Münzel Thomas, Kuntic Marin, Lelieveld Jos, Aschner Michael, Nieuwenhuijsen Mark J, Landrigan Philip J, Daiber Andreas
University Medical Center Mainz, Department of Cardiology at the Johannes Gutenberg University, Germany; German Cardiovascular Research Center (DZHK), Partner Site Rhine Main, Mainz, Germany.
University Medical Center Mainz, Department of Cardiology at the Johannes Gutenberg University, Germany.
Atherosclerosis. 2025 Apr;403:119160. doi: 10.1016/j.atherosclerosis.2025.119160. Epub 2025 Mar 2.
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.
土壤和水污染对全球健康、生态系统和生物多样性构成重大威胁。健康的土壤是陆地生态系统的基础,支持粮食生产、生物多样性、保水和碳固存。然而,土壤退化危及32亿人的健康,而超过20亿人生活在水资源紧张的地区。土壤、空气和水污染是导致疾病的主要环境因素,每年造成超过900万人过早死亡。土壤污染源于重金属、合成化学品、农药和塑料,其驱动因素包括工业活动、农业和废物管理不善。这些污染物会引发氧化应激、炎症和激素紊乱,显著增加患心血管疾病等非传染性疾病的风险。微塑料和纳米塑料等新兴污染物通过细胞损伤、氧化应激和心血管功能障碍加剧健康风险。城市化和气候变化通过森林砍伐、过度施肥和污染加剧土壤退化,进一步威胁生态系统的可持续性和人类健康。减少化学物质暴露、采用可持续土地利用做法和推进城市规划等缓解措施,已显示出降低与污染相关的健康影响的前景。公共卫生倡议、更严格的污染控制以及包括富含抗氧化剂的饮食在内的生活方式干预措施,也可以降低风险。正如高收入国家实施具有成本效益的解决方案所表明的那样,污染仍然是可以预防的。欧盟委员会的零污染愿景等政策旨在到2050年将污染降低到安全水平,促进可持续生态系统和公共卫生。解决土壤污染问题对于应对全球非传染性疾病负担,特别是心血管疾病负担,以及为子孙后代营造更健康的环境至关重要。