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Long term exposure to ambient air pollution and incidence of acute coronary events: prospective cohort study and meta-analysis in 11 European cohorts from the ESCAPE Project.

Cesaroni, G, Forastiere, F, Stafoggia, M, Andersen, ZJ, Badaloni, C, Beelen, R, Caracciolo, B, de Faire, U, Erbel, R, Eriksen, KT, Fratiglioni, L, Galassi, C, Hampel, R, Heier, M, Hennig, F, Hilding, A, Hoffmann, B, Houthuijs, D, Jöckel, KH, Korek, M, Lanki, T, Leander, K, Magnusson, PK, Migliore, E, Ostenson, CG, Overvad, K, Pedersen, NL, J, JP, Penell, J, Pershagen, G, Pyko, A, Raaschou-Nielsen, O, Ranzi, A, Ricceri, F, Sacerdote, C, Salomaa, V, Swart, W, Turunen, AW, Vineis, P, Weinmayr, G, Wolf, K, de Hoogh, K, Hoek, G, Brunekreef, B and Peters, A (2014) Long term exposure to ambient air pollution and incidence of acute coronary events: prospective cohort study and meta-analysis in 11 European cohorts from the ESCAPE Project. BMJ, 348.

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Abstract

OBJECTIVES: To study the effect of long term exposure to airborne pollutants on the incidence of acute coronary events in 11 cohorts participating in the European Study of Cohorts for Air Pollution Effects (ESCAPE). DESIGN: Prospective cohort studies and meta-analysis of the results. SETTING: Cohorts in Finland, Sweden, Denmark, Germany, and Italy. PARTICIPANTS: 100 166 people were enrolled from 1997 to 2007 and followed for an average of 11.5 years. Participants were free from previous coronary events at baseline. MAIN OUTCOME MEASURES: Modelled concentrations of particulate matter <2.5 μm (PM2.5), 2.5-10 μm (PMcoarse), and <10 μm (PM10) in aerodynamic diameter, soot (PM2.5 absorbance), nitrogen oxides, and traffic exposure at the home address based on measurements of air pollution conducted in 2008-12. Cohort specific hazard ratios for incidence of acute coronary events (myocardial infarction and unstable angina) per fixed increments of the pollutants with adjustment for sociodemographic and lifestyle risk factors, and pooled random effects meta-analytic hazard ratios. RESULTS: 5157 participants experienced incident events. A 5 μg/m(3) increase in estimated annual mean PM2.5 was associated with a 13% increased risk of coronary events (hazard ratio 1.13, 95% confidence interval 0.98 to 1.30), and a 10 μg/m(3) increase in estimated annual mean PM10 was associated with a 12% increased risk of coronary events (1.12, 1.01 to 1.25) with no evidence of heterogeneity between cohorts. Positive associations were detected below the current annual European limit value of 25 μg/m(3) for PM2.5 (1.18, 1.01 to 1.39, for 5 μg/m(3) increase in PM2.5) and below 40 μg/m(3) for PM10 (1.12, 1.00 to 1.27, for 10 μg/m(3) increase in PM10). Positive but non-significant associations were found with other pollutants. CONCLUSIONS: Long term exposure to particulate matter is associated with incidence of coronary events, and this association persists at levels of exposure below the current European limit values.

Item Type: Article
Authors :
NameEmailORCID
Cesaroni, GUNSPECIFIEDUNSPECIFIED
Forastiere, FUNSPECIFIEDUNSPECIFIED
Stafoggia, MUNSPECIFIEDUNSPECIFIED
Andersen, ZJUNSPECIFIEDUNSPECIFIED
Badaloni, CUNSPECIFIEDUNSPECIFIED
Beelen, RUNSPECIFIEDUNSPECIFIED
Caracciolo, BUNSPECIFIEDUNSPECIFIED
de Faire, UUNSPECIFIEDUNSPECIFIED
Erbel, RUNSPECIFIEDUNSPECIFIED
Eriksen, KTUNSPECIFIEDUNSPECIFIED
Fratiglioni, LUNSPECIFIEDUNSPECIFIED
Galassi, CUNSPECIFIEDUNSPECIFIED
Hampel, RUNSPECIFIEDUNSPECIFIED
Heier, MUNSPECIFIEDUNSPECIFIED
Hennig, FUNSPECIFIEDUNSPECIFIED
Hilding, AUNSPECIFIEDUNSPECIFIED
Hoffmann, BUNSPECIFIEDUNSPECIFIED
Houthuijs, DUNSPECIFIEDUNSPECIFIED
Jöckel, KHUNSPECIFIEDUNSPECIFIED
Korek, MUNSPECIFIEDUNSPECIFIED
Lanki, TUNSPECIFIEDUNSPECIFIED
Leander, KUNSPECIFIEDUNSPECIFIED
Magnusson, PKUNSPECIFIEDUNSPECIFIED
Migliore, EUNSPECIFIEDUNSPECIFIED
Ostenson, CGUNSPECIFIEDUNSPECIFIED
Overvad, KUNSPECIFIEDUNSPECIFIED
Pedersen, NLUNSPECIFIEDUNSPECIFIED
J, JPUNSPECIFIEDUNSPECIFIED
Penell, Jj.penell@surrey.ac.ukUNSPECIFIED
Pershagen, GUNSPECIFIEDUNSPECIFIED
Pyko, AUNSPECIFIEDUNSPECIFIED
Raaschou-Nielsen, OUNSPECIFIEDUNSPECIFIED
Ranzi, AUNSPECIFIEDUNSPECIFIED
Ricceri, FUNSPECIFIEDUNSPECIFIED
Sacerdote, CUNSPECIFIEDUNSPECIFIED
Salomaa, VUNSPECIFIEDUNSPECIFIED
Swart, WUNSPECIFIEDUNSPECIFIED
Turunen, AWUNSPECIFIEDUNSPECIFIED
Vineis, PUNSPECIFIEDUNSPECIFIED
Weinmayr, GUNSPECIFIEDUNSPECIFIED
Wolf, KUNSPECIFIEDUNSPECIFIED
de Hoogh, KUNSPECIFIEDUNSPECIFIED
Hoek, GUNSPECIFIEDUNSPECIFIED
Brunekreef, BUNSPECIFIEDUNSPECIFIED
Peters, AUNSPECIFIEDUNSPECIFIED
Date : 2014
Uncontrolled Keywords : Adult, Aged, Air Pollutants, Angina, Unstable, Denmark, Environmental Exposure, Europe, Female, Finland, Germany, Humans, Incidence, Italy, Male, Middle Aged, Myocardial Infarction, Nitrogen Oxides, Particulate Matter, Proportional Hazards Models, Prospective Studies, Sweden
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 10:18
Last Modified : 17 May 2017 10:19
URI: http://epubs.surrey.ac.uk/id/eprint/827280

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