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Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts
BACKGROUND: Transportation noise may induce cardiovascular disease, but the public health implications are unclear. OBJECTIVES: The study aimed to assess exposure–response relationships for different transportation noise sources and ischemic heart disease (IHD), including subtypes. METHODS: Pooled a...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Environmental Health Perspectives
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819217/ https://www.ncbi.nlm.nih.gov/pubmed/36607286 http://dx.doi.org/10.1289/EHP10745 |
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author | Pyko, Andrei Roswall, Nina Ögren, Mikael Oudin, Anna Rosengren, Annika Eriksson, Charlotta Segersson, David Rizzuto, Debora Andersson, Eva M. Aasvang, Gunn Marit Engström, Gunnar Gudjonsdottir, Hrafnhildur Jørgensen, Jeanette T. Selander, Jenny Christensen, Jesper H. Brandt, Jørgen Leander, Karin Overvad, Kim Eneroth, Kristina Mattisson, Kristoffer Barregard, Lars Stockfelt, Leo Albin, Maria Simonsen, Mette K. Tiittanen, Pekka Molnar, Peter Ljungman, Petter Solvang Jensen, Steen Gustafsson, Susanna Lanki, Timo Lim, Youn-Hee Andersen, Zorana J. Sørensen, Mette Pershagen, Göran |
author_facet | Pyko, Andrei Roswall, Nina Ögren, Mikael Oudin, Anna Rosengren, Annika Eriksson, Charlotta Segersson, David Rizzuto, Debora Andersson, Eva M. Aasvang, Gunn Marit Engström, Gunnar Gudjonsdottir, Hrafnhildur Jørgensen, Jeanette T. Selander, Jenny Christensen, Jesper H. Brandt, Jørgen Leander, Karin Overvad, Kim Eneroth, Kristina Mattisson, Kristoffer Barregard, Lars Stockfelt, Leo Albin, Maria Simonsen, Mette K. Tiittanen, Pekka Molnar, Peter Ljungman, Petter Solvang Jensen, Steen Gustafsson, Susanna Lanki, Timo Lim, Youn-Hee Andersen, Zorana J. Sørensen, Mette Pershagen, Göran |
author_sort | Pyko, Andrei |
collection | PubMed |
description | BACKGROUND: Transportation noise may induce cardiovascular disease, but the public health implications are unclear. OBJECTIVES: The study aimed to assess exposure–response relationships for different transportation noise sources and ischemic heart disease (IHD), including subtypes. METHODS: Pooled analyses were performed of nine cohorts from Denmark and Sweden, together including 132,801 subjects. Time-weighted long-term exposure to road, railway, and aircraft noise, as well as air pollution, was estimated based on residential histories. Hazard ratios (HRs) were calculated using Cox proportional hazards models following adjustment for lifestyle and socioeconomic risk factors. RESULTS: A total of 22,459 incident cases of IHD were identified during follow-up from national patient and mortality registers, including 7,682 cases of myocardial infarction. The adjusted HR for IHD was 1.03 [95% confidence interval (CI) 1.00, 1.05] per 10 dB [Formula: see text] for both road and railway noise exposure during 5 y prior to the event. Higher risks were indicated for IHD excluding angina pectoris cases, with HRs of 1.06 (95% CI: 1.03, 1.08) and 1.05 (95% CI: 1.01, 1.08) per 10 dB [Formula: see text] for road and railway noise, respectively. Corresponding HRs for myocardial infarction were 1.02 (95% CI: 0.99, 1.05) and 1.04 (95% CI: 0.99, 1.08). Increased risks were observed for aircraft noise but without clear exposure–response relations. A threshold at around 55 dB [Formula: see text] was suggested in the exposure–response relation for road traffic noise and IHD. DISCUSSION: Exposure to road, railway, and aircraft noise in the prior 5 y was associated with an increased risk of IHD, particularly after exclusion of angina pectoris cases, which are less well identified in the registries. https://doi.org/10.1289/EHP10745 |
format | Online Article Text |
id | pubmed-9819217 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Environmental Health Perspectives |
record_format | MEDLINE/PubMed |
