ArticleEnvironmental health perspectives2019
Associations of Combined Exposures to Surrounding Green, Air Pollution, and Road Traffic Noise with Cardiometabolic Diseases.
Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers, 1 of them a synthesis that pooled it.
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50 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.
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- Expert perspectives on exposure-response functions for urban health policy: Lessons from a UBDPolicy workshop.Environmental research · 2026Review
- Association of long-term exposure to ambient air pollution and residential greenness with hypertension among adults: a cross-sectional study in Northwestern of China.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Early-life residential greenness and sleep disturbances in preschoolers across 551 cities of China.Eco-Environment & Health · 2025Article
- Greenspace proximity in relation to sleep health among a racially and ethnically diverse cohort of US women.Environmental research · 2025Article
- Residential greenness and diabetes incidence in two prospective cohorts of US women.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Effects of air pollution and noise exposure on occupational hearing loss in oil workers: a prospective cohort study.BMC public health · 2025Article
- Combined impact of dynamic air pollution and transportation noise on cardiometabolic disorders in San Diego County.American journal of epidemiology · 2025Article
- Can greenspace modify the combined effects of multiple air pollutants on pulmonary tuberculosis treatment outcomes? An empirical study conducted in Zhejiang Province, China.Environmental health and preventive medicine · 2025Article
- Childhood exposure to air pollution, noise, and surrounding greenness and incident hypertension in early adulthood in a US nationwide cohort-the Growing Up Today Study (GUTS).Environmental research · 2024Article
- Cardiometabolic Health Effects of Air Pollution, Noise, Green Space, and Socioeconomic Status: The HERMES Study.Research report (Health Effects Institute) · 2024Article
- Multiple Environmental Exposures and the Development of Hypertension in a Prospective US-Based Cohort of Female Nurses: A Mixture Analysis.Environmental science & technology · 2024Article
- Social and environmental stressors of cardiometabolic health.Scientific reports · 2024Article
- Heterogeneous associations of multiplexed environmental factors and multidimensional aging metrics.Nature communications · 2024Article
- The impact of co-exposure to air and noise pollution on the incidence of metabolic syndrome from a health checkup cohort.Scientific reports · 2024Article
- Long-term exposure to particulate matter is associated with elevated blood pressure: Evidence from the Chinese plateau area.Journal of global health · 2024Article
- Exploring associations of greenery, air pollution and walkability with cardiometabolic health in people at midlife and beyond.Geriatrics & gerontology international · 2024Article
- Lower regional urbanicity and socioeconomic status attenuate associations of green spaces with hypertension and diabetes mellitus: a national representative cross-sectional study in China.Environmental health and preventive medicine · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurrounding green, air pollution, and noise have been associated with cardiometabolic diseases, but most studies have assessed only one of these correlated exposures.
objectivesWe aimed to evaluate associations of combined exposures to green, air pollution, and road traffic noise with cardiometabolic diseases.
methodsIn this cross-sectional study, we studied associations between self-reported physician-diagnosed diabetes, hypertension, heart attack, and stroke from a Dutch national health survey of 387,195 adults and residential surrounding green, annual average air pollutant concentrations [including particulate matter with aerodynamic diameter [Formula: see text] ([Formula: see text]), PM with aerodynamic diameter [Formula: see text] ([Formula: see text]), nitrogen dioxide ([Formula: see text]), and oxidative potential (OP) with the dithiothreitol (DTT) assay ([Formula: see text])] and road traffic noise. Logistic regression models were used to analyze confounding and interaction of surrounding green, air pollution, and noise exposure.
resultsIn single-exposure models, surrounding green was inversely associated with diabetes, while air pollutants ([Formula: see text], [Formula: see text]) and road traffic noise were positively associated with diabetes. In two-exposure analyses, associations with green and air pollution were attenuated but remained. The association between road traffic noise and diabetes was reduced to unity when adjusted for surrounding green or air pollution. Air pollution and surrounding green, but not road traffic noise, were associated with hypertension in single-exposure models. The weak inverse association of surrounding green with hypertension attenuated and lost significance when adjusted for air pollution. Only [Formula: see text] was associated with stroke and heart attack.
conclusionsStudies including only one of the correlated exposures surrounding green, air pollution, and road traffic noise may overestimate the association of diabetes and hypertension attributed to the studied exposure. https://doi.org/10.1289/EHP3857.
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