The association between noise exposure and blood pressure and ischemic heart disease: a meta-analysis.

Abstract

It has been suggested that noise exposure is associated with blood pressure changes and ischemic heart disease risk, but epidemiologic evidence is still limited. Furthermore, most reviews investigating these relations were not carried out in a systematic way, which makes them more prone to bias. We conducted a meta-analysis of 43 epidemiologic studies published between 1970 and 1999 that investigate the relation between noise exposure (both occupational and community) and blood pressure and/or ischemic heart disease (International Classification of Diseases, Ninth Revision, codes 410-414). We studied a wide range of effects, from blood pressure changes to a myocardial infarction. With respect to the association between noise exposure and blood pressure, small blood pressure differences were evident. Our meta-analysis showed a significant association for both occupational noise exposure and air traffic noise exposure and hypertension: We estimated relative risks per 5 dB(A) noise increase of 1.14 (1.01-1.29) and 1.26 (1.14-1.39), respectively. Air traffic noise exposure was positively associated with the consultation of a general practitioner or specialist, the use of cardiovascular medicines, and angina pectoris. In cross-sectional studies, road traffic noise exposure increases the risk of myocardial infarction and total ischemic heart disease. Although we can conclude that noise exposure can contribute to the prevalence of cardiovascular disease, the evidence for a relation between noise exposure and ischemic heart disease is still inconclusive because of the limitations in exposure characterization, adjustment for important confounders, and the occurrence of publication bias.

Cited by papers we hold 8

• An overview of occupational noise-induced hearing loss among workers: epidemiology, pathogenesis, and preventive measures · 2020
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• WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Cardiovascular and Metabolic Effects: A Summary · 2018
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• The Adverse Effects of Environmental Noise Exposure on Oxidative Stress and Cardiovascular Risk · 2018
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• Heart disease attributed to occupational noise, vibration and other co-exposure: Self-reported population-based survey among Bulgarian workers · 2016
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• Association between transportation noise and cardiovascular disease: A meta-analysis of cross-sectional studies among adult populations from 1980 to 2010 · 2014
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• Saliva Cortisol and Exposure to Aircraft Noise in Six European Countries · 2009
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• Hypertension and Exposure to Noise Near Airports: the HYENA Study · 2007
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• A Case–Control Analysis of Exposure to Traffic and Acute Myocardial Infarction · 2006
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