Theo Bodin1,2, Jonas Björk3, Kristoffer Mattisson3, Matteo Bottai4, Ralf Rittner3, Per Gustavsson4, Kristina Jakobsson3, Per-Olof Östergren5, Maria Albin3. 1. Division of Occupational and Environmental Medicine, Lund University, 221 85, Lund, Sweden. theo.bodin@ki.se. 2. Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden. theo.bodin@ki.se. 3. Division of Occupational and Environmental Medicine, Lund University, 221 85, Lund, Sweden. 4. Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden. 5. Division of Social Medicine and Global Health, Lund University, 205 02, Malmö, Sweden.
Abstract
PURPOSE: Both road traffic noise and air pollution have been linked to cardiovascular disease. However, there are few prospective epidemiological studies available where both road traffic noise and air pollution have been analyzed simultaneously. The aim of this study was to investigate the relation between road traffic noise, air pollution and incident myocardial infarction in both current (1-year average) and medium-term (3-year average) perspective. METHODS: This study was based on a stratified random sample of persons aged 18-80 years who answered a public health survey in Skåne, Sweden, in 2000 (n = 13,512). The same individuals received a repeated survey in 2005 and 2010. Diagnoses of myocardial infarction (MI) were obtained from medical records for both inpatient and outpatient specialized care. The endpoint was first MI during 2000-2010. Participants with prior myocardial infarction were excluded at baseline. Yearly average levels of noise (L DEN) and air pollution (NO x ) were estimated using geographic information system for residential address every year until censoring. RESULTS: The mean exposure levels for road traffic noise and air pollution in 2005 were L DEN 51 dB(A) and NO x 11 µg/m(3), respectively. After adjustment for individual confounders (age, sex, body mass index, smoking, education, alcohol consumption, civil status, year, country of birth and physical activity), a 10-dB(A) increase in current noise exposure did not increase the incidence rate ratio (IRR) for MI, 0.99 (95 % CI 0.86-1.14). Neither did a 10-μg/m(3) increase in current NO x increase the risk of MI, 1.02 (95 % CI 0.86-1.21). The IRR for MI associated with combined exposure to road traffic noise >55 dB(A) and NO x >20 µg/m(3) was 1.21 (95 % CI 0.90-1.64) compared to <55 dB(A) and <20 µg/m(3). CONCLUSIONS: This study did not provide evidence for an increased risk of MI due to exposure to road traffic noise or air pollution at moderate average exposure levels.
PURPOSE: Both road traffic noise and air pollution have been linked to cardiovascular disease. However, there are few prospective epidemiological studies available where both road traffic noise and air pollution have been analyzed simultaneously. The aim of this study was to investigate the relation between road traffic noise, air pollution and incident myocardial infarction in both current (1-year average) and medium-term (3-year average) perspective. METHODS: This study was based on a stratified random sample of persons aged 18-80 years who answered a public health survey in Skåne, Sweden, in 2000 (n = 13,512). The same individuals received a repeated survey in 2005 and 2010. Diagnoses of myocardial infarction (MI) were obtained from medical records for both inpatient and outpatient specialized care. The endpoint was first MI during 2000-2010. Participants with prior myocardial infarction were excluded at baseline. Yearly average levels of noise (L DEN) and air pollution (NO x ) were estimated using geographic information system for residential address every year until censoring. RESULTS: The mean exposure levels for road traffic noise and air pollution in 2005 were L DEN 51 dB(A) and NO x 11 µg/m(3), respectively. After adjustment for individual confounders (age, sex, body mass index, smoking, education, alcohol consumption, civil status, year, country of birth and physical activity), a 10-dB(A) increase in current noise exposure did not increase the incidence rate ratio (IRR) for MI, 0.99 (95 % CI 0.86-1.14). Neither did a 10-μg/m(3) increase in current NO x increase the risk of MI, 1.02 (95 % CI 0.86-1.21). The IRR for MI associated with combined exposure to road traffic noise >55 dB(A) and NO x >20 µg/m(3) was 1.21 (95 % CI 0.90-1.64) compared to <55 dB(A) and <20 µg/m(3). CONCLUSIONS: This study did not provide evidence for an increased risk of MI due to exposure to road traffic noise or air pollution at moderate average exposure levels.
Authors: Charlotta Eriksson; Mats E Nilsson; Saskia M Willers; Lars Gidhagen; Tom Bellander; Göran Pershagen Journal: Noise Health Date: 2012 Jul-Aug Impact factor: 0.867
Authors: Jonas F Ludvigsson; Eva Andersson; Anders Ekbom; Maria Feychting; Jeong-Lim Kim; Christina Reuterwall; Mona Heurgren; Petra Otterblad Olausson Journal: BMC Public Health Date: 2011-06-09 Impact factor: 3.295
Authors: Gerard Hoek; Ranjini M Krishnan; Rob Beelen; Annette Peters; Bart Ostro; Bert Brunekreef; Joel D Kaufman Journal: Environ Health Date: 2013-05-28 Impact factor: 5.984
Authors: Mette Sørensen; Zorana J Andersen; Rikke B Nordsborg; Steen S Jensen; Kenneth G Lillelund; Rob Beelen; Erik B Schmidt; Anne Tjønneland; Kim Overvad; Ole Raaschou-Nielsen Journal: PLoS One Date: 2012-06-20 Impact factor: 3.240
Authors: Jochem O Klompmaker; Nicole A H Janssen; Lizan D Bloemsma; Ulrike Gehring; Alet H Wijga; Carolien van den Brink; Erik Lebret; Bert Brunekreef; Gerard Hoek Journal: Environ Health Perspect Date: 2019-08-08 Impact factor: 9.031
Authors: Johannah Cramer; Jeanette T Jørgensen; Barbara Hoffmann; Steffen Loft; Elvira V Bräuner; Eva Prescott; Matthias Ketzel; Ole Hertel; Jørgen Brandt; Steen S Jensen; Claus Backalarz; Mette K Simonsen; Zorana J Andersen Journal: Environ Health Perspect Date: 2020-05-06 Impact factor: 9.031
Authors: Irene van Kamp; Sendrick Simon; Hilary Notley; Christos Baliatsas; Elise van Kempen Journal: Int J Environ Res Public Health Date: 2020-04-26 Impact factor: 3.390
Authors: Elisa Bustaffa; Olivia Curzio; Gabriele Donzelli; Francesca Gorini; Nunzia Linzalone; Marco Redini; Fabrizio Bianchi; Fabrizio Minichilli Journal: Int J Environ Res Public Health Date: 2022-08-14 Impact factor: 4.614