Air pollution exposure during pregnancy may boost babies’ obesity risk

Women exposed to higher levels of air pollution during pregnancy have babies who grow unusually fast in the first months after birth, putting on excess fat that puts them at risk of obesity and related diseases later in life, new CU Boulder research shows.

The study of Hispanic mother-child pairs, published this week in the journal Environmental Health, is the latest to suggest that poor air quality may contribute at least in part to the nation’s obesity epidemic, particularly among minority populations who tend to live in places with more exposure to toxic pollutants.

About one in four Hispanic youth in the United States are obese, compared to about 14% of white youth and 11% of Asian youth.

“Higher rates of obesity among certain groups in our society are not simply a byproduct of personal choices like exercise and calories in, calories out. It’s more complicated than that,” said senior author Tanya Alderete, an assistant professor in the Department of Integrative Physiology. “This study and others suggest it can also relate to how much of an environmental burden one carries.”

Previous research has shown pregnant women who smoke or are chronically exposed to air pollution tend to have smaller birthweight babies. In the first year of life, those babies tend to race to catch up, gaining weight unusually fast. Accelerated weight gain in early life has been linked to diabetes, heart disease and weight problems in childhood and adolescence.

“This period, either during pregnancy or shortly after birth, is a critical window of development and adverse exposures can program the infant to have a host of problems later in life,” said lead author William Patterson, a doctoral student.

To more closely examine how specific pollutants impact a baby’s growth trajectory, the researchers followed 123 mother-infant pairs from the Mother’s Milk Study, an ongoing trial in the Los Angeles region. About one-third were of normal weight pre-pregnancy, one-third overweight and one-third obese.

The researchers used data from the U.S. Environmental Protection Agency’s Air Quality System, which records hourly air quality data from ambient monitoring stations, to quantify their prenatal exposure to four classes of pollutants: PM2.5 and PM10 (inhalable particles from factories, cars and construction sites), nitrogen dioxide (an odorless gas emitted from cars and power plants) and ozone (the main ingredient in smog).

Then they followed the babies, periodically measuring not only their weight and height, but also how much fat they carried and where.

“We found that greater exposure to prenatal ambient air pollution was associated with greater changes in weight and adiposity, or body fatness, in the first six months of life,” said Patterson.

In some cases, pollutants seemed to impact males and females differently. For instance, exposure to a combination of ozone and nitrogen dioxide in utero was associated with faster growth around the waist in females, while in males it was associated with slower growth in length and greater fat accumulation around the midsection.

In adults, excess fat around the midsection has been linked to heart disease and diabetes.

“It’s not just how much fat you carry but where––that matters,” said Patterson.

How can inhaling pollutants impact growth patterns of a mother’s unborn child?

Researchers believe those pollutants can inflame the lungs and, in turn, cause systemic inflammation of organs, impacting metabolic processes, such as insulin sensitivity, that can influence fetal development. Pollutants have also been shown to impact gene expression in infants, potentially having life-long impacts that could transcend generations.

The authors note that because the study included only Hispanic mothers, a larger trial is necessary to confirm results apply to other populations.

But Alderete said that in an increasingly diverse country, where racial minorities have been shown repeatedly to shoulder a higher burden of pollutions, it’s important to study how those toxins are influencing them.

In 2018, the EPA’s National Center for Environmental Assessment published a study showing that poor people and people of color are exposed to as much as 1.5 times more airborne pollutants than their white counterparts.

“Generally speaking, there have not been very many studies that really represent the diversity we have in the United States,” she said. “We want to fill that gap.”

Meantime, the researchers recommend pregnant women take extra precautions to minimize their exposure to air pollution by closing windows on high ozone days, not exercising outdoors at times of high air pollution and steering clear of activities alongside busy roadways.

Air pollution exposure during pregnancy may boost babies’ obesity risk | CU Boulder Today | University of Colorado Boulder
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Vehicle Pollution Leads to Thousands of Early Deaths and Costs Billions in Northeast and Mid-Atlantic, Study Says

It’s well documented that ozone and fine particulate matter from vehicle emissions have a wide range of negative health effects. Greenhouse gas emissions from vehicles are also one of the biggest contributors to global warming, according to the EPA.

The study published Tuesday not only quantified the effects in terms of people and dollars but also showed that the pollution can travel downwind and cross state lines.

“What makes this study different from previous studies is that it connects the dots between where the pollution happens, and where the premature deaths occur,” Saravanan Arunachalam, a study author and deputy director of the University of North Carolina Institute for the Environment, said in the news release.

