Fijnstof geeft verhoogde kans op trombose*
Fijnstof in de lucht veroorzaakt bloedstolsels,
diep-veneuze trombose in de bloedvaten van de benen vergelijkbaar als de verschijnselen die kunnen optreden bij lange vluchten. Dit blijkt uit een studie onder 870 Italianen met trombose en 1.210 mensen uit dezelfde regio zonder klachten. Iedere 10 microgram meer fijnstof per m2 betekent een 70% grotere kans op diep-veneuze trombose. Tot op heden was fijnstof al gerelateerd met verschillende andere ziektes doch nog niet met trombose.
Air pollution linked with blood clots in veins
Air pollution heavy in small particles may cause blood clots in the legs, the same condition air travelers call "economy class syndrome" from immobility during flight, researchers said.
Dr. Andrea Baccarelli of the Harvard School of Public Health in Boston and colleagues said they found the link after looking at 870 people in Italy who had developed deep vein thrombosis between 1995 and 2005.
When compared with 1,210 others living in the same region who did not have the problem, they found that for every increase in particulate matter of 10 micrograms per square meter the previous year, the risk of deep vein thrombosis increased by 70 percent.
On top of that, the blood of those with higher levels of exposure to particulate matter was quicker to clot when tested at a clinic, they reported in the Archives of Internal Medicine.
Air pollution from automobiles and industry can contain tiny particles of carbon, nitrates, metals and other materials that have been linked over the years to a variety of health problems.
While lung diseases were an initial concern, later research has indicated it may cause heart disease and stroke, possibly because it increases the rate at which blood can coagulate, Baccarelli and colleagues said.
Until now particulate pollution had not been linked to blood clots in the veins. The mechanism that causes problems for some air travelers is related not to the blood itself but to impaired circulation when sitting in one place without exercise for long periods of time.
The findings introduce a new and common risk for deep vein thrombosis, the researchers said and "give further substance to the call for tighter standards and continued efforts aimed at reducing the impact of urban air pollutants on human health."
In a commentary, Dr. Robert Brook of the of the University of Michigan in Ann Arbor said if the findings are proven by additional research it may turn out that "the actual totality of the health burden posed by air pollution, already known to be tremendous, may be even greater than ever
anticipated." (Juni
2008)
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