Residential exposure to traffic is associated with coronary atherosclerosis - PubMed (original) (raw)
Comparative Study
. 2007 Jul 31;116(5):489-96.
doi: 10.1161/CIRCULATIONAHA.107.693622. Epub 2007 Jul 16.
Affiliations
- PMID: 17638927
- DOI: 10.1161/CIRCULATIONAHA.107.693622
Comparative Study
Residential exposure to traffic is associated with coronary atherosclerosis
B Hoffmann et al. Circulation. 2007.
Abstract
Background: Long-term exposure to fine-particulate-matter (PM2.5) air pollution may accelerate the development and progression of atherosclerosis. We investigated the associations of long-term residential exposure to traffic and fine particulate matter with the degree of coronary atherosclerosis.
Methods and results: We used baseline data on 4494 participants (age 45 to 74 years) from the German Heinz Nixdorf Recall Study, a population-based, prospective cohort study that started in 2000. To assess exposure differences, distances between residences and major roads were calculated, and annual fine particulate matter concentrations, derived from a small-scale dispersion model, were assigned to each address. The main outcome was coronary artery calcification (CAC) assessed by electron-beam computed tomography. We evaluated the association between air pollution and CAC with logistic and linear regression analyses, controlling for individual level risk factors of coronary atherosclerosis. Compared with participants living >200 m away from a major road, participants living within 50, 51 to 100, and 101 to 200 m had odds ratios of 1.63 (95% CI, 1.14 to 2.33), 1.34 (95% CI, 1.00 to 1.79), and 1.08 (95% CI, 0.85 to 1.39), respectively, for a high CAC (CAC above the age- and gender-specific 75th percentile). A reduction in the distance between the residence and a major road by half was associated with a 7.0% (95% CI, 0.1 to 14.4) higher CAC. Fine particulate matter exposure was associated with CAC only in subjects who had not been working full-time for at least 5 years.
Conclusions: Long-term residential exposure to high traffic is associated with the degree of coronary atherosclerosis.
Comment in
- Letter by Brook regarding article, "Residential exposure to traffic is associated with coronary atherosclerosis".
Brook RD. Brook RD. Circulation. 2008 Jan 22;117(3):e16; author reply e17. doi: 10.1161/CIRCULATIONAHA.107.731570. Circulation. 2008. PMID: 18212294 No abstract available.
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