Background/Aim: Identifying confounders based on causal directed acyclic graphs (DAGs) is usually based solely on expert knowledge, although epidemiological studies provide observational data. We applied data-based structure learning algorithms for the specific purpose of identifying confounders, investigating the research question whether particulate matter with an aerodynamic diameter ≤2.5 µg/m3 (PM2.5) affects progression of atherosclerosis, measured as yearly change in carotid intima media thickness (ΔcIMT). Methods: We used 5-year follow-up data of the population-based Heinz Nixdorf Recall Study. Due to computational limitations, potentially relevant variables were restricted to continuously measured data and hence included age, BMI, smoking, blood pressure, HbA1c, LDL/HDL, education, income, neighborhood unemployment (nSES) rate, physical activity and alcohol consumption. Prior knowledge was based on causal chain assumptions regarding major causes of ischaemic heart disease1, and translated to prohibited arcs, i.e. given conditions (e.g. age) are unaffected by lifestyle variables (e.g. smoking) and lifestyle variables are unaffected by subclinical medical determinants (e.g. laboratory measures). We applied a revised structure learning algorithm to learn a causal DAG, including the score-based hill-climbing algorithm, a bootstrap-check to validate the conditional independence structure between variables, and a clustering of minimal sufficient adjustment set (MSAS)-equivalent subsets within the Markov equivalence-class. Results: Based on 2279 participants, the revised structure learning resulted in one MSAS-equivalent cluster, including one DAG of 59 unambiguous arcs. The only biasing path from PM2.5 to ΔcIMT emanated from nSES. Suggested adjustment consisted of four confounder-equivalent MSAS ({nSES}; {age, physical activity, blood pressure}; {age, alcohol consumption, BMI, physical activity, smoking}; {age, BMI, education, income, physical activity, smoking}), yielding an identical exposure effect estimate of 0.002 mm (95%-CI: -0.002, 0.007) increase in cIMT per year per 5 µg/m3 increase in PM2.5. Conclusions: Data-based structure learning returned one unambiguous DAG widely matching general believes. Identical exposure effect estimates of confounder-equivalent MSAS underline a stable (causal) structure.