Effects of ambient air pollutants and environmental greenness on the incidence of pre-/hypertension in children and adolescents
Authors' conclusion
Adherence to recommended levels of air pollutants and increased greenness can help to prevent hypertension among children and adolescents.
Study context
- Population
- Children and adolescents of the IDEFICS/I.Family cohortIDEFICS/I.Family cohort
- Participants
- 2,385 children
- Exposure
- Hypothetical reductions of air pollutants or increases of greenness vs no intervention
- Outcome
- Incidence of pre-/hypertension
- Follow-up
- 6-year period
Methodological detailsg-computation, land use regression exposure models
- G-computation
- Land use regression exposure models
Main finding
As reported in the abstract
Risk of developing pre-/hypertension · 6 years
Risk difference, percentage points (95% CI)
PM2.5 ≤10 μg/m³vs No interventionbootstrap CI
−10.7(−14.1 to −5.7)
Risk difference (95% CI)
BC ≤0.8 × 10-5/mvs No intervention
−5.3(−10.2 to 1.7)
NDVI ≥0.6vs No intervention
−1.5(−2.9 to −0.4)
- Observed risk of developing pre-/hypertension
- 14.4%
Observational data: associations, not effects.
Further findings
SBP vs DBP (sensitivity analyses)
- Effects of air pollution mainly on SBP but not DBP
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Effects of ambient air pollutants and environmental greenness on the incidence of pre-/hypertension in children and adolescents. Eur J Prev Cardiol. Published 23 September 2025. doi:10.
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