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Perez, L., Wolf, K., Hennig, F., Penell, J., Basagana, X., Aguilera, I., Agis, D., Beelen, R., Brunekreef, B., Cyrys, J., Fuks, K. B., Adam, M., Baldassare, D., Cirach, M., Elosua, R., Dratva, J., Hampel, R., Koenig, W., Marrugat, J., de Faire, U., Pershagen, G., Probst-Hensch, N. M., de Nazelle, A., Nieuwenhuijsen, M. J., Rathmann, W., Rivera, M., Seissler, J., Schindler, C., Thierry, J., Hoffmann, B., Peters, A., Kunzli, N

Air Pollution and Atherosclerosis: A Cross-Sectional Analysis of Four European Cohort Studies in the ESCAPE Study

Environ.Health Perspect., 2015, 123, 6, 597, 605, IF: 7.029, PMID: 25625785

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 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 microg/m3 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 microg/m3 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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