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Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis

A number of epidemiological studies report an association between occupational noise exposure and arterial hypertension. Existing systematic reviews report conflicting results, so we conducted an updated systematic review with meta-analysis. We registered the review protocol with PROSPERO (registrat...

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Autores principales: Bolm-Audorff, Ulrich, Hegewald, Janice, Pretzsch, Anna, Freiberg, Alice, Nienhaus, Albert, Seidler, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504405/
https://www.ncbi.nlm.nih.gov/pubmed/32872306
http://dx.doi.org/10.3390/ijerph17176281
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author Bolm-Audorff, Ulrich
Hegewald, Janice
Pretzsch, Anna
Freiberg, Alice
Nienhaus, Albert
Seidler, Andreas
author_facet Bolm-Audorff, Ulrich
Hegewald, Janice
Pretzsch, Anna
Freiberg, Alice
Nienhaus, Albert
Seidler, Andreas
author_sort Bolm-Audorff, Ulrich
collection PubMed
description A number of epidemiological studies report an association between occupational noise exposure and arterial hypertension. Existing systematic reviews report conflicting results, so we conducted an updated systematic review with meta-analysis. We registered the review protocol with PROSPERO (registration no.: CRD 42019147923) and searched for observational epidemiological studies in literature databases (Medline, Embase, Scopus, Web of Science). Two independent reviewers screened the titles/abstracts and full texts of the studies. Two reviewers also did the quality assessment and data extraction. Studies without adequate information on recruitment, response, or without a comparison group that was exposed to occupational noise under 80 dB(A) were excluded. The literature search yielded 4583 studies, and 58 studies were found through hand searching. Twenty-four studies were included in the review. The meta-analysis found a pooled effect size (ES) for hypertension (systolic/diastolic blood pressure ≥140/90 mmHg) due to noise exposures ≥80 dB(A) of 1.81 (95% CI 1.51–2.18). There is no substantial risk difference between men and women, but data concerning this question are limited. We found a positive dose-response-relationship: ES = 1.21 (95% CI 0.78–1.87) ≤ 80 dB(A), ES = 1.77 (95% CI 1.36–2.29) > 80–≤85 dB(A), and ES = 3.50 (95% CI 1.56–7.86) > 85–≤90 dB(A). We found high quality of evidence that occupational noise exposure increases the risk of hypertension.
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spelling pubmed-75044052020-09-24 Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis Bolm-Audorff, Ulrich Hegewald, Janice Pretzsch, Anna Freiberg, Alice Nienhaus, Albert Seidler, Andreas Int J Environ Res Public Health Review A number of epidemiological studies report an association between occupational noise exposure and arterial hypertension. Existing systematic reviews report conflicting results, so we conducted an updated systematic review with meta-analysis. We registered the review protocol with PROSPERO (registration no.: CRD 42019147923) and searched for observational epidemiological studies in literature databases (Medline, Embase, Scopus, Web of Science). Two independent reviewers screened the titles/abstracts and full texts of the studies. Two reviewers also did the quality assessment and data extraction. Studies without adequate information on recruitment, response, or without a comparison group that was exposed to occupational noise under 80 dB(A) were excluded. The literature search yielded 4583 studies, and 58 studies were found through hand searching. Twenty-four studies were included in the review. The meta-analysis found a pooled effect size (ES) for hypertension (systolic/diastolic blood pressure ≥140/90 mmHg) due to noise exposures ≥80 dB(A) of 1.81 (95% CI 1.51–2.18). There is no substantial risk difference between men and women, but data concerning this question are limited. We found a positive dose-response-relationship: ES = 1.21 (95% CI 0.78–1.87) ≤ 80 dB(A), ES = 1.77 (95% CI 1.36–2.29) > 80–≤85 dB(A), and ES = 3.50 (95% CI 1.56–7.86) > 85–≤90 dB(A). We found high quality of evidence that occupational noise exposure increases the risk of hypertension. MDPI 2020-08-28 2020-09 /pmc/articles/PMC7504405/ /pubmed/32872306 http://dx.doi.org/10.3390/ijerph17176281 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Bolm-Audorff, Ulrich
Hegewald, Janice
Pretzsch, Anna
Freiberg, Alice
Nienhaus, Albert
Seidler, Andreas
Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title_full Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title_fullStr Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title_full_unstemmed Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title_short Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis
title_sort occupational noise and hypertension risk: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504405/
https://www.ncbi.nlm.nih.gov/pubmed/32872306
http://dx.doi.org/10.3390/ijerph17176281
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