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The links between soil and water pollution and cardiovascular disease

Atherosclerosis 2025 7 citations ? Citation count from OpenAlex, updated daily. May differ slightly from the publisher's own count.
Thomas Muenzel, Marin Kuntić, Jos Lelieveld, Michael Aschner, Mark Nieuwenhuijsen, Philip J. Landrigan, Andreas Daiber

Summary

This review examines how soil and water pollution, including contamination by microplastics, heavy metals, and industrial chemicals, contributes to cardiovascular disease. The evidence shows that pollutants entering the body through contaminated food and water can trigger inflammation, oxidative stress, and blood vessel damage that leads to heart disease. The review highlights microplastics as an emerging contributor to this pollution-cardiovascular disease connection, alongside better-studied contaminants.

Soil and water pollution represent significant threats to global health, ecosystems, and biodiversity. Healthy soils underpin terrestrial ecosystems, supporting food production, biodiversity, water retention, and carbon sequestration. However, soil degradation jeopardizes the health of 3.2 billion people, while over 2 billion live in water-stressed regions. Pollution of soil, air, and water is a leading environmental cause of disease, contributing to over 9 million premature deaths annually. Soil contamination stems from heavy metals, synthetic chemicals, pesticides, and plastics, driven by industrial activity, agriculture, and waste mismanagement. These pollutants induce oxidative stress, inflammation, and hormonal disruption, significantly increasing risks for non-communicable diseases (NCDs) such as cardiovascular disease (CVD). Emerging contaminants like micro- and nanoplastics amplify health risks through cellular damage, oxidative stress, and cardiovascular dysfunction. Urbanization and climate change exacerbate soil degradation through deforestation, overfertilization, and pollution, further threatening ecosystem sustainability and human health. Mitigation efforts, such as reducing chemical exposure, adopting sustainable land-use practices, and advancing urban planning, have shown promise in lowering pollution-related health impacts. Public health initiatives, stricter pollution controls, and lifestyle interventions, including antioxidant-rich diets, can also mitigate risks. Pollution remains preventable, as demonstrated by high-income nations implementing cost-effective solutions. Policies like the European Commission's Zero-Pollution Vision aim to reduce pollution to safe levels by 2050, promoting sustainable ecosystems and public health. Addressing soil pollution is critical to combating the global burden of NCDs, particularly CVDs, and fostering a healthier environment for future generations.

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