Evidence map›Paper›PMID 40275267›Full record

ArticleJournal of translational medicine2025

Impacts of air pollutions on cardiovascular and cerebrovascular diseases through inflammation: a comprehensive analysis of one million Chinese and half million UK individuals.

Fei Lin, Guohua Li, Yongbin Wang, Pingshuan Dong, Kan Yang, Hui Liu, Na Xie, Jingyu Liu, Hengwen Chen, Xiaomei Liu and 10 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Fei Lin *Department of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Guohua Li *Department of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Yongbin Wang *Department of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Pingshuan DongThe First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan, China.
Kan YangNanyang Central Hospital, Nanyang, Henan, 473005, China.
Hui LiuAnyang District Hospital, Anyang, Henan, 455000, China.
Na XieThe Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453003, China.
Jingyu LiuKaifeng Central Hospital, Kaifeng, Henan, 475000, China.
Hengwen ChenGuang'anmen Hospital, China Academy of Chinese Medical Sciences, Bei Jing, 100053, China.
Xiaomei LiuDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Huan LiDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Xuefang LiDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Dongxu LiDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Siyu SunDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Xiulong WangDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Yujing SunDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
Jun LiKaifeng Central Hospital, Kaifeng, Henan, 475000, China. gamyylj@163.com.
Guoan ZhaoDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China. guoanzhao@xxmu.edu.cn.
Zhigang ChenDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China. 1fy2000129@xmu.edu.cn.
Jun PuDepartment of Traditional Chinese Medicine, Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China. pujun310@hotmail.com.

Funding

CACMS Innovation Fund CI2021B004
6 · The paper itself

Abstract

backgroundEpidemiological studies have found an association between air pollution and cardiovascular and cerebrovascular diseases (CACD) and its subtypes. However, there is a lack of individual-level data to explore the associations of air pollutants on CACD and its subtypes, the interaction among them, and the potential mechanism.

methodsThis study employed a two-stage design, combining a time-stratified case-crossover study with a cohort study, analyzing data from one million individuals from China and half million from the UK. The study assessed the impact of air pollutants on CACD and its subtypes, while also examining the mediating effects of inflammation. Distributed lag non-linear models were used to analyze the lagged effects of pollutants, and mediation analysis was conducted to evaluate the role of inflammatory markers (SII, SIRI, AISI) in the relationship between air pollution and CACD.

resultsA total of 829,135 CSDs patients were recorded in this study. An interquartile range (IQR) increase in concentrations of PM

conclusionsThis study provides robust evidence that short-term exposure to common air pollutants significantly increases the risk of CACD and its subtypes, with inflammation playing a crucial mediating role. The findings underscore the importance of coordinated air pollution control strategies and public health interventions to mitigate the cardiovascular risks associated with air pollution.

Indexed as

Air PollutionCardiovascular DiseasesCerebrovascular DisordersInflammationAgedAir PollutantsChinaEast Asian PeopleFemaleHumansMaleMiddle AgedParticulate MatterUnited KingdomAir PollutantsParticulate MatterAir pollutionCardiovascular and cerebrovascular diseasesCross-regional validationInflammationMediation analysisTime-stratified case-crossover design

Identifiers

PMID40275267
PMCPMC12020266

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.