Abstract
Although several studies have investigated the long-term association of respirable particulate matter (PM ≤ 10 µm) with the incidence of myocardial infarction (MI), this association is inconclusive or even contradictory. This systematic review and meta-analysis study aimed to quantify the long-term effect of exposure to respirable PM on the incidence of MI. To find relevant publications, online databases, including Scopus, PubMed, and Web of Science, were searched on October 10, 2021. A random-effect model was used to calculate the pooled hazard ratio (HR) and 95% confidence interval (95% CI) of MI across studies. Heterogeneity was presented with reporting I2 index. Of 4591 records found in the primary searching, the number of 24 prospective cohort studies with more than 70 million participants was included. The pooled HR (95% CI) of MI per 1 µg/m3 increment of respirable PM was estimated as 1.01 (1.00, 1.01). Subgroup analyses according to aerodynamic diameter of PM showed an only significant stronger risk of MI per 1 µg/m3 increase in PM with aerodynamic diameter < 2.5 µm (HR = 1.01, 95% CI = 1.00, 1.01). No sex difference was found in the association of respirable PM with MI incidence. There was only a significant association among studies defined MI as ICD-10: I21 code (HR = 1.01, 95% CI = 1.00, 1.01) and studies defined MI as ICD-10: I21–22 (HR = 1.02, 95% CI = 1.00, 1.04). No significant publication bias was observed across studies. In conclusion, this study confirms a significant association between long-term exposure to respirable PM air pollution and development of MI.
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Akintoye E, Shi L, Obaitan I, Olusunmade M, Wang Y, Newman JD, Dodson JA (2016) Association between fine particulate matter exposure and subclinical atherosclerosis: a meta-analysis. Eur J Prev Cardiol 23:602–612
Atkinson RW, Carey IM, Kent AJ, van Staa TP, Anderson HR, Cook DG (2013) Long-term exposure to outdoor air pollution and incidence of cardiovascular diseases. Epidemiology 24:44–53
Bai L, Shin S, Burnett RT, Kwong JC, Hystad P, van Donkelaar A, Goldberg MS, Lavigne E, Copes R, Martin RV, Kopp A, Chen H (2019a) Exposure to ambient air pollution and the incidence of congestive heart failure and acute myocardial infarction: a population-based study of 5 1 million Canadian adults living in Ontario. Environ Int. 132:105004
Bai L, Weichenthal S, Kwong JC, Burnett RT, Hatzopoulou M, Jerrett M, van Donkelaar A, Martin RV, Van Ryswyk K, Lu H, Kopp A, Chen H (2019b) Associations of long-term exposure to ultrafine particles and nitrogen dioxide with increased incidence of congestive heart failure and acute myocardial infarction. Am J Epidemiol 188:151–159
Begg CB, Mazumdar M (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50:1088–1101
Brook RD, Rajagopalan S, Pope CA 3rd, Brook JR, Bhatnagar A, Diez-Roux AV, Holguin F, Hong Y, Luepker RV, Mittleman MA, Peters A, Siscovick D, Smith SC Jr, Whitsel L, Kaufman JD, American Heart Association Council on Epidemiology and Prevention, Council on the Kidney in Cardiovascular Disease, and Council on Nutrition, Physical Activity and Metabolism (2010) Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. Circulation. 121:2331–78
Burnett R, Chen H, Szyszkowicz M, Fann N, Hubbell B, Pope CA 3rd, Apte JS, Brauer M, Cohen A, Weichenthal S, Coggins J, Di Q, Brunekreef B, Frostad J, Lim SS, Kan H, Walker KD, Thurston GD, Hayes RB, Lim CC, Turner MC, Jerrett M, Krewski D, Gapstur SM, Diver WR, Ostro B, Goldberg D, Crouse DL, Martin RV, Peters P, Pinault L, Tjepkema M, van Donkelaar A, Villeneuve PJ, Miller AB, Yin P, Zhou M, Wang L, Janssen NAH, Marra M, Atkinson RW, Tsang H, Quoc Thach T, Cannon JB, Allen RT, Hart JE, Laden F, Cesaroni G, Forastiere F, Weinmayr G, Jaensch A, Nagel G, Concin H, Spadaro JV (2018) Global estimates of mortality associated with long-term exposure to outdoor fine particulate matter. Proc Natl Acad Sci U S A 115:9592–9597
