Long-term exposure to ambient air pollution and traffic noise and incident hypertension in seven cohorts of the European study of cohorts for air pollution effects (ESCAPE)
We investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts. We included seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). We modelled concentrations of particulate matter with aerodynamic diameter ≤2....
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| Vydané v: | European heart journal Ročník 38; číslo 13; s. 983 |
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| Hlavní autori: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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01.04.2017
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| ISSN: | 1522-9645, 1522-9645 |
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| Abstract | We investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts.
We included seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). We modelled concentrations of particulate matter with aerodynamic diameter ≤2.5 µm (PM2.5), ≤10 µm (PM10), >2.5, and ≤10 µm (PMcoarse), soot (PM2.5 absorbance), and nitrogen oxides at the addresses of participants with land use regression. Residential exposure to traffic noise was modelled at the facade according to the EU Directive 2002/49/EC. We assessed hypertension as (i) self-reported and (ii) measured (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or intake of BP lowering medication (BPLM). We used Poisson regression with robust variance estimation to analyse associations of traffic-related exposures with incidence of hypertension, controlling for relevant confounders, and combined the results from individual studies with random-effects meta-analysis. Among 41 072 participants free of self-reported hypertension at baseline, 6207 (15.1%) incident cases occurred within 5-9 years of follow-up. Incidence of self-reported hypertension was positively associated with PM2.5 (relative risk (RR) 1.22 [95%-confidence interval (CI):1.08; 1.37] per 5 µg/m³) and PM2.5 absorbance (RR 1.13 [95% CI:1.02; 1.24] per 10 - 5m - 1). These estimates decreased slightly upon adjustment for road traffic noise. Road traffic noise was weakly positively associated with the incidence of self-reported hypertension. Among 10 896 participants at risk, 3549 new cases of measured hypertension occurred. We found no clear associations with measured hypertension.
Long-term residential exposures to air pollution and noise are associated with increased incidence of self-reported hypertension. |
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| AbstractList | We investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts.AimsWe investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts.We included seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). We modelled concentrations of particulate matter with aerodynamic diameter ≤2.5 µm (PM2.5), ≤10 µm (PM10), >2.5, and ≤10 µm (PMcoarse), soot (PM2.5 absorbance), and nitrogen oxides at the addresses of participants with land use regression. Residential exposure to traffic noise was modelled at the facade according to the EU Directive 2002/49/EC. We assessed hypertension as (i) self-reported and (ii) measured (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or intake of BP lowering medication (BPLM). We used Poisson regression with robust variance estimation to analyse associations of traffic-related exposures with incidence of hypertension, controlling for relevant confounders, and combined the results from individual studies with random-effects meta-analysis. Among 41 072 participants free of self-reported hypertension at baseline, 6207 (15.1%) incident cases occurred within 5-9 years of follow-up. Incidence of self-reported hypertension was positively associated with PM2.5 (relative risk (RR) 1.22 [95%-confidence interval (CI):1.08; 1.37] per 5 µg/m³) and PM2.5 absorbance (RR 1.13 [95% CI:1.02; 1.24] per 10 - 5m - 1). These estimates decreased slightly upon adjustment for road traffic noise. Road traffic noise was weakly positively associated with the incidence of self-reported hypertension. Among 10 896 participants at risk, 3549 new cases of measured hypertension occurred. We found no clear associations with measured hypertension.Methods and resultsWe included seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). We modelled concentrations of particulate matter with aerodynamic diameter ≤2.5 µm (PM2.5), ≤10 µm (PM10), >2.5, and ≤10 µm (PMcoarse), soot (PM2.5 absorbance), and nitrogen oxides at the addresses of participants with land use regression. Residential exposure to traffic noise was modelled at the facade according to the EU Directive 2002/49/EC. We assessed hypertension as (i) self-reported and (ii) measured (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or intake of BP lowering medication (BPLM). We used Poisson regression with robust variance estimation to analyse associations of