Cumulative Lifetime Burden of Cardiovascular Disease From Early Exposure to Air Pollution
The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which—3.3 million—are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD r...
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| Veröffentlicht in: | Journal of the American Heart Association Jg. 9; H. 6; S. e014944 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
England
John Wiley and Sons Inc
17.03.2020
Wiley |
| Schlagworte: | |
| ISSN: | 2047-9980, 2047-9980 |
| Online-Zugang: | Volltext |
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| Abstract | The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which—3.3 million—are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre‐existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years—1.8 billion children—breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution. |
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| AbstractList | The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which-3.3 million-are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre-existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years-1.8 billion children-breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution. Abstract The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which—3.3 million—are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre‐existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years—1.8 billion children—breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution. The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which-3.3 million-are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre-existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years-1.8 billion children-breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution.The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from exposure to polluted air, half of which-3.3 million-are attributable to cardiovascular disease (CVD), greater than from major modifiable CVD risks including smoking, hypertension, hyperlipidemia, and diabetes mellitus. This serious and growing health threat is attributed to increasing urbanization of the world's populations with consequent exposure to polluted air. Especially vulnerable are the elderly, patients with pre-existing CVD, and children. The cumulative lifetime burden in children is particularly of concern because their rapidly developing cardiopulmonary systems are more susceptible to damage and they spend more time outdoors and therefore inhale more pollutants. World Health Organization estimates that 93% of the world's children aged <15 years-1.8 billion children-breathe air that puts their health and development at risk. Here, we present growing scientific evidence, including from our own group, that chronic exposure to air pollution early in life is directly linked to development of major CVD risks, including obesity, hypertension, and metabolic disorders. In this review, we surveyed the literature for current knowledge of how pollution exposure early in life adversely impacts cardiovascular phenotypes, and lay the foundation for early intervention and other strategies that can help prevent this damage. We also discuss the need for better guidelines and additional research to validate exposure metrics and interventions that will ultimately help healthcare providers reduce the growing burden of CVD from pollution. |
| Author | Sampath, Vanitha Patel, Rushali Wu, Joseph C. Haddad, Francois Kim, Juyong Brian Smith, Eric Dant, Christopher Akdis, Cezmi Snyder, Michael P. Nadeau, Kari C. Prunicki, Mary Balmes, John |
| AuthorAffiliation | 2 Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA 4 Swiss Institute for Allergy and Asthma Research (SIAF) University of Zurich Davos Switzerland 1 Division of Cardiovascular Medicine Department of Medicine Stanford University Stanford CA 6 Department of Genetics and Center for Genomics and Personalized Medicine Stanford University Stanford CA 5 Department of Medicine University of California San Francisco and Division of Environmental Health Sciences School of Public Health University of California Berkeley CA 3 Stanford Cardiovascular Institute Stanford University Stanford CA |
| AuthorAffiliation_xml | – name: 1 Division of Cardiovascular Medicine Department of Medicine Stanford University Stanford CA – name: 4 Swiss Institute for Allergy and Asthma Research (SIAF) University of Zurich Davos Switzerland – name: 5 Department of Medicine University of California San Francisco and Division of Environmental Health Sciences School of Public Health University of California Berkeley CA – name: 2 Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – name: 6 Department of Genetics and Center for Genomics and Personalized Medicine Stanford University Stanford CA – name: 3 Stanford Cardiovascular Institute Stanford University Stanford CA |
| Author_xml | – sequence: 1 givenname: Juyong Brian orcidid: 0000-0002-9675-2607 surname: Kim fullname: Kim, Juyong Brian organization: Division of Cardiovascular Medicine Department of Medicine Stanford University Stanford CA, Stanford Cardiovascular Institute Stanford University Stanford CA – sequence: 2 givenname: Mary surname: Prunicki fullname: Prunicki, Mary organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – sequence: 3 givenname: Francois surname: Haddad fullname: Haddad, Francois organization: Division of Cardiovascular Medicine Department of Medicine Stanford University Stanford CA, Stanford Cardiovascular Institute Stanford University Stanford CA – sequence: 4 givenname: Christopher surname: Dant fullname: Dant, Christopher organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – sequence: 5 givenname: Vanitha surname: Sampath fullname: Sampath, Vanitha organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – sequence: 6 givenname: Rushali surname: Patel fullname: Patel, Rushali organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – sequence: 7 givenname: Eric surname: Smith fullname: Smith, Eric organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA – sequence: 8 givenname: Cezmi surname: Akdis fullname: Akdis, Cezmi organization: Swiss Institute for Allergy and Asthma Research (SIAF) University of Zurich Davos Switzerland – sequence: 9 givenname: John surname: Balmes fullname: Balmes, John organization: Department of Medicine University of California San Francisco and Division of Environmental Health Sciences School of Public Health University of California Berkeley CA – sequence: 10 givenname: Michael P. surname: Snyder fullname: Snyder, Michael P. organization: Department of Genetics and Center for Genomics and Personalized Medicine Stanford University Stanford CA – sequence: 11 givenname: Joseph C. surname: Wu fullname: Wu, Joseph C. organization: Stanford Cardiovascular Institute Stanford University Stanford CA – sequence: 12 givenname: Kari C. surname: Nadeau fullname: Nadeau, Kari C. organization: Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford CA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32174249$$D View this record in MEDLINE/PubMed |
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| Copyright | 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. |
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| Issue | 6 |
| Keywords | air pollutants, environmental cardiovascular disease cardiovascular abnormalities epithelial barrier |
| Language | English |
| License | This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
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| PublicationTitle | Journal of the American Heart Association |
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| Snippet | The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from... The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die yearly from... Abstract The disease burden associated with air pollution continues to grow. The World Health Organization (WHO) estimates ≈7 million people worldwide die... |
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| SubjectTerms | Adolescent Adolescent Development Adult Age Factors Aged Aged, 80 and over Air Pollutants - adverse effects air pollutants, environmental Air Pollution - adverse effects cardiovascular abnormalities cardiovascular disease Cardiovascular Diseases - diagnosis Cardiovascular Diseases - epidemiology Cardiovascular Diseases - physiopathology Child Child Development Child, Preschool Comorbidity Contemporary Review Environmental Exposure - adverse effects epithelial barrier Female Global Health Humans Infant Infant, Newborn Male Middle Aged Risk Assessment Risk Factors Time Factors Young Adult |
| Title | Cumulative Lifetime Burden of Cardiovascular Disease From Early Exposure to Air Pollution |
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