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Air pollution is harmful to your heart and circulatory system. 
Wherever you live, there are simple steps you can take to stay as healthy as possible.

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What is air pollution?

Air pollution is the name given to things in the air that can harm your health if you breathe them in. They are gases or small particles (also known at particulate matter, or PM). 

The most common harmful air pollutants are: 

  • gases such as nitrogen dioxide, ozone, sulphur dioxide and carbon monoxide
  • particles such as soot and dust.

Polluted air is caused by:

  • diesel and petrol vehicles
  • fumes from factories and power plants
  • farming (from fertilisers and animal manure)
  • burning firewood, candles or incense indoors
  • smoking cigarettes indoors.

But air pollution can come from natural sources too, like:

  • soil
  • pollen
  • volcanoes
  • sandstorms.

How can air pollution increase my risk of heart and circulatory diseases?

When you breathe in poor quality air, the air pollutants can travel deep into your bloodstream through your lungs, and to your heart. This can increase your risk of developing heart and circulatory diseases. 

Air pollutants can: 

  • Damage your blood vessels by making them narrower and harder. This can:
    • make it more difficult for your blood to flow freely
    • make your blood more likely to clot
    • increase your blood pressure because your heart is pumping faster to move the blood that can’t flow properly
    • increase the strain on your heart muscle by working harder than it should.
  • Affect your heart’s electrical system which controls your heartbeat. This can:
  • Potentially cause small changes to the structure of your heart. This can:
    • be similar to changes seen in the early stages of heart failure.

For people with existing heart and circulatory conditions, this damage can increased their risk of events like a heart attack or stroke.

Air pollution worldwide health statistic

Do you need support?

The effects of air pollution on your health can feel worrying. And in our modern world, it might feel hard to avoid. But there are lots of easy things you can do to reduce the air pollution you breath in and lower your risk. 

If you feel concerned or have questions, our cardiac nurses can help you. You can contact our Heart Helpline or emailing [email protected]

Visit the Heart Helpline

Can the amount of pollution in the air and the risk to my health change?

Air pollution levels rise and fall depending on how built up an area is, the time of day and the weather. The advice about how to reduce your risk of developing health problems changes depending on the level of air pollution. 

The UK government’s air pollutions levels are:

Air pollution level  Advice for people with existing medical conditions Advice for people without existing medical conditions
 Low  Enjoy your usual outdoor activities.  Enjoy your usual outdoor activities.
 Moderate  If you experience symptoms of your medical condition, or have sore eyes, a sore throat or a cough, you should consider reducing intense physical activity outdoors.  Enjoy your usual outdoor activities.
 High  Adults and children experiencing any symptoms should consider reducing intense physical activity outdoors. 
Older people should consider reducing all intense physical activity. 
People with asthma may need to use their inhaler more.
 If you experience sore eyes, a sore throat or a cough, you should consider reducing your outdoor activity.
 Very high  Adults, children and older people should avoid intense physical activity. 
People with asthma may need to use their inhaler more.
 Even if you don’t experience symptoms, you should consider reducing how active you are, especially outdoors.

How can I check the air pollution levels near me?

It is important to regularly check the air pollution level for your area. If the level is high or very high, it can increase your risk of feeling unwell and developing health problems. 

To check the level of air pollution near you, you can:

Lifesaving air pollution research

The British Heart Foundation has funded £5.8 million of research into air pollution. This lifesaving research is helping us to better understand the impact of air pollution on our health.

Read about the breakthroughs our scientists have made in understanding the link between poor air quality and having an increased risk of heart and circulatory conditions.

Read our research

How can I reduce the amount of air pollution I breathe in?

There are lots of easy things you can do around your routine to reduce your exposure to air pollution: 

  • Whenever you can, walk or cycle instead of driving a vehicle or using public transport. This is because air quality is poorer in vehicles.
  • When you’re walking or cycling, try to find routes away from busy roads or use cycling paths.
  • If you're in areas that could have poorer air quality (like cities and towns), try to reduce the amount of time you spend outside during ‘rush hour’ (the busiest times of day to travel). You could try getting to work or the school drop-off a little earlier and avoid the traffic.
  • Some research has suggested that eating a balanced diet with plenty of fruit and vegetables could help to protect you from the negative impacts of air pollution. 

Some people choose to wear a facemask but there is little evidence to say if they can protect you from air pollution. 

How can I improve the air quality in my home?

Poor air quality in your home can be harmful to your health, like polluted air outside. And many of us spend a lot of our time indoors. But there’s simple things you can do to improve the air quality in your home and reduce the impact on your health: 

  • Use solid or liquid cleaning products rather than sprayable ones.
  • If you can, cook and heat your home with electric or gas instead of burning wood or coal.
  • Open your windows a few times a day to refresh the air in your rooms, especially when you’re cooking or showering.
  • Clean your floors regularly to avoid dust and allergens building up and going into the air.
  • Use extractor fans in your kitchen and bathroom, fix any leaks or water damage, and keep your home above 19c in the colder months if possible. These things can all help to prevent water condensation which can cause mould and bad bacteria building up in the air. 
  • Don’t smoke indoors or allow others to smoke in your home. When you smoke indoors, it stays in the air. And toxins from breathing in second-hand smoke can harm the health of everyone you live with. If you smoke, taking steps to quit is the best thing you can do for your health. 

Is it safe to exercise outside in polluted air?

For most people, the benefits of being physically active outweigh the risks of breathing in polluted air. 

When you exercise, your heart works harder to pump more oxygen-rich blood around your body. This means you will breathe in more air. If you’re exercising outside, you might want to check the air pollution level in your area first: 

  • If the air pollution level is low, you can carry on with your normal activities, even if you have a heart or circulatory condition. 
  • If the air pollution level is moderate, high or very high, you should consider reducing the amount of exercise you do outdoors. 

Exercise is very good for your heart and circulatory system. It can also boost your mood and help you sleep better, and it can be fun too. If you can’t exercise outdoors, it’s important to be as active as you can indoors. 

Indoor and outdoor exercise ideas

Adults in the UK are recommended to get around two and a half hours of exercise a week. As long as you’re doing something to get you out of breath, it can be anything. Indoors or outdoors, we have easy exercises for very age and ability. From exercises you can do from a chair to at-home yoga and our 10-minute workout.

Visit our activity hub

How can I help to reduce air pollution levels?

We can all take small steps to make a big difference to air pollution. Try some of these suggestions to help improve air quality:

  • Walk or cycle if possible or use public transport or car share. This can help to reduce the number of vehicles on the road releasing fumes and it’ll keep you physically active.
  • If you’re thinking about buying a car, consider a petrol, hybrid or an electric car instead of a diesel car. Diesel engines produce more emissions than most other cars.
  • If you have a vehicle, make sure it’s serviced regularly.
  • Try to monitor how much electricity your household uses. You might want to consider using energy-efficient light bulbs in your home.

You can trust our health information

We've followed an eight-step process to make sure this content is reliable, accurate and trustworthy. Learn how we make our health information reliable and easy to understand.

Trusted Information Creator - Patient Information Forum

Page last reviewed: March 2022
Next review due: March 2025

The BHF’s air pollution campaign

Living in areas of the UK with the highest levels of air pollution can be as deadly as smoking over 150 cigarettes each year.

Our ‘Toxic Air: We’re all full of it’ campaign asked the UK Government to set new, stricter air quality targets. They agreed to review the targets in the 2021 Environment Act.

These new targets aim to reduce fine particulate matter (PM) in our air and will help to reduce the public’s health risk from air pollution. They will be set in 2022.

We are working with our BHF partners to ensure that the new targets are the best they can be for health.

Find out more

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