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Lung cancers attributable to environmental tobacco smoke and air pollution in non-smokers in different European countries: a prospective study.
RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.BACKGROUND: Several countries are discussing new legislation on the ban of smoking in public places, and on the acceptable levels of traffic-related air pollutants. It is therefore useful to estimate the burden of disease associated with indoor and outdoor air pollution. METHODS: We have estimated exposure to Environmental Tobacco Smoke (ETS) and to air pollution in never smokers and ex-smokers in a large prospective study in 10 European countries (European Prospective Investigation into Cancer and Nutrition)(N = 520,000). We report estimates of the proportion of lung cancers attributable to ETS and air pollution in this population. RESULTS: The proportion of lung cancers in never- and ex-smokers attributable to ETS was estimated as between 16 and 24%, mainly due to the contribution of work-related exposure. We have also estimated that 5-7% of lung cancers in European never smokers and ex-smokers are attributable to high levels of air pollution, as expressed by NO2 or proximity to heavy traffic roads. NO2 is the expression of a mixture of combustion (traffic-related) particles and gases, and is also related to power plants and waste incinerator emissions. DISCUSSION: We have estimated risks of lung cancer attributable to ETS and traffic-related air pollution in a large prospective study in Europe. Information bias can be ruled out due to the prospective design, and we have thoroughly controlled for potential confounders, including restriction to never smokers and long-term ex-smokers. Concerning traffic-related air pollution, the thresholds for indicators of exposure we have used are rather strict, i.e. they correspond to the high levels of exposure that characterize mainly Southern European countries (levels of NO2 in Denmark and Sweden are closer to 10-20 ug/m3, whereas levels in Italy are around 30 or 40, or higher).Therefore, further reduction in exposure levels below 30 ug/m3 would correspond to additional lung cancer cases prevented, and our estimate of 5-7% is likely to be an underestimate. Overall, our prospective study draws attention to the need for strict legislation concerning the quality of air in Europe.Published versio
Bulky DNA adducts, 4-aminobiphenyl-haemoglobin adducts and diet in the European Prospective Investigation into Cancer and Nutrition (EPIC) prospective study
In contrast to some extensively examined food mutagens, for example, aflatoxins, N-nitrosamines and heterocyclic amines, some other food contaminants, in particular polycyclic aromatic hydrocarbons (PAH) and other aromatic compounds, have received less attention. Therefore, exploring the relationships between dietary habits and the levels of biomarkers related to exposure to aromatic compounds is highly relevant. We have investigated in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort the association between dietary items (food groups and nutrients) and aromatic DNA adducts and 4-aminobiphenyl-Hb adducts. Both types of adducts are biomarkers of carcinogen exposure and possibly of cancer risk, and were measured, respectively, in leucocytes and erythrocytes of 1086 (DNA adducts) and 190 (Hb adducts) non-smokers. An inverse. statistically significant, association has been found between DNA adduct levels and dietary fibre intake (P=0.02), vitamin E (P =0.04) and alcohol (P=0.03) but not with other nutrients or food groups. Also, an inverse association between fibre and fruit intake, and BMI and 4-aminobiphenyl-Hb adducts (P=0.03, 0.04, and 0.03 respectively) was observed. After multivariate regression analysis these inverse correlations remained statistically significant, except for the correlation adducts v. fruit intake. The present study suggests that fibre intake in the usual range can modify the level of DNA or Hb aromatic adducts, but Such role seems to be quantitatively modest. Fibres could reduce the formation of DNA adducts in different manners, by diluting potential food mutagens and carcinogens in the gastrointestinal tract, by speeding their transit through the colon and by binding carcinogenic substances
Estimated intake of milk fat is negatively associated with cardiovascular risk factors and does not increase the risk of a first acute myocardial infarction. A prospective case-control study
