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Long-term exposure to low-level ambient air pollution and incidence of stroke and coronary heart disease: a pooled analysis of six European cohorts within the ELAPSE project.
Wolf, Kathrin; Hoffmann, Barbara; Andersen, Zorana J; Atkinson, Richard W; Bauwelinck, Mariska; Bellander, Tom; Brandt, Jørgen; Brunekreef, Bert; Cesaroni, Giulia; Chen, Jie; De Faire, Ulf; de Hoogh, Kees; Fecht, Daniela; Forastiere, Francesco; Gulliver, John; Hertel, Ole; Hvidtfeldt, Ulla Arthur; Janssen, Nicole A H; Jørgensen, Jeanette T; Katsouyanni, Klea; Ketzel, Matthias; Klompmaker, Jochem O; Lager, Anton; Liu, Shuo; MacDonald, Conor J; Magnusson, Patrik K E; Mehta, Amar J; Nagel, Gabriele; Oftedal, Bente; Pedersen, Nancy L; Pershagen, Göran; Raaschou-Nielsen, Ole; Renzi, Matteo; Rizzuto, Debora; Rodopoulou, Sophia; Samoli, Evangelia; van der Schouw, Yvonne T; Schramm, Sara; Schwarze, Per; Sigsgaard, Torben; Sørensen, Mette; Stafoggia, Massimo; Strak, Maciek; Tjønneland, Anne; Verschuren, W M Monique; Vienneau, Danielle; Weinmayr, Gudrun; Hoek, Gerard; Peters, Annette; Ljungman, Petter L S
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Long-term exposure to low-level ambient air pollution and incidence of stroke and coronary heart disease: a pooled analysis of six European cohorts within the ELAPSE project.
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Lancet Planet Health 2021; 5(9):e620-32
Abstract
Long-term exposure to outdoor air pollution increases the risk of cardiovascular disease, but evidence is unclear on the health effects of exposure to pollutant concentrations lower than current EU and US standards and WHO guideline limits. Within the multicentre study Effects of Low-Level Air Pollution: A Study in Europe (ELAPSE), we investigated the associations of long-term exposures to fine particulate matter (PM2·5), nitrogen dioxide (NO2), black carbon, and warm-season ozone (O3) with the incidence of stroke and acute coronary heart disease.