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Tonne C, Sieber S, Filippidou F, Tsiropoulos I, Petropoulou V, Kiesewetter G, Klimont Z, Höglund-Isaksson L, Witzke P, Springmann M, Pozzer A, Lelieveld J, Hamilton I, Hsu SC, Nieuwenhuijsen M, Velázquez-Cortés D, van den Bosch M, Sazdovski I, Santamaria M, de'Donato F, Dasandi N. Promoting health through climate change mitigation in Europe. Lancet Planet Health 2025; 9:e431-e441. [PMID: 40381635 DOI: 10.1016/s2542-5196(25)00085-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2024] [Revised: 03/25/2025] [Accepted: 03/30/2025] [Indexed: 05/20/2025]
Abstract
Several EU climate change mitigation policies have the potential to deliver health co-benefits. However, existing frameworks guiding research in this area lack important details that are needed to understand how evidence of health co-benefits can be used to support the ambition and acceptability of EU climate policy. In this Personal View, we propose an integrated framework for advancing the state-of-the-science on health co-benefits of climate change mitigation and realising the societal effect of evidence documenting co-benefits. We apply this framework to the EU context. Our framework spans multiple economic sectors-including land use, land-use change, and forestry and health systems-and provides details on the different types of mitigation actions, levers of change, and societal actors with the agency to implement specific mitigation actions. This framework aims to inform future research on the magnitude of health co-benefits of climate change mitigation, and provide strategies to communicate health co-benefits to support increases in mitigation ambition and societal acceptance of mitigation actions.
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Affiliation(s)
- Cathryn Tonne
- Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain; CIBER Epidemiología y Salud Pública, Madrid, Spain.
| | - Stefan Sieber
- Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain; CIBER Epidemiología y Salud Pública, Madrid, Spain
| | | | | | | | - Gregor Kiesewetter
- International Institute for Applied Systems Analysis, Laxenburg, Austria
| | - Zbigniew Klimont
- International Institute for Applied Systems Analysis, Laxenburg, Austria
| | | | - Peter Witzke
- European Centre for Agricultural, Regional, and Environmental Policy Research, Bonn, Germany; Institute for Food and Resource Economics, University of Bonn, Bonn, Germany
| | - Marco Springmann
- Institute for Global Health, University College London, London, UK; Environmental Change Institute, University of Oxford, Oxford, UK
| | - Andrea Pozzer
- Atmospheric Chemistry Department, Max Planck Institute for Chemistry, Mainz, Germany; Climate and Atmosphere Research Center, Cyprus Institute, Nicosia, Cyprus
| | - Jos Lelieveld
- Atmospheric Chemistry Department, Max Planck Institute for Chemistry, Mainz, Germany; Climate and Atmosphere Research Center, Cyprus Institute, Nicosia, Cyprus
| | - Ian Hamilton
- Energy Institute, University College London, London, UK
| | - Shih-Che Hsu
- Energy Institute, University College London, London, UK
| | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain; CIBER Epidemiología y Salud Pública, Madrid, Spain
| | - Daniel Velázquez-Cortés
- Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain; CIBER Epidemiología y Salud Pública, Madrid, Spain
| | - Matilda van den Bosch
- Barcelona Institute for Global Health, Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain; CIBER Epidemiología y Salud Pública, Madrid, Spain; European Forest Institute, Biocities Facility, Rome, Italy; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada; Department of Forest and Conservation Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Ilija Sazdovski
- UNESCO Chair in Life Cycle and Climate Change ESCI-UPF, Barcelona, Spain
| | - Marta Santamaria
- UNESCO Chair in Life Cycle and Climate Change ESCI-UPF, Barcelona, Spain
| | - Francesca de'Donato
- Department of Epidemiology, Lazio Regional Health System, ASL Roma 1, Rome, Italy
| | - Niheer Dasandi
- School of Government, University of Birmingham, Birmingham, UK
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Usman AN, Fendi F, Nulandari Z, Agustin DI. Trends, key contributors, and emerging issues in honey and breast cancer: A bibliometric analysis from 2014 to 2024. F1000Res 2025; 14:17. [PMID: 40212986 PMCID: PMC11983675 DOI: 10.12688/f1000research.159595.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/12/2025] [Indexed: 04/19/2025] Open
Abstract
Background Honey, a natural product with diverse bioactive compounds, has been increasingly explored for its potential anticancer properties. This study aims to comprehensively analyze the scientific literature on the relationship between honey and breast cancer. Methods A bibliometric analysis was conducted using the ScienceDirect database to identify publications from 2014 to 2024. Data on publication trends, author collaboration, and keyword analysis were extracted to gain insight into the research landscape. Keyword analysis identified nine distinct clusters, indicating diverse research directions regarding the role of honey in breast cancer treatment. Results In Key journals such as the Journal of Ethnopharmacology and Food Chemistry have been at the forefront of disseminating research findings in this domain, demonstrating a strongly interdisciplinary approach that bridges traditional medicine and modern scientific inquiry. The increasing interest in the anticancer properties of honey, as evidenced by the growing number of studies, underlines its potential as a promising natural agent for breast cancer prevention and treatment. Conclusions This study provides a comprehensive overview of the current knowledge landscape and highlights emerging issues that require further exploration.