Cai X, Li Z, Scott EM, Li X, Tang M (2016a) Short-term effects of atmospheric particulate matter on myocardial infarction: a cumulative meta-analysis. Environ Sci Pollut Res Int 23:6139–6148
Cai Y, Zhang B, Ke W, Feng B, Lin H, Xiao J, Zeng W, Li X, Tao J, Yang Z, Ma W, Liu T (2016b) Associations of short-term and long-term exposure to ambient air pollutants with hypertension: a systematic review and meta-analysis. Hypertension 68(1):62–70
Carey IM, Anderson HR, Atkinson RW, Beevers S, Cook DG, Dajnak D, Gulliver J, Kelly FJ (2016) Traffic pollution and the incidence of cardiorespiratory outcomes in an adult cohort in London. Occup Environ Med 73:849–856
Cesaroni G, Forastiere F, Stafoggia M, Andersen ZJ, Badaloni C, Beelen R, Caracciolo B, de Faire U, Erbel R, Eriksen KT, Fratiglioni L, Galassi C, Hampel R, Heier M, Hennig F, Hilding A, Hoffmann B, Houthuijs D, Jöckel KH, Korek M, Lanki T, Leander K, Magnusson PK, Migliore E, Ostenson CG, Overvad K, Pedersen NL, J JP, Penell J, Pershagen G, Pyko A, Raaschou-Nielsen O, Ranzi A, Ricceri F, Sacerdote C, Salomaa V, Swart W, Turunen AW, Vineis P, Weinmayr G, Wolf K, de Hoogh K, Hoek G, Brunekreef B, Peters A. Long term exposure to ambient air pollution and incidence of acute coronary events: prospective cohort study and meta-analysis in 11 European cohorts from the ESCAPE Project. Version 2. BMJ.;348:f7412
Chen H, Zhang Z, Van Donkelaar A, Bai L, Martin RV, Lavigne E, … Burnett RT (2020) Understanding the joint impacts of fine particulate matter concentration and composition on the incidence and mortality of cardiovascular disease: a component-adjusted approach. Environ Sci Technol 54(7):4388–4399. https://doi.org/10.1021/acs.est.9b06861
Cramer J, Jorgensen JT, Hoffmann B, Loft S, Brauner EV, Prescott E, . . . Andersen ZJ (2020) Long-term exposure to air pollution and incidence of myocardial infarction: A Danish nurse cohort study. Environ Health Perspect 128(5). https://doi.org/10.1289/ehp5818
DerSimonian R, Laird N (2015) Meta-analysis in clinical trials revisited. Contemp Clin Trials 45:139–145
Downward GS, van Nunen EJHM, Kerckhoffs J, Vineis P, Brunekreef B, Boer JMA, Messier KP, Roy A, Verschuren WMM, van der Schouw YT, Sluijs I, Gulliver J, Hoek G, Vermeulen R (2018) Long-term exposure to ultrafine particles and incidence of cardiovascular and cerebrovascular disease in a prospective study of a Dutch cohort. Environ Health Perspect. 126(12):127007
Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634
Elliott EG, Laden F, James P, Rimm EB, Rexrode KM, Hart JE (2020) Interaction between long-term exposure to fine particulate matter and physical activity, and risk of cardiovascular disease and overall mortality in US women. Environ Health Perspect 128(12). https://doi.org/10.1289/ehp7402
Farhadi Z, AbulghasemGorgi H, Shabaninejad H, AghajaniDelavar M, Torani S (2020) Association between PM2.5 and risk of hospitalization for myocardial infarction: a systematic review and a meta-analysis. BMC Public Health 20:314
Fiordelisi A, Piscitelli P, Trimarco B, Coscioni E, Iaccarino G, Sorriento D (2017) The mechanisms of air pollution and particulate matter in cardiovascular diseases. Heart Fail Rev 22:337–347
Franchini M, Guida A, Tufano A, Coppola A (2012) Air pollution, vascular disease and thrombosis: linking clinical data and pathogenic mechanisms. J Thromb Haemost 10:2438–2451
Fu P, Guo X, Cheung FMH, Yung KKL (2019) The association between PM2.5 exposure and neurological disorders: a systematic review and meta-analysis. Sci Total Environ 655:1240–1248
Gandini M, Scarinzi C, Bande S, Berti G, Carnà P, Ciancarella L, Costa G, Demaria M, Ghigo S, Piersanti A, Rowinski M, Spadea T, Stroscia M, Cadum E; LIFE MEDHISS collaborative Group (2018) Long term effect of air pollution on incident hospital admissions: results from the Italian Longitudinal Study within LIFE MED HISS project. Environ Int 121:1087–1097
