Air Pollution and Atherosclerosis: A Cross-Sectional Analysis of Four European Cohort Studies in the ESCAPE Study
Perez, Laura; Wolf, Kathrin; Hennig, Frauke; Penell, Johanna; Basagaña, Xavier; Aguilera, Inmaculada; Agis, David; Beelen, Rob; Brunekreef, Bert; Cyrys, Josef; Fuks, Kateryna B; Adam, Martin; Baldassare, Damiano; Cirach, Marta; Elosua, Roberto; Dratva, Julia; Hampel, Regina; Koenig, Wolfgang; Marrugat, Jaume; De Faire, Ulf; Pershagen, Göran; Probst-Hensch, Nicole M; de Nazelle, Audrey; Nieuwenhuijsen, Mark J; Rathmann, Wolfgang; Rivera, Marcela; Seissler, Jochen; Schindler, Christian; Thierry, Joachim; Hoffmann, Barbara; Peters, Annette; Künzli, Nino
(2015) Environmental Health Perspectives, volume 123, issue 6, pp. 597 - 605
(Article)
Abstract
BACKGROUND: In four European cohorts, we investigated the cross-sectional association between long-term exposure to air pollution and intima-media thickness of the common carotid artery (CIMT), a pre-clinical marker of atherosclerosis. METHODS: Individually assigned levels of NO2, NOx, PM2.5, absorbance of PM2.5 (PM2.5abs), PM10, PMcoarse, and two indicators of residential proximity
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to highly trafficked roads were obtained under a standard exposure protocol (European Study of Cohorts for Air Pollution effects-ESCAPE study) in the Stockholm area (Sweden), the Ausburg and Ruhr area (Germany) and the Girona area (Spain). We used linear regression and meta-analyses to examine the association between long-term exposure to air pollution and CIMT. RESULTS: The meta-analysis with 9183 individuals resulted in an estimated increase in CIMT (geometric mean) of 0.72% (95% Confidence Interval [CI]: -0.65%, 2.10%) per 5 µg/m(3) increase in PM2.5 and 0.42% (95% CI: -0.46%, 1.30%) per 10(-5)/m increase in PM2.5abs. Living in proximity to high traffic was also positively but not significantly associated with CIMT. Meta-analytic estimates for other pollutants were inconsistent. Results were similar across different adjustment sets and sensitivity analyses. In an extended meta-analysis for PM2.5 with three other previously published studies, a 0.78% (95% CI: -0.18%, 1.75%) increase in CIMT was estimated for a 5 µg/m(3) contrast in PM2.5. CONCLUSIONS: Using a standardized exposure and analytical protocol in four European cohorts, cross-sectional associations between CIMT and the eight ESCAPE markers of long-term residential air pollution exposure did not reach statistical significance. The additional meta-analysis of CIMT and PM2.5 across all published studies also was positive but not significant.
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ISSN: 0091-6765
Publisher: Public Health Services, US Dept of Health and Human Services
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