Cited by 706Air Quality and Health ImpactsIndoor Air Quality and Microbial ExposureChronic Obstructive Pulmonary Disease (COPD) Research

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Increased plasma viscosity during an air pollution episode: a link to mortality?

Peters, Annette, Döring, Angela, Wichmann, H-Erich, Koenig, Wolfgang·1997·The Lancet

DOI 10.1016/s0140-6736(97)01211-7

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Abstract

Background Air pollution episodes have been consistently associated with increased mortality, and most strikingly with mortality due to cardiovascular disease. One hypothesis to explain this association is that inflammation of the peripheral airways caused by pollution might increase blood coagulability. We have tested this hypothesis in a cross-sectional study by comparing measurements of plasma viscosity during a severe episode of air pollution during 1985 with those made on less polluted days.Methods Plasma viscosity was measured as part of the MONICA Augsburg survey during the winter of 1984-85 in 3256 randomly selected men and women aged 25-64 years. Daily mean concentrations of air pollutants and meteorological variables were measured in Augsburg as part of the automated Bavarian air-quality network. We compared measurements of plasma viscosity made in 324 people who attended for screening during the pollution episode and in 2932 people screened during the remainder of the survey period.Findings In January, 1985, high concentrations of sulphur dioxide (mean 200 micrograms/m3) and total suspended particles (mean 98 micrograms/m3) were recorded during a 13-day period in Augsburg. In men, the odds ratio for plasma viscosity above the 95th percentile of the distribution (1.38 mPa s) was 3.6 (95% CI 1.6-8.1) comparing measurements during the air pollution episode with non-episode measurements after adjustment for cardiovascular risk factors and meteorological variables. The corresponding odds ratio for women (95th percentile of plasma viscosity 1.37 mPa s) was 2.3 (1.0-5.3). High concentrations of carbon monoxide were also associated with increased plasma viscosity in women.Interpretation During the 1985 air pollution episode, an increased risk of extreme values of plasma viscosity was observed in both men and women. Altered blood rheology due to inflammatory processes in the lung that induce an acute-phase reaction might therefore be part of the pathological mechanisms linking air pollution to mortality.

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Authors: Peters, A., Döring, A., Wichmann, H.-E., & Koenig, W.
Corresponding author: Peters, Annette
ORCID: Peters, Annette
Wichmann, H-Erich
Venue: The Lancet
Publisher: Elsevier BV
Published: 1997-05
Volume: 349
Issue: 9065
Pages: 1582-1587
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(97)01211-7
OpenAlex: W2144679128
Cited by: 706
References: 28
Citations by year: 2026: 2 · 2025: 3 · 2024: 7 · 2023: 10 · 2022: 19 · 2021: 12 · 2020: 13 · 2019: 12 · 2018: 13 · 2017: 20 · 2016: 24 · 2015: 28 · 2014: 25 · 2013: 28 · 2012: 23
FWCI: 22.96
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Topics: Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords: air pollution, plasma viscosity, hemorheology, cardiovascular mortality, sulfur dioxide, total suspended particulates, carbon monoxide, acute phase response, airway inflammation, coagulability
MeSH terms: Adult, Air Pollutants, Air Pollution, Blood Viscosity, Carbon Monoxide, Cardiovascular Diseases, Cross-Sectional Studies, Female, Germany, Hospitalization, Humans, Male, Middle Aged, Mortality, Plasma, Risk Factors, Sulfur Dioxide, Temperature, Logistic Models, Odds Ratio

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Increased plasma viscosity during an air pollution episode: a link to mortality?

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