Air pollution could raise children’s risk of developing high blood pressure in later life, especially if they are overweight.
Children should be encouraged to walk home from school along quieter roads, while schools should shield playgrounds with trees to absorb pollution, experts warn.
Researchers led by King’s College London analysed eight studies involving around 15,000 children aged 10 to 19.
They were interested in children’s exposure to pollution such as microscopic PM2.5 particles, found in car exhaust fumes, and PM10 particles, whose main sources include car tyre fragments thrown up from roads and wood-burning stoves.
At age 12, children exposed to a higher long-term level of PM2.5 and PM10, which can be inhaled straight into the lungs, had significantly higher blood pressure.
Children should be encouraged to walk home from school along quieter roads, while schools should shield playgrounds with trees to absorb pollution, experts warn
This could lead to high blood pressure in adulthood, and an increased risk of heart attacks and strokes.
Children who were overweight and obese had almost double the rise in blood pressure compared to normal-weight children when exposed to higher levels of ozone pollution, which also comes from car fumes, and sulphur dioxide, which is mainly produced by coal-burning.
Professor Seeromanie Harding, who led the scientific review, from King’s College London, said: ‘Children are more exposed to pollution, as they spend more time outside doing things like playing football or other sports, or spending time outside shopping centres with their friends.
‘Worryingly, they are also more vulnerable to pollution and to changes in blood pressure, as they are still growing and developing.
‘These concerning results mean that children in polluted areas are likely to develop high blood pressure in later life, raising their risk of heart problems and strokes.
‘Parents may want to encourage their children to choose to walk along roads with less traffic and lower pollution, while schools may need to consider speed limits and tree-planting to keep playgrounds protected from pollution.’
Air pollution particles, which are inhaled deep into the body, can get into the bloodstream, causing damage to the lining of blood vessels.
This can make blood vessels harder and less elastic, so the heart needs to pump faster to force blood through them – raising blood pressure.
The evidence so far on how this affects children has been mixed and mainly relies on studies in China, which is very polluted.
The new scientific review, however, includes five studies in Germany, the Netherlands and Denmark, which have similar levels of pollution to the UK.
The review found children exposed to higher levels of PM10 and nitrogen dioxide typically had higher blood pressure, but this was not statistically significant, potentially because a relatively low number of children were analysed.
However the strongest result, for around 3,700 children who were aged 12, showed those exposed to a higher level of PM2.5 and PM10 – for a year or longer – did have significantly higher diastolic blood pressure.
This is the lower number of a blood pressure reading, which measures the ‘resting’ pressure between heartbeats.
For 12-year-olds, higher PM10 exposure over a year or longer was also significantly linked to higher systolic blood pressure – the higher number in a blood pressure reading, which shows the blood pressure in arteries when the heart beats.
There was no link found between blood pressure and short-term exposure to pollution across the studies, which overall provided low-quality evidence.
However researchers point out that the data may have been flawed because the studies typically relied on air quality measurements around children’s homes, when in fact children spend most of their time at school.
Professor Harding said: ‘Previous evidence shows children’s diastolic blood pressure goes up by about seven points between the age of 10 and 19.
‘These new results show a rise of around five points due to pollution, which is a large percentage.
‘It is vital we have more research on this, and take action to protect children.’