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Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis

OBJECTIVE: Evidence is scarce about the effect of noise exposure on the risk of dementia. We conducted a systematic review and dose-response meta-analysis, aiming to explore the association between noise exposure and the risk of dementia. METHODS: We searched PubMed, EMBASE and the Cochrane Library...

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Autores principales: Meng, Linghao, Zhang, Yang, Zhang, Shushan, Jiang, Fugui, Sha, Leihao, Lan, Yajia, Huang, Lei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251202/
https://www.ncbi.nlm.nih.gov/pubmed/35795699
http://dx.doi.org/10.3389/fpubh.2022.832881
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author Meng, Linghao
Zhang, Yang
Zhang, Shushan
Jiang, Fugui
Sha, Leihao
Lan, Yajia
Huang, Lei
author_facet Meng, Linghao
Zhang, Yang
Zhang, Shushan
Jiang, Fugui
Sha, Leihao
Lan, Yajia
Huang, Lei
author_sort Meng, Linghao
collection PubMed
description OBJECTIVE: Evidence is scarce about the effect of noise exposure on the risk of dementia. We conducted a systematic review and dose-response meta-analysis, aiming to explore the association between noise exposure and the risk of dementia. METHODS: We searched PubMed, EMBASE and the Cochrane Library to collect studies on chronic noise exposure and the risk of dementia from database inception to September 18, 2021 without language limitations. Two authors independently screened the literature, extracted data and assessed the risk of bias of the included studies. A dose-response meta-analysis and subgroup analysis were then conducted to detect the association between noise exposure and the risk of dementia by using Stata 14.0 software. This study is registered on PROSPERO (CRD42021249243). RESULTS: A total of 11 studies were eligible for qualitative synthesis, and nine were eligible for quantitative data synthesis. All of them showed moderate to high quality scores in the assessment of risk of bias. We found a positive linear association between the noise increment and dementia risk (R(2) = 0.58). When noise exposure increased 57 dB, the RR of dementia was 1.47 (95% CI: 1.21–1.78). From the outcome subgroup of AD, AD and dementia, VaD and NAD, we also found a positive association (R(2) = 0.68, 0.68, 0.58, respectively). When noise exposure increased by 25 dB, the RRs were 1.18 (95% CI: 1.14–1.23), 1.19 (95% CI: 1.14–1.23) and 1.17 (95% CI: 1.06–1.30), respectively. We found a nonlinear association between the noise increment and dementia risk when only cohort studies were included (R(2) = 0.58). When noise exposure increased by 25 dB, the RR of dementia was 1.16 (95% CI: 1.12–1.20). From the subgroup of AD, AD and dementia, VaD and NAD of cohort studies, the regression curve showed a nonlinear positive association (R(2) = 0.74, 0.71, 0.43, respectively). When noise exposure increased by 25 dB, the RRs were 1.17 (95% CI: 1.12–1.21), 1.17 (95% CI: 1.12–1.22) and 1.13 (95% CI: 0.99–1.28), respectively. CONCLUSION: Based on the current evidence, exposure to noise may be a specific risk factor for dementia. To better prevent dementia, more rigorously designed studies are needed to explore the etiological mechanism of noise and dementia.
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spelling pubmed-92512022022-07-05 Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis Meng, Linghao Zhang, Yang Zhang, Shushan Jiang, Fugui Sha, Leihao Lan, Yajia Huang, Lei Front Public Health Public Health OBJECTIVE: Evidence is scarce about the effect of noise exposure on the risk of dementia. We conducted a systematic review and dose-response meta-analysis, aiming to explore the association between noise exposure and the risk of dementia. METHODS: We searched PubMed, EMBASE and the Cochrane Library to collect studies on chronic noise exposure and the risk of dementia from database inception to September 18, 2021 without language limitations. Two authors independently screened the literature, extracted data and assessed the risk of bias of the included studies. A dose-response meta-analysis and subgroup analysis were then conducted to detect the association between noise exposure and the risk of dementia by using Stata 14.0 software. This study is registered on PROSPERO (CRD42021249243). RESULTS: A total of 11 studies were eligible for qualitative synthesis, and nine were eligible for quantitative data synthesis. All of them showed moderate to high quality scores in the assessment of risk of bias. We found a positive linear association between the noise increment and dementia risk (R(2) = 0.58). When noise exposure increased 57 dB, the RR of dementia was 1.47 (95% CI: 1.21–1.78). From the outcome subgroup of AD, AD and dementia, VaD and NAD, we also found a positive association (R(2) = 0.68, 0.68, 0.58, respectively). When noise exposure increased by 25 dB, the RRs were 1.18 (95% CI: 1.14–1.23), 1.19 (95% CI: 1.14–1.23) and 1.17 (95% CI: 1.06–1.30), respectively. We found a nonlinear association between the noise increment and dementia risk when only cohort studies were included (R(2) = 0.58). When noise exposure increased by 25 dB, the RR of dementia was 1.16 (95% CI: 1.12–1.20). From the subgroup of AD, AD and dementia, VaD and NAD of cohort studies, the regression curve showed a nonlinear positive association (R(2) = 0.74, 0.71, 0.43, respectively). When noise exposure increased by 25 dB, the RRs were 1.17 (95% CI: 1.12–1.21), 1.17 (95% CI: 1.12–1.22) and 1.13 (95% CI: 0.99–1.28), respectively. CONCLUSION: Based on the current evidence, exposure to noise may be a specific risk factor for dementia. To better prevent dementia, more rigorously designed studies are needed to explore the etiological mechanism of noise and dementia. Frontiers Media S.A. 2022-06-20 /pmc/articles/PMC9251202/ /pubmed/35795699 http://dx.doi.org/10.3389/fpubh.2022.832881 Text en Copyright © 2022 Meng, Zhang, Zhang, Jiang, Sha, Lan and Huang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Meng, Linghao
Zhang, Yang
Zhang, Shushan
Jiang, Fugui
Sha, Leihao
Lan, Yajia
Huang, Lei
Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title_full Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title_fullStr Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title_full_unstemmed Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title_short Chronic Noise Exposure and Risk of Dementia: A Systematic Review and Dose-Response Meta-Analysis
title_sort chronic noise exposure and risk of dementia: a systematic review and dose-response meta-analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9251202/
https://www.ncbi.nlm.nih.gov/pubmed/35795699
http://dx.doi.org/10.3389/fpubh.2022.832881
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