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Particulate Matter Pollution Remains a Threat for Cardiovascular Health: Findings From the Global Burden of Disease 2019 Publisher Pubmed



Moradi M1, 2, 3 ; Behnoush AH1 ; Abbasikangevari M1 ; Moghaddam SS1, 4 ; Soleimani Z1 ; Esfahani Z1, 5 ; Naderian M1, 6, 7 ; Malekpour MR1 ; Rezaei N1 ; Keykhaei M1, 8 ; Khanmohammadi S1 ; Tavolinejad H1 ; Rezaei N1 ; Larijani B9 Show All Authors
Authors
  1. Moradi M1, 2, 3
  2. Behnoush AH1
  3. Abbasikangevari M1
  4. Moghaddam SS1, 4
  5. Soleimani Z1
  6. Esfahani Z1, 5
  7. Naderian M1, 6, 7
  8. Malekpour MR1
  9. Rezaei N1
  10. Keykhaei M1, 8
  11. Khanmohammadi S1
  12. Tavolinejad H1
  13. Rezaei N1
  14. Larijani B9
  15. Farzadfar F1, 9
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. National Elites Foundation, Tehran, Iran
  3. 3. Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Kiel Institute for the World Economy, Kiel, Germany
  5. 5. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  6. 6. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United States
  7. 7. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Feinberg Cardiovascular and Renal Research Institute, Northwestern University, School of Medicine, Chicago, IL, United States
  9. 9. Endocrinology and Metabolism Research Center Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of the American Heart Association Published:2023


Abstract

BACKGROUND: Particulate matter (PM) pollution is a significant risk factor for cardiovascular diseases, causing substantial disease burden and deaths worldwide. This study aimed to investigate the global burden of cardiovascular diseases attributed to PM from 1990 to 2019. METHODS AND RESULTS: We used the GBD (Global Burden of Disease) study 2019 to investigate disability-adjusted life-years (DALYs), years of life lost (YLLs), years lived with disability (YLDs), and deaths attributed to PM as well as its subgroups. It was shown that all burden measures’ age-standardized rates for PM were in the same decreasing trend, with the highest decline recorded for deaths (−36.7%). However, the all-age DALYs increased by 31%, reaching 8.9 million in 2019, to which YLLs contributed the most (8.2 million [95% uncertainty interval, 7.3 million– 9.2 million]). Men had higher deaths, DALYs, and YLLs despite lower years lived with disability in 2019 compared with women. There was an 8.1% increase in the age-standardized rate of DALYs for ambient PM; however, household air pollution from solid fuels decreased by 65.4% in the assessed period. Although higher in men, the low and high sociodemographic index regions had the highest and lowest attributed YLLs/ YLDs ratio for PM pollution in 2019, respectively. CONCLUSIONS: Although the total age-standardized rate of DALYs for PM-attributed cardiovascular diseases diminished from 1990 to 2019, the global burden of PM on cardiovascular diseases has increased. The differences between men and women and between regions have clinical and policy implications in global health planning toward more exact funding and resource allocation, in addition to addressing inequity in health care access. © 2023 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
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