Traffic-related air pollution exposure and incidence of stroke in four cohorts from Stockholm

We investigated the risk of stroke related to long-term ambient air pollution exposure, in particular the role of various exposure time windows, using four cohorts from Stockholm County, Sweden. In total, 22,587 individuals were recruited from 1992 to 2004 and followed until 2011. Yearly air polluti...

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Veröffentlicht in:Journal of exposure science & environmental epidemiology 2015-09, Vol.25 (5), p.517-523
Hauptverfasser: Korek, Michal J, Bellander, Tom D, Lind, Tomas, Bottai, Matteo, Eneroth, Kristina M, Caracciolo, Barbara, de Faire, Ulf H, Fratiglioni, Laura, Hilding, Agneta, Leander, Karin, Magnusson, Patrik K E, Pedersen, Nancy L, Östenson, Claes-Göran, Pershagen, Göran, Penell, Johanna C
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container_end_page 523
container_issue 5
container_start_page 517
container_title Journal of exposure science & environmental epidemiology
container_volume 25
creator Korek, Michal J
Bellander, Tom D
Lind, Tomas
Bottai, Matteo
Eneroth, Kristina M
Caracciolo, Barbara
de Faire, Ulf H
Fratiglioni, Laura
Hilding, Agneta
Leander, Karin
Magnusson, Patrik K E
Pedersen, Nancy L
Östenson, Claes-Göran
Pershagen, Göran
Penell, Johanna C
description We investigated the risk of stroke related to long-term ambient air pollution exposure, in particular the role of various exposure time windows, using four cohorts from Stockholm County, Sweden. In total, 22,587 individuals were recruited from 1992 to 2004 and followed until 2011. Yearly air pollution levels resulting from local road traffic emissions were assessed at participant residences using dispersion models for particulate matter (PM 10 ) and nitrogen oxides (NO X ). Cohort-specific hazard ratios were estimated for time-weighted air pollution exposure during different time windows and the incidence of stroke, adjusted for common risk factors, and then meta-analysed. Overall, 868 subjects suffered a non-fatal or fatal stroke during 238,731 person-years of follow-up. An increment of 20  μ g/m 3 in estimated annual mean of road-traffic related NO X exposure at recruitment was associated with a hazard ratio of 1.16 (95% CI 0.83–1.61), with evidence of heterogeneity between the cohorts. For PM 10 , an increment of 10  μ g/m 3 corresponded to a hazard ratio of 1.14 (95% CI 0.68–1.90). Time-window analyses did not reveal any clear induction-latency pattern. In conclusion, we found suggestive evidence of an association between long-term exposure to NO X and PM 10 from local traffic and stroke at comparatively low levels of air pollution.
doi_str_mv 10.1038/jes.2015.22
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identifier ISSN: 1559-0631
ispartof Journal of exposure science & environmental epidemiology, 2015-09, Vol.25 (5), p.517-523
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subjects 692/699/75/593/1370/534
692/700/478/174
704/106/694/2739
Adult
Aged
Aged, 80 and over
Air Pollutants - adverse effects
Air pollution
Air Pollution - adverse effects
Cohort Studies
Epidemiology
Exposure
exposure modeling
Female
Health aspects
Health risks
Heterogeneity
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Nitrogen Dioxide - adverse effects
Nitrogen oxides
Original
original-article
Particle Size
Particulate matter
Particulate Matter - adverse effects
personal exposure
Photochemicals
Pollution levels
Proportional Hazards Models
Risk Factors
Stroke (Disease)
Stroke - epidemiology
Stroke - etiology
Sweden - epidemiology
Twin Studies as Topic
Vehicle Emissions
title Traffic-related air pollution exposure and incidence of stroke in four cohorts from Stockholm
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