In Washington D.C., for example, 85% of the deaths were from vehicle emissions produced outside of the district, with Virginia being the largest contributor. That number is 84% in Delaware, with the bulk attributed to emissions from Pennsylvania, and 82% in Vermont, where emissions from New York were found to be the largest contributor.

The researchers also analyzed which type of vehicle contributed to the most deaths. They found the results varied across the region.

“While particulate matter from New York City buses has the largest impact per ton of emissions in New York, in Massachusetts it’s heavy-duty trucks in Boston, and in Virginia it is light-duty autos,” Jonathan Buonocore, one of the study authors and a research scientist at Harvard T.H. Chan School of Public Health, said in a news release.

The research is part of a multi-university initiative called the Transportation, Equity, Climate and Health Project.

It comes as economies around the world, including the United States, look to decrease pollution and greenhouse gas emissions.

“As policymakers consider how to transform the transportation sector – the largest source of carbon pollution – this research offers a roadmap for where to target investments to most cost-effectively improve air quality and health,” Buonocore said.

Pollution from vehicle emissions caused thousands of premature deaths and led to billions of dollars in health care costs in a single year in the Northeast and mid-Atlantic, even affecting those who don’t live near the source, according to a new study.

The research, published Tuesday in the journal Environmental Research Letters, estimated that 7,100 premature deaths in 2016 were connected to vehicle pollution in 12 states and the District of Columbia.

Premature deaths are those that occur before the average age of death, which in the U.S. is about 75 years old.

The highest number from the study was in New York, where 2,024 premature deaths were blamed on vehicle pollution during the study period, according to a news release. Pennsylvania was second with 1,270 and New Jersey was third with 1,175.

Those three states incurred health damages costing $21 billion, $13 billion and $12 billion, respectively.

Data from 2016 was examined because it was the most recent year available from the U.S. Environmental Protection Agency.

Vehicle Pollution Leads to Thousands of Early Deaths and Costs Billions in Northeast and Mid-Atlantic, Study Says | The Weather Channel – Articles from The Weather Channel | weather.com

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Establishing a link between air pollution and dementia

More people around the world are falling ill and dying from dementia than they used to. Between 2000 and 2019, the rate of dementia increased by 86%, while deaths from the cognitive disorder more than doubled. Longer life spans and aging populations in much of the world are partly to blame. However, evidence suggests that lifestyle and environmental causes may also play a role, namely, air pollution, excessive alcohol consumption, and traumatic brain injury.

In new research, Ru et al. explored the role of air pollution in rising dementia cases. The authors perused existing literature to find links between fine particulate matter 2.5 (PM2.5)—defined as particulates having a diameter less than or equal to 2.5 micrometers—and dementia. PM2.5 arises from both anthropogenic and natural sources, like burning gas for vehicles and wildfires. In addition, cigarettes produce fine particulate matter, which is inhaled by the smoker and through secondhand smoke. When these pollutants enter the body, they can affect the central nervous system and lead to cognitive disorders.

The study’s findings indicate that in 2015, air pollution caused approximately 2 million incidences of dementia worldwide and around 600,000 deaths. The countries most affected were China, Japan, India, and the United States. What is more, Asia, the Middle East, and Africa face increasing burdens from the disease as living standards and pollution climb. The analysis concludes that air pollution causes roughly 15% of premature deaths and 7% of disability-adjusted life years (which accounts for mortality and morbidity) associated with dementia, with estimated economic costs of around $26 billion.

The study establishes air pollution as a potentially significant risk factor for dementia. It suggests that reducing air pollution may help prevent dementia in older populations. However, the researchers note high uncertainty in the relationship. Future work that focuses on high-exposure regions will be necessary to clarify the link better.

Establishing a link between air pollution and dementia
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Exposure To Air Pollution Increases Hypertension: Study

People who live in areas with polluted air increase their risk for developing hypertension, a leading risk factor for the development of heart disease.  Known as high blood pressure, the hypertension study is the largest of its kind to establish the deadly link. A recent study looked at hypertension in 41,000 people in five different countries – Norway, Sweden, Denmark, Germany, and Spain – for five to eight years. It is part of the long-term “Europe Study of Cohorts for Air Pollution Effects,” known as ESCAPE, which focuses on health problems associated with pollution.

At the hypertension study, beginning in 2008, none of the participants reported having high blood pressure or taking medicine to control it.  By 2011, 6,200 people reported having developed hypertension and started taking blood-pressure-lowering drugs. Most lived in urban areas where air pollution is highest. Air pollution is measured in micrograms of particulate matter per cubic meter.

