Effects of ambient air pollutants and environmental greenness on the incidence of pre-/hypertension in children and adolescents - Summary - MDSpire

Effects of ambient air pollutants and environmental greenness on the incidence of pre-/hypertension in children and adolescents

  • By

  • Maike Wolters

  • Rajini Nagrani

  • Nour Naaouf

  • Stefaan De Henauw

  • Lauren Lissner

  • Luis A Moreno

  • Dénes Molnár

  • Paola Russo

  • Tanja Vrijkotte

  • Wolfgang Ahrens

  • Claudia Börnhorst

  • on behalf of the IDEFICS/I.Family consortium

  • September 23, 2025

  • 0 min

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Objective:

To estimate long-term effects of air pollution and greenness on the incidence of pre-/hypertension in children and adolescents.

Key Findings:
  • Observed risk of developing pre-/hypertension was 14.4%.
  • Reducing PM2.5 to ≤10 μg/m3 lowered risk by −10.7 percentage points.
  • BC reductions showed a risk reduction of −5.3 percentage points.
  • NO2 reductions had small, non-significant effects.
  • Increasing NDVI to ≥0.6 lowered pre-/hypertension risk by −1.5 percentage points.
  • Effects were primarily on systolic blood pressure, not diastolic.
Interpretation:

Reducing air pollution, particularly PM2.5, and increasing environmental greenness can significantly lower the risk of developing high blood pressure in children and adolescents.

Limitations:
  • Evidence from previous studies on air pollution and hypertension is inconclusive.
  • The study relies on observational data, which may introduce bias.
Conclusion:

Efforts to reduce air pollution and enhance greenness are crucial for preventing hypertension in pediatric populations, potentially reducing future cardiovascular disease burden.

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