HypertensionCohort study

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

Eur J Prev CardiolPublished

  • Prospective cohort study
  • g-computation
  • land use regression exposure models

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

Main finding

As reported in the abstract

Risk of developing pre-/hypertension · 6 years
Risk difference, percentage points (95% CI)
PM2.5 ≤10 μg/m3 vs No interventionbootstrap CI
−10.7(−14.1 to −5.7)
Risk difference (CI)
BC ≤0.8 × 10-5/m vs No intervention
−5.3(−10.2 to 1.7)
NDVI ≥0.6 vs 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:10.1093/eurjpc/zwaf600

Summarised from the published abstract; every number is checked against it