traffic-related exposures with incidence of hypertension, controlling for relevant confounders, and combined the results from individual studies with random-effects meta-analysis. Among 41 072 participants free of self-reported hypertension at baseline, 6207 (15.1%) incident cases occurred within 5-9 years of follow-up. Incidence of self-reported hypertension was positively associated with PM2.5 (relative risk (RR) 1.22 [95%-confidence interval (CI):1.08; 1.37] per 5 µg/m³) and PM2.5 absorbance (RR 1.13 [95% CI:1.02; 1.24] per 10 - 5m - 1). These estimates decreased slightly upon adjustment for road traffic noise. Road traffic noise was weakly positively associated with the incidence of self-reported hypertension. Among 10 896 participants at risk, 3549 new cases of measured hypertension occurred. We found no clear associations with measured hypertension.Long-term residential exposures to air pollution and noise are associated with increased incidence of self-reported hypertension.ConclusionLong-term residential exposures to air pollution and noise are associated with increased incidence of self-reported hypertension. We investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts. We included seven cohorts of the European study of cohorts for air pollution effects (ESCAPE). We modelled concentrations of particulate matter with aerodynamic diameter ≤2.5 µm (PM2.5), ≤10 µm (PM10), >2.5, and ≤10 µm (PMcoarse), soot (PM2.5 absorbance), and nitrogen oxides at the addresses of participants with land use regression. Residential exposure to traffic noise was modelled at the facade according to the EU Directive 2002/49/EC. We assessed hypertension as (i) self-reported and (ii) measured (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or intake of BP lowering medication (BPLM). We used Poisson regression with robust variance estimation to analyse associations of traffic-related exposures with incidence of hypertension, controlling for relevant confounders, and combined the results from individual studies with random-effects meta-analysis. Among 41 072 participants free of self-reported hypertension at baseline, 6207 (15.1%) incident cases occurred within 5-9 years of follow-up. Incidence of self-reported hypertension was positively associated with PM2.5 (relative risk (RR) 1.22 [95%-confidence interval (CI):1.08; 1.37] per 5 µg/m³) and PM2.5 absorbance (RR 1.13 [95% CI:1.02; 1.24] per 10 - 5m - 1). These estimates decreased slightly upon adjustment for road traffic noise. Road traffic noise was weakly positively associated with the incidence of self-reported hypertension. Among 10 896 participants at risk, 3549 new cases of measured hypertension occurred. We found no clear associations with measured hypertension. Long-term residential exposures to air pollution and noise are associated with increased incidence of self-reported hypertension. |
| Author | Fuks, Kateryna B Wolf, Kathrin Hilding, Agneta Fratiglioni, Laura Swart, Wim J R Hampel, Regina Caracciolo, Barbara Weinmayr, Gudrun Becker, Thomas Raaschou-Nielsen, Ole Foraster, Maria Östenson, Claes-Göran Elosua, Roberto Aasvang, Gunn Marit Pershagen, Göran Nieuwenhuijsen, Mark Basagaña, Xavier Sørensen, Mette Oftedal, Bente Cyrys, Josef Aguilera, Inmaculada Houthuijs, Danny Hoffmann, Barbara Beelen, Rob Peters, Annette Künzli, Nino Eriksen, Kirsten Thorup Penell, Johanna Gruzieva, Olena Brunekreef, Bert Marrugat, Jaume Aamodt, Geir Korek, Michal |
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Planta 0, 28029 Madrid, Spain – sequence: 4 givenname: Olena surname: Gruzieva fullname: Gruzieva, Olena organization: Department of Environmental Medicine, Karolinska Institutet, P.O. Box 210, SE-171 77 Stockholm, Sweden – sequence: 5 givenname: Regina surname: Hampel fullname: Hampel, Regina organization: Institute of Epidemiology II, HMGU - Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, D-85764 Neuherberg, Germany – sequence: 6 givenname: Bente surname: Oftedal fullname: Oftedal, Bente organization: Division of Environmental Medicine, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, N-0403 Oslo, Norway – sequence: 7 givenname: Mette surname: Sørensen fullname: Sørensen, Mette organization: Diet Genes Environment Unit, Danish Cancer Society Research Center, Strandboulevarden 49, DK-2100 Copenhagen, Denmark – sequence: 8 givenname: Kathrin surname: Wolf fullname: Wolf, Kathrin organization: Institute of Epidemiology II, HMGU - Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Ingolstädter Landstr. 1, D-85764 Neuherberg, Germany – sequence: 9 givenname: Geir surname: Aamodt fullname: Aamodt, Geir organization: Division of Environmental Medicine, Norwegian Institute of Public Health, P.O. Box 4404 Nydalen, N-0403 Oslo, Norway – sequence: 10 givenname: Gunn Marit surname: Aasvang fullname: Aasvang, Gunn Marit organization: Division of Environmental Medicine, Norwegian Institute of Public Health, P.O. 