The researchers found that for every five micrograms per cubic meter of particulate matter, hypertension increased by one-fifth of 22 percent in people living in the most polluted areas.  Epidemiologist Barbara Hoffmann, who works for the Center for Health and Society at Heinrich-Heine University in Germany and led the study, says many of these cases of high blood pressure could be prevented.

“So this is a very important result if you can see that something that you can actually change.  I mean we can actually reduce air pollution, can have such an influence on such an important health outcome,” said Hoffman. The findings were published in the European Heart Journal. Hoffmann says researchers will now study areas where pollution is low, looking at the health effects of cleaner air.

“But this is of course important in terms of regulation because you would like to regulate the air pollution down to a level where you do not see any (health) effects anymore.  So, therefore it is really important to look at areas of low exposure and see how far down can you go until you do not see any effects anymore,” said Hoffman.It is believed that air pollution leads to health problems by causing lung inflammation that spreads throughout the body, eventually leading to blood vessel and heart damage.

Exposure To Air Pollution Increases Hypertension: Study | NewsGram
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Germany “persistently” broke air pollution rules, EU top court rules

Germany persistently violated EU limits on air pollution, the European Union’s top court said on Thursday, in a ruling that could see the country face financial penalties if it fails to improve air quality in several big cities.

Air pollution in Europe has eased in the last decade, but remains the continent’s biggest environmental health risk. Prolonged exposure to dirty air can cause diabetes, lung disease and cancer.

The EU court of justice said that from 2010 to 2016, Germany breached the EU’s annual limits for nitrogen dioxide (NO2) pollution in 26 zones, among them Berlin, Stuttgart, Munich, Cologne and Duesseldorf. Stuttgart and Rhine-Maine also broke hourly NO2 limits in the period, it said.

Siding with the European Commission that brought the case, the court ruled the German government had failed to adopt measures to ensure compliance with EU air quality rules. Germany must now comply or face further legal action.

Since 2016, however, most regions concerned have reined in NO2 pollution to comply with the EU limits, aided by a shift to less polluting cars and local measures like driving bans, speed limits and switching to low-emission buses.

In 2020, six German cities breached the annual mean limit of 40 micrograms of NO2 per cubic metre of air, down from 90 cities in 2016, according to government data.

Munich and Stuttgart were among those still breaching the law last year.

Road transport is the main source of NO2 emissions, meaning urban areas tend to be hit hardest.

Annual premature deaths attributable to NO2 emissions in the EU have more than halved since 2009, but still totalled 54,000 premature deaths in 2018, according to the European Environment Agency. Previous rulings from the Luxembourg-based court have also found France and Britain guilty of illegal NO2 pollution, while countries including Hungary, Sweden and Italy have breached particulate matter limits.

Germany “persistently” broke air pollution rules, EU top court rules | Reuters
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Air pollution reductions may prevent 1M premature deaths over a decade, study says

A new study suggests aerosol emissions be included in climate targets in reducing harmful gasses — potentially saving about one million lives per year — researchers said on Tuesday.

Aerosol emissions were not addressed in the document setting emissions targets for some 194 countries across the world with the aim of slowing global warming.

But researchers say, in a study published in the journal Earth’s Future, that reducing aerosols could be as good for human life as it is for the planet itself.

“While all greenhouse gas emissions might be thought of as unambiguously harmful, aerosols are more complicated,” study first author Pascal Polonik said in a press release.

“All aerosols are harmful to human health but they also often help counteract global warming by cooling the Earth’s surface,” said Polonik, a doctoral student at Scripps Oceanography.

Researchers estimate that emissions of aerosols from burning fossil fuels like coal and diesel create aerosol emissions that are linked to nine million premature deaths across the globe.

Researchers said warming can be limited by reducing commercial and waste sectors.

“There are real benefits to being thoughtful about how aerosols factor into climate policy outcomes. There may be big benefits to cutting emissions from certain sectors first,” co-author Kate Ricke, assistant professor with Scripps Oceanography and the School of Global Policy and Strategy, said in the press release.

Under the Paris Agreement on Global Warming, each country is required to submit a Nationally Determined Contribution on the steps to be taken to achieve a common goal.

While the goal is to reduce population mortality, each country decides for itself how and where to implement the various processes.

The researchers emphasized that, in terms of climate policy, different countries have different priorities in reducing warming and protecting public health due to varying industrial footprints.

The news comes after the World Meteorological Organization last week said temperature averages continue to increase despite goals set by the international coalition.

Air pollution reductions may prevent 1M premature deaths over a decade, study says – UPI.com
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Pollution nearly doubles the risk of losing your sense of smell

New research digs into how air pollution can cause anosmia, the loss of smell.

