Air Pollution and Cardiovascular Disease: a Focus on Vulnerable Populations Worldwide
- 19 September 2018
- journal article
- research article
- Published by Springer Science and Business Media LLC in Current Epidemiology Reports
- Vol. 5 (4), 370-378
- https://doi.org/10.1007/s40471-018-0166-8
Abstract
Purpose of Review Certain subgroups defined by sociodemographics (race/ethnicity, age, sex, and socioeconomic status [SES]), geographic location (rural vs. urban), comorbid conditions, and country economic conditions (developed vs. developing) may disproportionately suffer the adverse cardiovascular effects of exposure to ambient air pollution. Yet, previous reviews have had a broad focus on the general population without consideration of these potentially vulnerable populations. Recent Findings Over the past decade, a wealth of epidemiologic studies have linked air pollutants including particulate matter, oxides of nitrogen, and carbon monoxide to cardiovascular disease (CVD) risk factors, subclinical CVD, clinical cardiovascular outcomes, and cardiovascular mortality in certain susceptible populations. Highest risk for poor CVD outcomes from air pollution exists in racial/ethnic minorities, especially in blacks compared to whites in the US, those at low SES, elderly populations, women, those with certain comorbid conditions, and developing countries compared to developed countries. However, findings are less consistent for urban compared to rural populations. Summary Vulnerable subgroups including racial/ethnic minorities, women, the elderly, smokers, diabetics, and those with prior heart disease had higher risk for adverse cardiovascular outcomes from exposure to air pollution. There is limited data from developing countries where concentrations of air pollutants are more extreme and cardiovascular event rates are higher than that of developed countries. Further epidemiologic studies are needed to understand and address the marked disparities in CVD risk conferred by air pollution globally, particularly among these vulnerable subgroups.Keywords
This publication has 119 references indexed in Scilit:
- Global association of air pollution and heart failure: a systematic review and meta-analysisThe Lancet, 2013
- Risk of Incident Diabetes in Relation to Long-term Exposure to Fine Particulate Matter in Ontario, CanadaEnvironmental Health Perspectives, 2013
- Long-term exposure to air pollution is associated with survival following acute coronary syndromeEuropean Heart Journal, 2013
- Risk of Nonaccidental and Cardiovascular Mortality in Relation to Long-term Exposure to Low Concentrations of Fine Particulate Matter: A Canadian National-Level Cohort StudyEnvironmental Health Perspectives, 2012
- Air Pollution and Incidence of Hypertension and Diabetes Mellitus in Black Women Living in Los AngelesCirculation, 2012
- Ambient Air Pollution and the Risk of Acute Ischemic StrokeJAMA Internal Medicine, 2012
- Ambient Air Pollution and Lipoprotein-Associated Phospholipase A 2 in Survivors of Myocardial InfarctionEnvironmental Health Perspectives, 2011
- Long-Term Exposure to Airborne Particles and Arterial Stiffness: The Multi-Ethnic Study of Atherosclerosis (MESA)Environmental Health Perspectives, 2011
- Exposure to Traffic and Left Ventricular Mass and FunctionAmerican Journal of Respiratory and Critical Care Medicine, 2009
- Acute Effects of Ambient Particulate Matter on Blood PressureHypertension, 2009