Table 2

Summary of the largest population studies on long-term cardiovascular effects of particulate air pollution

First author, year (Study)PopulationKey findingsReference
Laden, 2006 (HSCS) Prospective cohort of 8111 persons from 6 US cities followed for 28 years Increase in cardiovascular death (RR, 1.28) for each 10-μg/m3 PM2.5 increase 83  
Pope, 2004 (ACS) Prospective cohort of 500 000 residents in 150 US cities followed for 16 years 12% increased risk of cardiovascular deaths and 18% increased risk of coronary artery disease for each 10-μg/m3 increase in long-term PM2.5 exposure 4  
Jerrett, 2005 Prospective cohort of 22 905 residents in the Los Angeles area 20% and 49% increase in the risk of cardiopulmonary and coronary artery disease deaths for each 10-μg/m3 increase in long-term PM2.5 exposure 85  
Toren, 2007 Prospective cohort of 176 309 PM-exposed construction workers and 71 778 PM-unexposed construction workers Increased risk of coronary artery disease (RR, 1.13) associated with occupational exposure to particulate air pollution 86  
Hoek, 2002 (NLCS) 4492 Dutch participants Increased risk of cardiopulmonary mortality (RR, 1.95) associated with living near a main traffic road 87  
Miller, 2007 Prospective cohort of 65 893 postmenopausal women in 36 US cities followed for 6 years 24% and 76% increase in the risk of cardiovascular events and cardiovascular mortality for each 10-μg/m3 increase in long-term PM2.5 exposure 88  
Maheswaran, 2010 Retrospective cohort study of 3320 patients with stroke residing in south London between 1995 and 2005 Each 10-μg/m3 PM10 increase was associated with a 52% increase in mortality after stroke 89  
Kunzli, 2005 Measurement of carotid intima media thickness in 798 resident in Los Angeles Each 10-μg/m3 PM2.5 increase was associated with a 5.9% increase of carotid intima media thickness 90  
Hoffmann, 2007 (Heinz Nixdorf Recall Study) 4494 German study participants Compared with participants living > 200 m away from a main road, participants living within 50, 51-100, and 101-200 m had ORs of 1.63, 1.34, and 1.08, respectively, for a high coronary artery calcium content 92  
Baccarelli, 2008 870 patients with DVT and 1210 controls in Northern Italy Each 10-μg/m3 PM10 increase was associated with a 70% increase in the risk of venous thrombosis 93  
Baccarelli, 2009 663 patients with DVT and 859 controls in Northern Italy Risk of venous thrombosis was increased (OR, 1.47) for subjects living near a main traffic road 94  
First author, year (Study)PopulationKey findingsReference
Laden, 2006 (HSCS) Prospective cohort of 8111 persons from 6 US cities followed for 28 years Increase in cardiovascular death (RR, 1.28) for each 10-μg/m3 PM2.5 increase 83  
Pope, 2004 (ACS) Prospective cohort of 500 000 residents in 150 US cities followed for 16 years 12% increased risk of cardiovascular deaths and 18% increased risk of coronary artery disease for each 10-μg/m3 increase in long-term PM2.5 exposure 4  
Jerrett, 2005 Prospective cohort of 22 905 residents in the Los Angeles area 20% and 49% increase in the risk of cardiopulmonary and coronary artery disease deaths for each 10-μg/m3 increase in long-term PM2.5 exposure 85  
Toren, 2007 Prospective cohort of 176 309 PM-exposed construction workers and 71 778 PM-unexposed construction workers Increased risk of coronary artery disease (RR, 1.13) associated with occupational exposure to particulate air pollution 86  
Hoek, 2002 (NLCS) 4492 Dutch participants Increased risk of cardiopulmonary mortality (RR, 1.95) associated with living near a main traffic road 87  
Miller, 2007 Prospective cohort of 65 893 postmenopausal women in 36 US cities followed for 6 years 24% and 76% increase in the risk of cardiovascular events and cardiovascular mortality for each 10-μg/m3 increase in long-term PM2.5 exposure 88  
Maheswaran, 2010 Retrospective cohort study of 3320 patients with stroke residing in south London between 1995 and 2005 Each 10-μg/m3 PM10 increase was associated with a 52% increase in mortality after stroke 89  
Kunzli, 2005 Measurement of carotid intima media thickness in 798 resident in Los Angeles Each 10-μg/m3 PM2.5 increase was associated with a 5.9% increase of carotid intima media thickness 90  
Hoffmann, 2007 (Heinz Nixdorf Recall Study) 4494 German study participants Compared with participants living > 200 m away from a main road, participants living within 50, 51-100, and 101-200 m had ORs of 1.63, 1.34, and 1.08, respectively, for a high coronary artery calcium content 92  
Baccarelli, 2008 870 patients with DVT and 1210 controls in Northern Italy Each 10-μg/m3 PM10 increase was associated with a 70% increase in the risk of venous thrombosis 93  
Baccarelli, 2009 663 patients with DVT and 859 controls in Northern Italy Risk of venous thrombosis was increased (OR, 1.47) for subjects living near a main traffic road 94  

HSCS indicates Harvard Six Cities Study; RR, relative risk; PM, particulate matter; ACS, American Cancer Society; NLCS, Netherlands Cohort Study; OR, odds ratio; and DVT, deep vein thrombosis.

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