GBD 2016 Risk Factors Collaborators (2017) Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390:1345–1422
Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [Updated March 2011] 2011 [May 1, 2016]. Available from: www.cochrane-handbook.org
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560
Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558
Higgins J, Wells G (2011) Cochrane handbook for systematic reviews of interventions
Huang F, Pan B, Wu J, Chen E, Chen L (2017) Relationship between exposure to PM2.5 and lung cancer incidence and mortality: A meta-analysis. Oncotarget. 8:43322–43331
Hystad P, Larkin A, Rangarajan S, AlHabib KF, Avezum Á, Calik KBT, … Brauer M (2020) Associations of outdoor fine particulate air pollution and cardiovascular disease in 157 436 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet Planet Health 4(6):e235–e245. https://doi.org/10.1016/S2542-5196(20)30103-0
Khosravipour M, Khanlari P (2020) The association between road traffic noise and myocardial infarction: a systematic review and meta-analysis. Sci Total Environ. 731:139226
Kim H, Kim J, Kim S, Kang SH, Kim HJ, Kim H, Heo J, Yi SM, Kim K, Youn TJ, Chae IH (2017) Cardiovascular effects of long-term exposure to air pollution: a population-based study with 900 845 person-years of follow-up. J Am Heart Assoc. 6:e007170
Kim OJ, Lee SH, Kang SH, Kim SY (2020) Incident cardiovascular disease and particulate matter air pollution in South Korea using a population-based and nationwide cohort of 0.2 million adults. Environ Health 19(1). https://doi.org/10.1186/s12940-020-00671-1
Lam J, Sutton P, Kalkbrenner A, Windham G, Halladay A, Koustas E, Lawler C, Davidson L, Daniels N, Newschaffer C, Woodruff T (2016) A systematic review and meta-analysis of multiple airborne pollutants and autism spectrum disorder. PLoS ONE 11(9):e0161851. https://doi.org/10.1371/journal.pone.0161851.PMID:27653281;PMCID:PMC5031428
Li J, Li J, Liu F, Liang F, Huang K, Yang X, … Gu D (2020) Long-term effects of high exposure to ambient fine particulate matter on coronary heart disease incidence: a population-based Chinese cohort study. Environ Sci Technol 54(11):6812–6821. https://doi.org/10.1021/acs.est.9b06663
Li MH, Fan LC, Mao B, Yang JW, Choi AMK, Cao WJ, Xu JF (2016) Short-term exposure to ambient fine particulate matter increases hospitalizations and mortality in COPD: a systematic review and meta-analysis. Chest 149:447–458
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Medicine 6(7):e1000100. https://doi.org/10.1371/journal.pmed.1000100
Lipsett MJ, Ostro BD, Reynolds P, Goldberg D, Hertz A, Jerrett M, Smith DF, Garcia C, Chang ET, Bernstein L (2011) Long-term exposure to air pollution and cardiorespiratory disease in the California teachers study cohort. Am J Respir Crit Care Med 184:828–835
Liu F, Chen G, Huo W, Wang C, Liu S, Li N, Mao S, Hou Y, Lu Y, Xiang H (2019) Associations between long-term exposure to ambient air pollution and risk of type 2 diabetes mellitus: a systematic review and meta-analysis. Environ Pollut 252:1235–1245
Liu X, Lian H, Ruan Y, Liang R, Zhao X, Routledge M, Fan Z (2015) Association of exposure to particular matter and carotid intima-media thickness: a systematic review and meta-analysis. Int J Environ Res Public Health 12:12924–12940
Liu Z, Wang F, Li W, Yin L, Wang Y, Yan R, Lao XQ, Kan H, Tse LA (2018) Does utilizing WHO’s interim targets further reduce the risk - meta-analysis on ambient particulate matter pollution and mortality of cardiovascular diseases? Environ Pollut 242:1299–1307
Loop MS, McClure LA, Levitan EB, Al-Hamdan MZ, Crosson WL, Safford MM (2018) Fine particulate matter and incident coronary heart disease in the REGARDS cohort. Am Heart J 197:94–102
