The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Cardiovascular disease burden from ambient air pollution in Europe reassessed using novel hazard ratio functions
Open accessAbstract
Aims: Ambient air pollution is a major health risk, leading to respiratory and cardiovascular mortality. A recent Global Exposure Mortality Model, based on an unmatched number of cohort studies in many countries, provides new hazard ratio functions, calling for re-evaluation of the disease burden. Accordingly, we estimated excess cardiovascular mortality attributed to air pollution in Europe. Methods and results: The new hazard ratio functions have been combined with ambient air pollution exposure data to estimate the impacts in Europe and the 28 countries of the European Union (EU-28). The annual excess mortality rate from ambient air pollution in Europe is 790 000 [95% confidence interval (95% CI) 645 000–934 000], and 659 000 (95% CI 537 000–775 000) in the EU-28. Between 40% and 80% are due to cardiovascular events, which dominate health outcomes. The upper limit includes events attributed to other non-communicable diseases, which are currently not specified. These estimates exceed recent analyses, such as the Global Burden of Disease for 2015, by more than a factor of two. We estimate that air pollution reduces the mean life expectancy in Europe by about 2.2 years with an annual, attributable per capita mortality rate in Europe of 133/100 000 per year. Conclusion: We provide new data based on novel hazard ratio functions suggesting that the health impacts attributable to ambient air pollution in Europe are substantially higher than previously assumed, though subject to considerable uncertainty. Our results imply that replacing fossil fuels by clean, renewable energy sources could substantially reduce the loss of life expectancy from air pollution.
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Cites
European Guidelines on cardiovascular disease prevention in clinical practice (version 2012)
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2016 European Guidelines on cardiovascular disease prevention in clinical practice
Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M.-T., Corrà, U., Cosyns, B., Deaton, C., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw106 · Cited by 6,457
The contribution of outdoor air pollution sources to premature mortality on a global scale
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Self-citationAir pollution and mortality in the Medicare population
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“5 at concentrations below current standards in the USA.(22) Numerous studies have established a strong association between air pollution and cardiovascular events, such as myocardial infarction, stroke, heart failure”
BackgroundAir Pollution and Cardiovascular Disease
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Cited by
Rissman, J., Bataille, C., Masanet, E., Aden, N., Morrow, W. R., Zhou, N., Elliott, N., Dell, R., Heeren, N., Huckestein, B., et al. (2020) · Applied Energy · doi:10.1016/j.apenergy.2020.114848 · Cited by 1,040
Loss of life expectancy from air pollution compared to other risk factors: a worldwide perspective
Lelieveld, J., Pozzer, A., Pöschl, U., Fnais, M., Haines, A., & Münzel, T. (2020) · Cardiovascular Research · doi:10.1093/cvr/cvaa025 · Cited by 802
Self-citationPathways linking biodiversity to human health: A conceptual framework
Marselle, M. R., Hartig, T., Cox, D. T. C., de Bell, S., Knapp, S., Lindley, S., Triguero-Mas, M., Böhning-Gaese, K., Braubach, M., Cook, P. A., et al. (2021) · Environment International · doi:10.1016/j.envint.2021.106420 · Cited by 578
Transportation noise pollution and cardiovascular disease
Münzel, T., Sørensen, M., & Daiber, A. (2021) · Nature Reviews Cardiology · doi:10.1038/s41569-021-00532-5 · Cited by 572
Self-citationHahad, O., Lelieveld, J., Birklein, F., Lieb, K., Daiber, A., & Münzel, T. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21124306 · Cited by 432
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Metadata
- Authors
- Lelieveld, J., Klingmüller, K., Pozzer, A., Pöschl, U., Fnais, M., Daiber, A., & Münzel, T.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-03-12
- Volume
- 40
- Issue
- 20
- Pages
- 1590-1596
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W2921829158
- Cited by
- 898
- References
- 7
- FWCI
- 52.03
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Lelieveld, J., Klingmüller, K., Pozzer, A., Pöschl, U., Fnais, M., Daiber, A., & Münzel, T. (2019). Cardiovascular disease burden from ambient air pollution in Europe reassessed using novel hazard ratio functions. European Heart Journal. https://doi.org/10.1093/eurheartj/ehz135
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