Abstract
Exposure to small particulate matter (PM2.5) has become the 5th highest ranking risk factor for death, responsible for 4.2 million deaths worldwide. PM pollution is also associated with cardiovascular disease and type 2 diabetes, and may contribute to deteriorate the already poor cardiometabolic outlook of the diabetic patient. Although most sources of outdoor air pollution are well beyond the control of individuals, there is still room for personal action. Health behaviors (smoking cessation, avoiding obesity, and increasing physical activity) may increase the poor life expectancy of individuals in the lowest income quartile of the Western population; moreover, a favorable lifestyle, (no current smoking, no obesity, physical activity at least once weekly, and a healthy diet pattern), may cut by nearly 50% the risk of coronary heart disease among people at high genetic risk. Things seem not immutable, as individual healthy choices do matter.
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References
WHO, http://www.who.int/whosis/whostat2006DefinitionsAndMetadata.pdf. Accessed 17 Mar 2017
World Health Statistics 2016: Monitoring health for the SDGs http://www.who.int/gho/publications/world_health_statistics/2016/en/. Accessed 28 Mar 2017
R. Lozano, M. Naghavi, K. Foreman et al., Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of disease study 2010. Lancet 380, 2095–2128 (2012)
J. Ma, E.M. Ward, R.L. Siegel, A. Jemal, Temporal trends in mortality in the United States, 1969-2013. JAMA 314, 1731–1739 (2015)
E.W. Gregg, X. Zhuo, Y.J. Cheng, A.L. Albright, K.M. Narayan, T.J. Thompson, Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985-2011: a modelling study. Lancet Diabetes Endocrinol. 2, 867–874 (2014)
Emerging Risk Factors Collaboration, Association of cardiometabolic multimorbidity with mortality. JAMA 314(1), 52–60 (2015)
C.J. Murray, C. Atkinson, K. Bhalla et al., US Burden of Disease Collaborators, The state of US health, 1990-2010: burden of diseases, injuries and risk factors. JAMA 310, 591–608 (2013)
Health Effects Institute. State of Global Air 2017. Special Report. (Health Effects Institute, Boston, MA, 2017)
International Diabetes Federation Diabetes Atlas 7th Edition, 2015. www.diabetesatlas.org. Accessed 28 Mar 2017
K. Esposito, M. Petrizzo, M.I. Maiorino, G. Bellastella, D. Giugliano, Particulate matter pollutants and risk of type 2 diabetes: a time for concern? Endocrine 51, 32–37 (2016)
C.A. Pope 3rd, A. Bhatnagar, J.P. McCracken, W. Abplanalp, D.J. Conklin, T. O’Toole, Exposure to fine particulate air pollution is associated with endothelial injury and systemic inflammation. Circ. Res. 119, 1204–1214 (2016)
R.D. Brook, S. RajagopalaS, C.A. Pope 3rd et al., American Heart Association Council on Epidemiology and Prevention, Council on the Kidney in Cardiovascular Disease, and Council on Nutrition, Physical Activity and Metabolism, Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American heart association. Circulation 121, 2331–2338 (2010)
D.E. Newby, P.M. Mannucci, G.S. Tell et al., ESC Working Group on Thrombosis, European Association for Cardiovascular Prevention and Rehabilitation; ESC Heart Failure Association. Expert position paper on air pollution and cardiovascular disease. Eur. Heart. J. 36, 83–93b (2015)
K. Esposito, M.I. Maiorino, G. Bellastella, P. Chiodini, D. Panagiotakos, D. Giugliano, A journey into a Mediterranean diet and type 2 diabetes: a systematic review with meta-analyses. BMJ Open 5, e008222 (2015)
K. Esposito, M.I. Maiorino, G. Bellastella, D.B. Panagiotakos, D. Giugliano, Mediterranean diet for type 2 diabetes: cardiometabolic benefits. Endocrine 56, 27–32 (2017)
M. Marmot, Social determinants of health inequalities. Lancet 365, 1099–1104 (2005)
R. Chetty, M. Stepner, S. Abraham, S. Lin, B. Scuderi, N. Turner, A. Bergeron, D. Cutler, The association between income and life expectancy in the United States, 2001-2014. JAMA 315, 1750–1766 (2016)
A.V. Khera, C.A. Emdin, I. Drake et al. Genetic risk, adherence to a healthy lifestyle, and coronary disease. N. Engl. J. Med. 375, 2349–2358 (2016)
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Esposito, K., Bellastella, G., Maiorino, M.I. et al. Particulate matter air pollution: individual choices for improving cardiometabolic well-being. Endocrine 59, 495–498 (2018). https://doi.org/10.1007/s12020-017-1326-1
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DOI: https://doi.org/10.1007/s12020-017-1326-1