PMID- 22372998 OWN - NLM STAT- MEDLINE DCOM- 20120718 LR - 20141120 IS - 1365-2796 (Electronic) IS - 0954-6820 (Linking) VI - 271 IP - 6 DP - 2012 Jun TI - Can persistent organic pollutants and plastic-associated chemicals cause cardiovascular disease? PG - 537-53 LID - 10.1111/j.1365-2796.2012.02536.x [doi] AB - During the last decade, associations between persistent organic pollutants (POPs), such as polychlorinated biphenyls, dioxins and pesticides, and cardiovascular (CV) risk factors and overt CV disease (CVD) have been reported in humans. Recently, associations between plastic-associated chemicals (PACs), such as bisphenol A and phthalates, and CVD have also begun to emerge. Several approaches to evaluating such associations have been used: accidents with a high level of exposure, occupational exposure studies, geographical studies of subjects living near a contaminated area and traditional case-control or cohort studies with measurements of circulating levels of different environmental contaminants in the general population. Exposure to POPs has consistently been associated with diabetes using all the approaches described above, including prospective studies. The evidence regarding associations between exposure to POPs and other CV risk factors, such as hypertension, obesity and lipids, is less strong and is mainly based on cross-sectional data. Associations between overt CVD and POPs have been reported using all the above approaches, but prospective data from population-based studies are still lacking to provide firm evidence of an important and independent role of POP exposure in the pathogenesis of CVD. Nevertheless, taken together, current evidence suggests that further longitudinal and experimental studies should be conducted to investigate the effect of exposure to both POPs and PACs, such as bisphenol A and phthalates. CI - (c) 2012 The Association for the Publication of the Journal of Internal Medicine. FAU - Lind, L AU - Lind L AD - Department of Medical Sciences, Uppsala University, Uppsala, Sweden. lars.lind@medsci.uu.se FAU - Lind, P M AU - Lind PM LA - eng PT - Journal Article PT - Review DEP - 20120330 PL - England TA - J Intern Med JT - Journal of internal medicine JID - 8904841 RN - 0 (Air Pollutants, Occupational) RN - 0 (Benzhydryl Compounds) RN - 0 (Dioxins) RN - 0 (Environmental Pollutants) RN - 0 (Hazardous Substances) RN - 0 (Pesticides) RN - 0 (Phenols) RN - 0 (Plastics) RN - DFC2HB4I0K (Polychlorinated Biphenyls) RN - MLT3645I99 (bisphenol A) SB - IM MH - Air Pollutants, Occupational/adverse effects MH - Atherosclerosis/chemically induced MH - Benzhydryl Compounds MH - Cardiovascular Diseases/*chemically induced/epidemiology MH - Coronary Disease/chemically induced MH - Diabetes Complications/chemically induced MH - Diabetes Mellitus/chemically induced MH - Dioxins/adverse effects MH - Environmental Monitoring/methods MH - Environmental Pollutants/*adverse effects MH - Epidemiological Monitoring MH - Evidence-Based Medicine MH - Global Health MH - Hazardous Substances/*adverse effects MH - Humans MH - Peripheral Arterial Disease/chemically induced MH - Pesticides/*adverse effects MH - Phenols/adverse effects MH - Plastics/*adverse effects MH - Polychlorinated Biphenyls/*adverse effects MH - Risk Factors MH - Stroke/chemically induced MH - Sweden/epidemiology EDAT- 2012/03/01 06:00 MHDA- 2012/07/19 06:00 CRDT- 2012/03/01 06:00 PHST- 2012/03/01 06:00 [entrez] PHST- 2012/03/01 06:00 [pubmed] PHST- 2012/07/19 06:00 [medline] AID - 10.1111/j.1365-2796.2012.02536.x [doi] PST - ppublish SO - J Intern Med. 2012 Jun;271(6):537-53. doi: 10.1111/j.1365-2796.2012.02536.x. Epub 2012 Mar 30.