spelling | pubmed-98192172023-01-10 Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts Pyko, Andrei Roswall, Nina Ögren, Mikael Oudin, Anna Rosengren, Annika Eriksson, Charlotta Segersson, David Rizzuto, Debora Andersson, Eva M. Aasvang, Gunn Marit Engström, Gunnar Gudjonsdottir, Hrafnhildur Jørgensen, Jeanette T. Selander, Jenny Christensen, Jesper H. Brandt, Jørgen Leander, Karin Overvad, Kim Eneroth, Kristina Mattisson, Kristoffer Barregard, Lars Stockfelt, Leo Albin, Maria Simonsen, Mette K. Tiittanen, Pekka Molnar, Peter Ljungman, Petter Solvang Jensen, Steen Gustafsson, Susanna Lanki, Timo Lim, Youn-Hee Andersen, Zorana J. Sørensen, Mette Pershagen, Göran Environ Health Perspect Research BACKGROUND: Transportation noise may induce cardiovascular disease, but the public health implications are unclear. OBJECTIVES: The study aimed to assess exposure–response relationships for different transportation noise sources and ischemic heart disease (IHD), including subtypes. METHODS: Pooled analyses were performed of nine cohorts from Denmark and Sweden, together including 132,801 subjects. Time-weighted long-term exposure to road, railway, and aircraft noise, as well as air pollution, was estimated based on residential histories. Hazard ratios (HRs) were calculated using Cox proportional hazards models following adjustment for lifestyle and socioeconomic risk factors. RESULTS: A total of 22,459 incident cases of IHD were identified during follow-up from national patient and mortality registers, including 7,682 cases of myocardial infarction. The adjusted HR for IHD was 1.03 [95% confidence interval (CI) 1.00, 1.05] per 10 dB [Formula: see text] for both road and railway noise exposure during 5 y prior to the event. Higher risks were indicated for IHD excluding angina pectoris cases, with HRs of 1.06 (95% CI: 1.03, 1.08) and 1.05 (95% CI: 1.01, 1.08) per 10 dB [Formula: see text] for road and railway noise, respectively. Corresponding HRs for myocardial infarction were 1.02 (95% CI: 0.99, 1.05) and 1.04 (95% CI: 0.99, 1.08). Increased risks were observed for aircraft noise but without clear exposure–response relations. A threshold at around 55 dB [Formula: see text] was suggested in the exposure–response relation for road traffic noise and IHD. DISCUSSION: Exposure to road, railway, and aircraft noise in the prior 5 y was associated with an increased risk of IHD, particularly after exclusion of angina pectoris cases, which are less well identified in the registries. https://doi.org/10.1289/EHP10745 Environmental Health Perspectives 2023-01-06 /pmc/articles/PMC9819217/ /pubmed/36607286 http://dx.doi.org/10.1289/EHP10745 Text en https://ehp.niehs.nih.gov/about-ehp/licenseEHP is an open-access journal published with support from the National Institute of Environmental Health Sciences, National Institutes of Health. All content is public domain unless otherwise noted. |
spellingShingle | Research Pyko, Andrei Roswall, Nina Ögren, Mikael Oudin, Anna Rosengren, Annika Eriksson, Charlotta Segersson, David Rizzuto, Debora Andersson, Eva M. Aasvang, Gunn Marit Engström, Gunnar Gudjonsdottir, Hrafnhildur Jørgensen, Jeanette T. Selander, Jenny Christensen, Jesper H. Brandt, Jørgen Leander, Karin Overvad, Kim Eneroth, Kristina Mattisson, Kristoffer Barregard, Lars Stockfelt, Leo Albin, Maria Simonsen, Mette K. Tiittanen, Pekka Molnar, Peter Ljungman, Petter Solvang Jensen, Steen Gustafsson, Susanna Lanki, Timo Lim, Youn-Hee Andersen, Zorana J. Sørensen, Mette Pershagen, Göran Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title | Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title_full | Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title_fullStr | Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title_full_unstemmed | Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title_short | Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts |
title_sort | long-term exposure to transportation noise and ischemic heart disease: a pooled analysis of nine scandinavian cohorts |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819217/ https://www.ncbi.nlm.nih.gov/pubmed/36607286 http://dx.doi.org/10.1289/EHP10745 |
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