Aircraft Noise and Incidence of Hypertension
Aircraft Noise and Incidence of Hypertension
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DOI：
10.1097/ede.0b013e3181567e77
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发表时间：
2007-11-01
期刊：
影响因子：
5.4
通讯作者：
Bluhm, Gosta
中科院分区：
文献类型：
--
作者：
Eriksson, Charlotta;Rosenlund, Mats;Bluhm, Gosta
背景：飞机噪音暴露与高血压患病率之间存在关联，但没有对这种关联进行纵向研究。我们的目的是调查飞机噪音对高血压发病率的影响。方法：1992-1994年和2002-2004年对斯德哥尔摩阿兰达机场周边4个城市的2754名男性进行了随访。该队列基于斯德哥尔摩糖尿病预防计划；一半的研究对象有糖尿病家族史。利用地理信息系统技术对机场附近居民的住宅飞机噪声暴露（以时间加权等能量和最大噪声水平表示）进行了评估。通过身体检查（包括血压测量）和调查问卷（受试者报告高血压的治疗或诊断以及心血管危险因素信息）来确定高血压病例。分析仅限于2027名受试者，他们完成了随访检查，未接受高血压治疗，入组时血压低于140/90 mm Hg。结果：暴露于能量平均水平高于50 dB(A)的受试者，高血压的校正相对危险度为1.19 （95% CI = 1.03-1.37）。最大飞机噪音水平也有类似的结果，暴露在70分贝(a)以上的人的相对风险为1.20（1.03-1.40）。年龄较大的受试者、葡萄糖耐量正常的受试者、不吸烟的受试者和不受其他噪声源干扰的受试者之间存在更强的相关性。结论：长期接触飞机噪声可增加高血压的发病风险。
Background: An association between aircraft noise exposure and hypertension prevalence has been suggested but there are no longitudinal studies of this association. Our aim was to investigate the influence of aircraft noise on the incidence of hypertension.Methods: A cohort of 2754 men in 4 municipalities around Stockholm Arlanda airport was followed between 1992-1994 and 2002-2004. The cohort was based on the Stockholm Diabetes Preventive Program; half of the study subjects had a family history of diabetes. Residential aircraft noise exposure ( expressed as time-weighted equal energy and maximal noise levels) was assessed by geographical information systems techniques among those living near the airport. Incident cases of hypertension were identified by physical examinations, including blood pressure measurements, and questionnaires in which subjects reported treatment or diagnosis of hypertension and information on cardiovascular risk factors. Analyses were restricted to 2027 subjects who completed the follow-up examination, were not treated for hypertension, and had a blood pressure below 140/90 mm Hg at enrollment.Results: For subjects exposed to energy-averaged levels above 50 dB( A) the adjusted relative risk for hypertension was 1.19 ( 95% CI = 1.03-1.37). Maximum aircraft noise levels presented similar results, with a relative risk of 1.20 ( 1.03-1.40) for those exposed above 70 dB( A). Stronger associations were suggested among older subjects, those with a normal glucose tolerance, nonsmokers, and subjects not annoyed by noise from other sources.Conclusion: These findings suggest that long-term aircraft noise exposure may increase the risk for hypertension.