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Box 80.178, NL-3508 TD Utrecht, the Netherlands – sequence: 14 givenname: Bert surname: Brunekreef fullname: Brunekreef, Bert organization: Julius Center for Primary Care and Health Sciences, University Medical Center Utrecht, Universiteitsweg 100, 3584 CG Utrecht, the Netherlands – sequence: 15 givenname: Barbara surname: Caracciolo fullname: Caracciolo, Barbara organization: Stockholm University, Universitetsvägen 10, 114 18 Stockholm, Sweden – sequence: 16 givenname: Josef surname: Cyrys fullname: Cyrys, Josef organization: Environmental Science Center, the University of Augsburg, Universitätsstraße 1a, 86159 Augsburg, Germany – sequence: 17 givenname: Roberto surname: Elosua fullname: Elosua, Roberto organization: Cardiovascular Epidemiology and Genetics Research Group, Hospital del Mar Medical Research Institute (IMIM), Carrer del Dr. Aiguader, 88, 08003 Barcelona, Spain – sequence: 18 givenname: Kirsten Thorup surname: Eriksen fullname: Eriksen, Kirsten Thorup organization: Diet Genes Environment Unit, Danish Cancer Society Research Center, Strandboulevarden 49, DK-2100 Copenhagen, Denmark – sequence: 19 givenname: Maria surname: Foraster fullname: Foraster, Maria organization: University of Basel, Petersplatz 1, 4003 Basel, Switzerland – sequence: 20 givenname: Laura surname: Fratiglioni fullname: Fratiglioni, Laura organization: Stockholm Gerontology Research Center, Gävlegatan 16, 8 trappor, 113 30 Stockholm, Sweden – sequence: 21 givenname: Agneta surname: Hilding fullname: Hilding, Agneta organization: Department of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, Karolinska University Hospital, Solna (L1:00), SE-171 76 Stockholm, Sweden – sequence: 22 givenname: Danny surname: Houthuijs fullname: Houthuijs, Danny organization: National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, the Netherlands – sequence: 23 givenname: Michal surname: Korek fullname: Korek, Michal organization: Department of Environmental Medicine, Karolinska Institutet, P.O. Box 210, SE-171 77 Stockholm, Sweden – sequence: 24 givenname: Nino surname: Künzli fullname: Künzli, Nino organization: University of Basel, Petersplatz 1, 4003 Basel, Switzerland – sequence: 25 givenname: Jaume surname: Marrugat fullname: Marrugat, Jaume organization: Cardiovascular Epidemiology and Genetics Research Group, Hospital del Mar Medical Research Institute (IMIM), Carrer del Dr. Aiguader, 88, 08003 Barcelona, Spain – sequence: 26 givenname: Mark surname: Nieuwenhuijsen fullname: Nieuwenhuijsen, Mark organization: Cardiovascular Epidemiology and Genetics Research Group, Hospital del Mar Medical Research Institute (IMIM), Carrer del Dr. Aiguader, 88, 08003 Barcelona, Spain – sequence: 27 givenname: Claes-Göran surname: Östenson fullname: Östenson, Claes-Göran organization: Department of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, Karolinska University Hospital, Solna (L1:00), SE-171 76 Stockholm, Sweden – sequence: 28 givenname: Johanna surname: Penell fullname: Penell, Johanna organization: Department of Environmental Medicine, Karolinska Institutet, P.O. Box 210, SE-171 77 Stockholm, Sweden – sequence: 29 givenname: Göran surname: Pershagen fullname: Pershagen, Göran organization: Department of Environmental Medicine, Karolinska Institutet, P.O. Box 210, SE-171 77 Stockholm, Sweden – sequence: 30 givenname: Ole surname: Raaschou-Nielsen fullname: Raaschou-Nielsen, Ole organization: Diet Genes Environment Unit, Danish Cancer Society Research Center, Strandboulevarden 49, DK-2100 Copenhagen, Denmark – sequence: 31 givenname: Wim J R surname: Swart fullname: Swart, Wim J R organization: National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, the Netherlands – sequence: 32 givenname: Annette surname: Peters fullname: Peters, Annette organization: Munich Heart Alliance, Deutsches Zentrum für Herz-Kreislaufforschung e.V. (partner-site Munich), Biedersteiner Strasse 29, 80802 Munich, Germany – sequence: 33 givenname: Barbara surname: Hoffmann fullname: Hoffmann, Barbara organization: Environmental Epidemiology Group, Institute of Occupational, Social and Environmental Medicine, Center for Health and Society, Heinrich-Heine-University of Düsseldorf, University Hospital of Düsseldorf, AG Umweltepidemiologie, P.O. Box 101007, 40001 Düsseldorf, Germany |
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| Keywords | Hypertension Air pollution Nitrogen oxides Particulate matter Road traffic noise Meta-analysis |
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We included seven cohorts of the... We investigated whether traffic-related air pollution and noise are associated with incident hypertension in European cohorts.AimsWe investigated whether... |
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| Title | Long-term exposure to ambient air pollution and traffic noise and incident hypertension in seven cohorts of the European study of cohorts for air pollution effects (ESCAPE) |
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