Impacts of changes in environmental exposures and health behaviours due to the COVID-19 pandemic on cardiovascular and mental health: A comparison of Barcelona, Vienna, and Stockholm

Koch, Sarah; Khomenko, Sasha; Cirach, Marta; Ubalde López, Mònica, 1972-; Baclet, Sacha; Daher, Carolyn; Hidalgo, Laura; Lõhmus, Mare; Rizzuto, Debora; Rumpler, Romain; Susilo, Yusak; Venkataraman, Siddharth; Wegener, Sandra; Wellenius, Gregory A.; Woodcock, James; Nieuwenhuijsen, Mark J.

Impacts of changes in environmental exposures and health behaviours due to the COVID-19 pandemic on cardiovascular and mental health: A comparison of Barcelona, Vienna, and Stockholm

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dc.contributor.author Koch, Sarah
dc.contributor.author Khomenko, Sasha
dc.contributor.author Cirach, Marta
dc.contributor.author Ubalde López, Mònica, 1972-
dc.contributor.author Baclet, Sacha
dc.contributor.author Daher, Carolyn
dc.contributor.author Hidalgo, Laura
dc.contributor.author Lõhmus, Mare
dc.contributor.author Rizzuto, Debora
dc.contributor.author Rumpler, Romain
dc.contributor.author Susilo, Yusak
dc.contributor.author Venkataraman, Siddharth
dc.contributor.author Wegener, Sandra
dc.contributor.author Wellenius, Gregory A.
dc.contributor.author Woodcock, James
dc.contributor.author Nieuwenhuijsen, Mark J.
dc.date.accessioned 2022-11-29T09:13:37Z
dc.date.available 2022-11-29T09:13:37Z
dc.date.issued 2022
dc.description.abstract Responses to COVID-19 altered environmental exposures and health behaviours associated with non-communicable diseases. We aimed to (1) quantify changes in nitrogen dioxide (NO2), noise, physical activity, and greenspace visits associated with COVID-19 policies in the spring of 2020 in Barcelona (Spain), Vienna (Austria), and Stockholm (Sweden), and (2) estimated the number of additional and prevented diagnoses of myocardial infarction (MI), stroke, depression, and anxiety based on these changes. We calculated differences in NO2, noise, physical activity, and greenspace visits between pre-pandemic (baseline) and pandemic (counterfactual) levels. With two counterfactual scenarios, we distinguished between Acute Period (March 15th - April 26th, 2020) and Deconfinement Period (May 2nd - June 30th, 2020) assuming counterfactual scenarios were extended for 12 months. Relative risks for each exposure difference were estimated with exposure-risk functions. In the Acute Period, reductions in NO2 (range of change from -16.9 μg/m3 to -1.1 μg/m3), noise (from -5 dB(A) to -2 dB(A)), physical activity (from -659 MET*min/wk to -183 MET*min/wk) and greenspace visits (from -20.2 h/m to 1.1 h/m) were largest in Barcelona and smallest in Stockholm. In the Deconfinement Period, NO2 (from -13.9 μg/m3 to -3.1 μg/m3), noise (from -3 dB(A) to -1 dB(A)), and physical activity levels (from -524 MET*min/wk to -83 MET*min/wk) remained below pre-pandemic levels in all cities. Greatest impacts were caused by physical activity reductions. If physical activity levels in Barcelona remained at Acute Period levels, increases in annual diagnoses for MI (mean: 572 (95% CI: 224, 943)), stroke (585 (6, 1156)), depression (7903 (5202, 10,936)), and anxiety (16,677 (926, 27,002)) would be anticipated. To decrease cardiovascular and mental health impacts, reductions in NO2 and noise from the first COVID-19 surge should be sustained, but without reducing physical activity. Focusing on cities' connectivity that promotes active transportation and reduces motor vehicle use assists in achieving this goal.
dc.description.sponsorship Sarah Koch (SK) was funded by a Marie Sklodowska Curie Individual Fellowship by the European Commission (80513); Sasha Khomenko (SK): received funding from the Spanish Ministry of Science and Innovation through the “Ayudas para la Formación de Profesorado Universitario (FPU) 2020–24” doctoral funding (FPU19/05210); JW has received funding from the European Research Council (ERC) under the Horizon 2020 research and innovation programme (Grant agreement No 817754). The Barcelona Institute for Global Health (ISGlobal) receives support from the Spanish Ministry of Science, Innovation and Universities through the ‘Centro de Excelencia Severo Ochoa 2019–2023′ Programme (CEX 2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Programme.
dc.format.mimetype application/pdf
dc.identifier.citation Koch S, Khomenko S, Cirach M, Ubalde-Lopez M, Baclet S, Daher C, Hidalgo L, Lõhmus M, Rizzuto D, Rumpler R, Susilo Y, Venkataraman S, Wegener S, Wellenius GA, Woodcock J, Nieuwenhuijsen M. Impacts of changes in environmental exposures and health behaviours due to the COVID-19 pandemic on cardiovascular and mental health: A comparison of Barcelona, Vienna, and Stockholm. Environ Pollut. 2022 Jul 1;304:119124. DOI: 10.1016/j.envpol.2022.119124
dc.identifier.doi http://dx.doi.org/10.1016/j.envpol.2022.119124
dc.identifier.issn 0269-7491
dc.identifier.uri http://hdl.handle.net/10230/55036
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Environ Pollut. 2022 Jul 1;304:119124
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/817754
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
dc.subject.keyword Air pollution
dc.subject.keyword Cardiovascular disease
dc.subject.keyword Greenspace
dc.subject.keyword Mental disorders
dc.subject.keyword Noise
dc.subject.keyword Physical activity
dc.title Impacts of changes in environmental exposures and health behaviours due to the COVID-19 pandemic on cardiovascular and mental health: A comparison of Barcelona, Vienna, and Stockholm
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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Articles (Barcelona Institute for Global Health (ISGlobal) – Campus Mar)
Articles (Departament de Medicina i Ciències de la Vida)
Documents OpenAIRE (Open Access Infrastructure for Research in Europe)