Luo C, Zhu X, Yao C, Hou L, Zhang J, Cao J, Wang A (2015) Short-term exposure to particulate air pollution and risk of myocardial infarction: a systematic review and meta-analysis. Environ Sci Pollut Res Int 22:14651–14662
Miller KA, Siscovick DS, Sheppard L, Shepherd K, Sullivan JH, Anderson GL, Kaufman JD (2007) Long-term exposure to air pollution and incidence of cardiovascular events in women. N Engl J Med 1(356):447–458
Miller MR, Newby DE (2020) Air pollution and cardiovascular disease: car sick. Cardiovasc Res 116:279–294
Miller RG (1974) The jackknife-a review. Biometrika 61:1–15
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA; PRISMA-P Group (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 4:1
Mustafic H, Jabre P, Caussin C, Murad MH, Escolano S, Tafflet M, Périer MC, Marijon E, Vernerey D, Empana JP, Jouven X (2012) Main air pollutants and myocardial infarction: a systematic review and meta-analysis. JAMA 307:713–721
Newell K, Kartsonaki C, Lam KBH, Kurmi OP (2017) Cardiorespiratory health effects of particulate ambient air pollution exposure in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Planet Health 1:e368–e380
Nishiwaki Y, Michikawa T, Takebayashi T, Nitta H, Iso H, Inoue M, Tsugane S; Japan Public Health Center-based Prospective Study Group. Long-term exposure to particulate matter in relation to mortality and incidence of cardiovascular disease: the JPHC study. J Atheroscler Thromb. 2013;20:296–309
Ohlwein S, Kappeler R, Kutlar Joss M, Künzli N, Hoffmann B (2019) Health effects of ultrafine particles: a systematic literature review update of epidemiological evidence. Int J Public Health 64:547–559
Olaniyan T, Pinault L, Li C, van Donkelaar A, Meng J, Martin RV, … Chen H (2022) Ambient air pollution and the risk of acute myocardial infarction and stroke: a national cohort study. Environ Res 204. https://doi.org/10.1016/j.envres.2021.111975
Orellano P, Quaranta N, Reynoso J, Balbi B, Vasquez J (2017) Effect of outdoor air pollution on asthma exacerbations in children and adults: systematic review and multilevel meta-analysis. PLoS One. 20(12):e0174050
Puett RC, Hart JE, Yanosky JD, Paciorek C, Schwartz J, Suh H, Speizer FE, Laden F (2009) Chronic fine and coarse particulate exposure, mortality, and coronary heart disease in the Nurses’ Health Study. Environ Health Perspect 117:1697–1701
Puett RC, Schwartz J, Hart JE, Yanosky JD, Speizer FE, Suh H, Paciorek CJ, Neas LM, Laden F (2008) Chronic particulate exposure, mortality, and coronary heart disease in the nurses’ health study. Am J Epidemiol 15(168):1161–1168
Rajagopalan S, Al-Kindi SG, Brook RD (2018) Air pollution and cardiovascular disease: JACC state-of-the-art review. J Am Coll Cardiol 72:2054–2070
Shah AS, Langrish JP, Nair H, McAllister DA, Hunter AL, Donaldson K, Newby DE, Mills NL (2013) Global association of air pollution and heart failure: a systematic review and meta-analysis. Lancet 382:1039–1048
Shin HH, Fann N, Burnett RT, Cohen A, Hubbell BJ (2014) Outdoor fine particles and nonfatal strokes: systematic review and meta-analysis. Epidemiology 25:835–842
Song X, Liu Y, Hu Y, Zhao X, Tian J, Ding G, Wang S (2016) Short-term exposure to air pollution and cardiac arrhythmia: a meta-analysis and systematic review. Int J Environ Res Public Health 13:642
Sørensen M, Hvidtfeldt UA, Poulsen AH, Thygesen LC, Frohn LM, Ketzel M, … Raaschou-Nielsen O (2022) The effect of adjustment to register-based and questionnaire-based covariates on the association between air pollution and cardiometabolic disease. Environ Res 203. https://doi.org/10.1016/j.envres.2021.111886
van Kempen EEMM, Kruize H, Boshuizen HC, Ameling CB, Statsen BAM, de Hollander AEM (2002) The association between noise exposure and blood pressure and ischemic heart disease: a meta-analysis. Environ Health Perspect 110(3):307–317
