Prevention & lipidsCross-sectional study

Long-term ambient air pollution exposure and coronary calcium score in men: insights from the DANCAVAS study

Eur J Prev CardiolPublished

  • Cross-sectional study
  • cohort from the DANCAVAS screening trials

Authors' conclusion

Exposure to PM2.5 was modestly associated with the presence of CAC, particularly when combining residential and workplace exposures. No consistent associations were observed with NO2 or advanced stages of calcification.

Study context

Population
Men aged 60–75 years from the Danish Cardiovascular Screening Trials (DANCAVAS)
Participants
12,301 men
Exposure
Long-term PM2.5 and NO2 exposure and coronary calcium score
Outcome
CCS ≥ 100

Main finding

As reported in the abstract

  • Binary logistic regression: no significant associations

Observational data: associations, not effects.

Secondary outcomes

Outcomeadjusted OR (95% CI)
CAC presence (CCS = 0 vs CCS ≥ 1), ordinal-scaled CCS · generalized ordinal logistic regression1.11 (1.04–1.18)

Coronary artery calcification (CAC) presence (coronary calcium score (CCS) = 0 vs CCS ≥ 1), ordinal-scaled CCS

No associations for higher CAC categories
NO2: non-significant findings
Addition of workplace exposure: only moderate changes in effect estimates

Exposure and CCS distribution

Median PM2.5 exposure, µg/m3 (IQR 13.2-14.1)
13.7
Median NO2 exposure, µg/m3 (IQR 14.7-18.4)
16.3
Median CCS (IQR 8-410)
99

Original publication

Long-term ambient air pollution exposure and coronary calcium score in men: insights from the DANCAVAS study. Eur J Prev Cardiol. Published 27 October 2025. doi:10.1093/eurjpc/zwaf688

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