The loss of smell, a condition known as anosmia, can severely affect a person’s quality of life, making it extremely difficult to taste foods, detect airborne hazards in the environment, and carry out other functions dependent on the sense.

Those with anosmia may experience weight concerns, decreased social interaction, depression, and general anxiety. In some cases, loss of smell has been linked to death in older adults.

“We included participants from a variety of areas in our study; however, most lived in urban areas where pollution levels are highest,” says lead author Murugappan “Murray” Ramanathan, rhinologist and associate professor of otolaryngology–head and neck surgery at Johns Hopkins University School of Medicine.

“We wanted to assess how their exposure to PM2.5 air pollution—inhalable, particulate matter less than 2.5 micrometers in size or about 30 times smaller than the diameter of a human hair—might cause them to lose their sense of smell.”

According to the US Environmental Protection Agency (EPA), PM2.5 (the PM stands for “particulate matter”) is the term for a mixture of solid particles and liquid droplets found in the air. Depending on location, PM2.5 can consist of many materials, including dust, dirt, soot, smoke, organic compounds, and metals. It has been linked to cardiovascular disease, lung cancer, decline in cognitive thinking ability, chronic obstructive pulmonary disease, asthma, and premature death.

Previous research has associated PM2.5 as a likely culprit in loss of smell—a connection that Ramanathan and his team decided to explore in greater detail.

In their study, the researchers looked at 2,690 people, age 18 and older, who otolaryngologists evaluated between January 2013 and December 2016. Of these, 538 were diagnosed with anosmia, with an average age of 54 and with men making up the majority (339 or 63%).

Air pollution data for the study came from the EPA’s Air Quality System. The researchers fed the data into a complex computer model—incorporating meteorological and satellite-based environmental measurements, land-use information, and simulations of airborne chemical movement—to estimate the PM2.5 pollution levels within the participants’ residential ZIP codes. The model was created by Zhenyu Zhang, an otolaryngology postdoctoral fellow.

The researchers found long-term airborne exposure to PM2.5 increases the risk of losing one’s smell by nearly twice (a 1.6- to 1.7-fold increase). They believe this may occur because the location of the olfactory nerve—which contains the sensory nerve fibers relating to the sense of smell—places it directly in the path of inhaled PM2.5 materials.

“Based on this result, we feel that long-term exposure to high levels of PM2.5 represents a common risk factor for the loss of sense of smell, especially in vulnerable populations such as older people—but also one that is potentially modifiable if sources of PM2.5 components can be better controlled,” says Ramanathan.

Next, the researchers plan to study socioeconomic factors among patients with anosmia to determine if they impact the chances of exposure to PM2.5 air pollution. They also hope to evaluate other air pollution components that may contribute to loss of smell, such as ozone.

The findings appear in JAMA Network Open.

Source: Johns Hopkins University Original Study DOI: 10.1001/jamanetworkopen.2021.11606

Pollution nearly doubles the risk of losing your sense of smell – Futurity
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The murky issue of air pollution in North Macedonia

In winter, Skopje, the Capital of North Macedonia, is one of the most polluted cities in Europe.

According to estimates from the World Bank Study, over 1000 people die each year as a result of air pollution in North Macedonia and its population is only 2 million.

The South Eastern Europe Health Network is a regional organisation located in Skopje. It encourages health and wellbeing among member states and is working actively in the area because of the alarming situation.

Mira Jovanovski Dashic, the Director of the South Eastern Europe Health Network says a report that was made by experts from its member states shows that “it was clear that the damage of air pollution to health is extremely big, and the consequences can be seen on heart disease, allergies and cancers”.

Several investigations have shown that some large-scale energy consumers use fuel forbidden for use by European regulations. But as North Macedonia seeks to become a member of the EU, it has adapted a large part of its legislation to fit EU norms. So now the public and its representatives want to know how this harmonisation of legislation will truly affect them.

Naser Nuredini is the Environment Minister in North Macedonia, he tells us that the country has to implement its laws. “We can’t just harmonise them”, he explains. “We need to work on different fronts. This is why we need to have better inter-sectorial collaboration”. He says that the Ministry of the Environment proposed new laws in North Macedonia, but to him, it is not enough to just pass them in parliament. He thinks they need to work together with inspectors, other ministries and agencies to implement them.

The conversion of the letter of the law into reality is one of the biggest systemic weaknesses of transition countries, like North Macedonia. The European Commission notes this chronic weakness in all its progress reports.

For now, citizens are still waiting for the government to implement EC recommendations which will likely give residents in Skopje a breath of fresh air.

The murky issue of air pollution in North Macedonia | Euronews
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