Milk fat is high in saturated fatty acids (SFA) and high intakes of SFA are associated with cardiovascular diseases. The aim of the present study was to prospectively evaluate the potential risk of a first-ever acute myocardial infarction (AMI) in relation to the estimated milk-fat intake, reflected as the proportions of pentadecanoic acid (15:0) and heptadecanoic acid (17:0) in serum lipid esters. This was evaluated in a study population selected within the Västerbotten Intervention Program and the northern Sweden ‘Monitoring of Trends and Determinants in Cardiovascular disease’ survey populations. A prospective case–control design was used. The proportions of the biomarkers were lower in the cases (n78) than in the controls (n156), who were matched for age, sex, sampling time and geographical region. The standardised odds ratios of becoming an AMI case were between 0·7 and 0·8 for the biomarkers. The proportions of 15:0 and 17:0 in serum phospholipids were significantly and negatively correlated to serum concentrations of plasminogen activator inhibitor-1, tissue-type plasminogen activator, triacylglycerols, insulin, specific insulin, pro-insulin and leptin (all P\u3c0·0001), suggesting a negative relationship to the insulin-resistance syndrome and the risk of CHD. Adjustment for BMI did not materially change the relationships. Although there seems to be a negative association between milk-fat intake as mirrored by the proportions of 15:0 and 17:0 in serum lipid esters and a first-ever AMI, adjustment for clinical risk factors removed this relationship
Environmental pressures from Swedish consumption – A hybrid multi-regional input-output approach
Sweden has a policy goal of solving major environmental problems in Sweden within a generation, without increasing environmental or health problems in other countries. Following up this goal requires indicators for domestic and external footprints of Swedish consumption. This paper presents such macro-level indicators for the years 2008–2014.
The new indicators are consistent with Swedish statistics from the System of Environmental-Economic Accounts. They combine a multi-regional input-output (MRIO) database, to capture the external components of Sweden's consumption, with national input-output, trade and environmental statistics. The hybrid MRIO-Sweden model provides a comprehensive environmental account for follow-up of the Generational Goal.
This paper presents impacts from household consumption, government consumption and capital formation, covering emissions of greenhouse gases, sulphur dioxide, nitrogen oxides, and particulate matter smaller than 2.5 μm (PM2.5), land use, materials consumption, and blue water consumption.
Except for land use, the majority (60% or more) of the environmental pressures due to consumption occurred outside Sweden in 2014; more than 90% of sulphur emissions and more than 80% of the water use fell abroad. The environmental pressures from consumption decreased over this period for all indicators (except materials consumption). This suggests an absolute decoupling between environmental pressure due to consumption and economic growth, which rose over the period. It is, however, too early to determine whether this is a genuine trend or a temporary stabilisation
Wetland creation in agricultural landscapes: Biodiversity benefits on local and regional scales
Wetland creation aiming at a simultaneous increase in nutrient retention and species diversity in agricultural landscapes has recently become applied as a catchment-scale compensation measure for past wetland losses. Here, we evaluate if, and to what extend, dual-purpose wetlands benefit local and regional diversity of agricultural landscapes. We analysed composition and alpha, beta, and gamma diversity of aquatic macroinvertebrate assemblages among dual-purpose wetlands in an agricultural region in southwest Sweden in relation to local (water quality, wetland morphology, succession stage, proximity to other aquatic habitats) and landscape parameters (regional connectivity, wetland density). Diversity of mature agricultural ponds was used as a standard to evaluate the value of dual-purpose wetlands. Dual-purpose wetlands sustained alpha, beta, and gamma diversity similar to that of natural lentic water bodies in agricultural landscapes in the region and elsewhere. Over 80% of the overall species richness was attributed to beta diversity, and each created wetland contributed to overall species accumulation. Ecosystem parameters explained 19% of the compositional variation among assemblages, but were only marginally related to diversity. Wetland density promoted alpha and gamma diversity, while spatial heterogeneity (beta) remained equally high, independent of wetland density. Our results indicate that catchment-scale wetland creation for simultaneous retention and diversity purposes benefits the biodiversity of agricultural landscapes, particularly if the density of aquatic habitats is increased by at least 30%. (C) 2009 Elsevier Ltd. All rights reserved
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