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Endocrine

, Volume 59, Issue 3, pp 495–498 | Cite as

Particulate matter air pollution: individual choices for improving cardiometabolic well-being

  • Katherine Esposito
  • Giuseppe Bellastella
  • Maria Ida Maiorino
  • Dario Giugliano
Viewpoint

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.

Keywords

Particulate matter Type 2 diabetes Cardiovascular disease Health choices Cardiometabolic well-being 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

References

  1. 1.
  2. 2.
    World Health Statistics 2016: Monitoring health for the SDGs http://www.who.int/gho/publications/world_health_statistics/2016/en/. Accessed 28 Mar 2017
  3. 3.
    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)CrossRefPubMedGoogle Scholar
  4. 4.
    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)CrossRefPubMedGoogle Scholar
  5. 5.
    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)CrossRefPubMedGoogle Scholar
  6. 6.
    Emerging Risk Factors Collaboration, Association of cardiometabolic multimorbidity with mortality. JAMA 314(1), 52–60 (2015)CrossRefGoogle Scholar
  7. 7.
    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)CrossRefPubMedGoogle Scholar
  8. 8.
    Health Effects Institute. State of Global Air 2017. Special Report. (Health Effects Institute, Boston, MA, 2017)Google Scholar
  9. 9.
    International Diabetes Federation Diabetes Atlas 7th Edition, 2015. www.diabetesatlas.org. Accessed 28 Mar 2017
  10. 10.
    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)CrossRefPubMedGoogle Scholar
  11. 11.
    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)CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    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)CrossRefPubMedGoogle Scholar
  13. 13.
    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)CrossRefPubMedGoogle Scholar
  14. 14.
    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)CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    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)Google Scholar
  16. 16.
    M. Marmot, Social determinants of health inequalities. Lancet 365, 1099–1104 (2005)CrossRefPubMedGoogle Scholar
  17. 17.
    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)CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    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)CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Katherine Esposito
    • 1
  • Giuseppe Bellastella
    • 1
  • Maria Ida Maiorino
    • 1
  • Dario Giugliano
    • 1
  1. 1.Department of Medical, Surgical, Neurological and Metabolic Sciences, and AgeingUniversity L. VanvitelliNaplesItaly

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