Viswanathan M, Ansari M, Berkman N, Chang S, Hartling L, McPheeters L, et al (2012) Assessing the risk of bias of individual studies in systematic reviews of health care interventions. AHRQ Publication No. 12-EHC047-EF
Wells G, Shea B, O’Connell D, Peterson J, Welch V, Losos M, Tugwell P (2013) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses
World_Health_Organization. Air Pollution. https://www.who.int/airpollution/en/ (29 August 2019, date last accessed)
Wu MY, Lo WC, Chao CT, Wu MS, Chiang CK (2020) Association between air pollutants and development of chronic kidney disease: a systematic review and meta-analysis. Sci Total Environ. 706:135522
Yang M, Cheng H, Shen C, Liu J, Zhang H, Cao J, Ding R (2020) Effects of long-term exposure to air pollution on the incidence of type 2 diabetes mellitus: a meta-analysis of cohort studies. Environ Sci Pollut Res Int 27:798–811
Yazdi M, Wang Y, Di Q, Zanobetti A, Schwartz J (2019) Long-term exposure to PM2.5 and ozone and hospital admissions of Medicare participants in the Southeast USA. Environ Int. 130:104879
Yazdi MD, Wang Y, Di Q, Wei YG, Requia WJ, Shi LH, … Schwartz JD (2021) Long-term association of air pollution and hospital admissions among medicare participants using a doubly robust additive model. Circulation 143(16):1584–1596. https://doi.org/10.1161/circulationaha.120.050252
Yuan S, Wang J, Jiang Q, He Z, Huang Y, Li Z, Cai L, Cao S (2019) Long-term exposure to PM2.5 and stroke: a systematic review and meta-analysis of cohort studies. Environ Res. 177:108587
Zare Sakhvidi MJ, Zare Sakhvidi F, Mehrparvar AH, Foraster M, Dadvand P (2018) Association between noise exposure and diabetes: a systematic review and meta-analysis. Environ Res 166:647–657
Zeng Y, Lin R, Liu L, Liu Y, Li Y (2019) Ambient air pollution exposure and risk of depression: a systematic review and meta-analysis of observational studies. Psychiatry Res 276:69–78
Zhang Z, Weichenthal S, Kwong JC, Burnett RT, Hatzopoulou M, Jerrett M, … Chen H (2021) Long-term exposure to iron and copper in fine particulate air pollution and their combined impact on reactive oxygen species concentration in lung fluid: a population-based cohort study of cardiovascular disease incidence and mortality in Toronto. Canada Int J Epidemiol 50(2):589–601. https://doi.org/10.1093/ije/dyaa230
Zhang Z, Yan W, Chen Q, Zhou N, Xu Y (2019) The relationship between exposure to particulate matter and breast cancer incidence and mortality: a meta-analysis. Medicine. 98:e18349
Zhu W, Cai J, Hu Y, Zhang H, Han X, Zheng H, Wu J (2021) Long-term exposure to fine particulate matter relates with incident myocardial infarction (MI) risks and post-MI mortality: a meta-analysis. Chemosphere 267
Zou L, Zong Q, Fu W, Zhang Z, Xu H, Yan S, Mao J, Zhang Y, Cao S, Lv C (2021) Long-term exposure to ambient air pollution and myocardial infarction: a systematic review and meta-analysis’, Front Med (Lausanne), 8
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This study was approved by the Research Deputy and Technology of Kermanshah University of Medical Sciences. We did not receive any funding for the current meta-analysis.
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Masoud Khosravipour and Fatemeh Rajati contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Masoud Khosravipour, Roya Safari, and Fatemeh Rajati. The first draft of the manuscript was written by Masoud Khosravipour and Fariborz Omidi. Fatemeh Rajati revised the manuscript. All authors read and approved the final manuscript.
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Khosravipour, M., Safari-Faramani, R., Rajati, F. et al. The long-term effect of exposure to respirable particulate matter on the incidence of myocardial infarction: a systematic review and meta-analysis study. Environ Sci Pollut Res 29, 42347–42371 (2022). https://doi.org/10.1007/s11356-022-18986-6
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DOI: https://doi.org/10.1007/s11356-022-18986-6