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Affiliation(s)
- Andi Nilawati Usman
- Department of Midwifery, Graduate School, Hasanuddin University, Makassar, South Sulawesi, 90245, Indonesia
| | - Fendi Fendi
- Research Institute and Community Service, Wuna Agricultural Sciences University, Muna, Southeast Sulawesi, 93654, Indonesia
| | - Zafitri Nulandari
- Department of Midwifery, Graduate School, Hasanuddin University, Makassar, South Sulawesi, 90245, Indonesia
| | - Dinah Inrawati Agustin
- Department of Midwifery, Graduate School, Hasanuddin University, Makassar, South Sulawesi, 90245, Indonesia
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Niedermayer F, Wolf K, Zhang S, Dallavalle M, Nikolaou N, Schwettmann L, Selsam P, Hoffmann B, Schneider A, Peters A. Sex-specific associations of environmental exposures with prevalent diabetes and obesity - Results from the KORA Fit study. ENVIRONMENTAL RESEARCH 2024; 252:118965. [PMID: 38642640 DOI: 10.1016/j.envres.2024.118965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 03/25/2024] [Accepted: 04/16/2024] [Indexed: 04/22/2024]
Abstract
Promising evidence suggests a link between environmental factors, particularly air pollution, and diabetes and obesity. However, it is still unclear whether men and women are equally susceptible to environmental exposures. Therefore, we aimed to assess sex-specific long-term effects of environmental exposures on metabolic diseases. We analyzed cross-sectional data from 3,034 participants (53.7% female, aged 53-74 years) from the KORA Fit study (2018/19), a German population-based cohort. Environmental exposures, including annual averages of air pollutants [nitrogen oxides (NO2, NOx), ozone, particulate matter of different diameters (PM10, PMcoarse, PM2.5), PM2.5abs, particle number concentration], air temperature and surrounding greenness, were assessed at participants' residences. We evaluated sex-specific associations of environmental exposures with prevalent diabetes, obesity, body-mass-index (BMI) and waist circumference using logistic or linear regression models with an interaction term for sex, adjusted for age, lifestyle factors and education. Further effect modification, in particular by urbanization, was assessed in sex-stratified analyses. Higher annual averages of air pollution, air temperature and greenness at residence were associated with diabetes prevalence in men (NO2: Odds Ratio (OR) per interquartile range increase in exposure: 1.49 [95% confidence interval (CI): 1.13, 1.95], air temperature: OR: 1.48 [95%-CI: 1.15, 1.90]; greenness: OR: 0.78 [95%-CI: 0.59, 1.01]) but not in women. Conversely, higher levels of air pollution, temperature and lack of greenness were associated with lower obesity prevalence and BMI in women. After including an interaction term for urbanization, only higher greenness was associated with higher BMI in rural women, whereas higher air pollution was associated with higher BMI in urban men. To conclude, we observed sex-specific associations of environmental exposures with metabolic diseases. An additional interaction between environmental exposures and urbanization on obesity suggests a higher susceptibility to air pollution among urban men, and higher susceptibility to greenness among rural women, which needs corroboration in future studies.
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Affiliation(s)
- Fiona Niedermayer
- Chair of Epidemiology, IBE, Faculty of Medicine, LMU Munich, Munich, Germany; Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
| | - Kathrin Wolf
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany
| | - Siqi Zhang
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, United States
| | - Marco Dallavalle
- Chair of Epidemiology, IBE, Faculty of Medicine, LMU Munich, Munich, Germany; Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany
| | - Nikolaos Nikolaou
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany
| | - Lars Schwettmann
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany; Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany
| | - Peter Selsam
- Department Monitoring and Exploration Technologies, Helmholtz Centre for Environmental Research GmbH-UFZ, Leipzig, Germany
| | - Barbara Hoffmann
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
| | - Alexandra Schneider
- Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany
| | - Annette Peters
- Chair of Epidemiology, IBE, Faculty of Medicine, LMU Munich, Munich, Germany; Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany; German Center for Diabetes Research (DZD), München-Neuherberg, Neuherberg, Germany
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