Quebec, G1V 0A6, Canada

5 Département Épidémiologie et Biostatistiques, École des Hautes Études en Santé Publique, Hôtel-Dieu, 1, place Notre-Dame, Paris Cedex 4, 75181, France

6 Université Paris 13, GISCOP93, UFR SMBH, 74, rue Marcel Cachin, Bobigny Cedex, 93017, France

7 Unité de maladies non transmissibles (LMNT), Institut Louis Malardé, rue du 5 mars 1797, Papeete, 98713, Polynésie Française

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Environmental Health 2011, 10:99 doi:10.1186/1476-069X-10-99

Published: 13 November 2011

Abstract

Background

Populations which diet is rich in seafood are highly exposed to contaminants such as mercury, which could affect cardiovascular risk factors

Objective

To assess the associations between mercury and blood pressure (BP), resting heart rate (HR) and HR variability (HRV) among French Polynesians

Methods

Data were collected among 180 adults (≥ 18 years) and 101 teenagers (12-17 years). HRV was measured using a two-hour ambulatory electrocardiogram (Holter) and BP was measured using a standardized protocol. The association between mercury and HRV and BP parameters was studied using analysis of variance (ANOVA) and analysis of covariance (ANCOVA)

Results

Among teenagers, the high frequency (HF) decreased between the 2nd and 3rd tertile (380 vs. 204 ms2, p = 0.03) and a similar pattern was observed for the square root of the mean squared differences of successive R-R intervals (rMSSD) (43 vs. 30 ms, p = 0.005) after adjusting for confounders. In addition, the ratio low/high frequency (LF/HF) increased between the 2nd and 3rd tertile (2.3 vs. 3.0, p = 0.04). Among adults, the standard deviation of R-R intervals (SDNN) tended to decrease between the 1st and 2nd tertile (84 vs. 75 ms, p = 0.069) after adjusting for confounders. Furthermore, diastolic BP tended to increase between the 2nd and 3rd tertile (86 vs. 91 mm Hg, p = 0.09). No significant difference was observed in resting HR or pulse pressure (PP)

Conclusions

Mercury was associated with decreased HRV among French Polynesian teenagers while no significant association was observed with resting HR, BP, or PP among teenagers or adults

Keywords:
Methymercury; blood pressure; heart rate variability; resting heart rate; n-3 fatty acids; French Polynesia