Wilma Zijlema1, Yutong Cai2, Dany Doiron3, Stéphane Mbatchou4, Isabel Fortier4, John Gulliver2, Kees de Hoogh5, David Morley2, Susan Hodgson2, Paul Elliott2, Timothy Key6, Havard Kongsgard7, Kristian Hveem7, Amadou Gaye8, Paul Burton9, Anna Hansell10, Ronald Stolk11, Judith Rosmalen12. 1. University of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, The Netherlands; ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Universitat Pompeu Fabra (UPF), Barcelona, Spain. Electronic address: wilma.zijlema@isglobal.org. 2. MRC-PHE Centre for Environment and Health, Imperial College London, London, United Kingdom. 3. Research Institute of the McGill University Health Centre (RI-MUHC), Montréal, Québec, Canada; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland. 4. Research Institute of the McGill University Health Centre (RI-MUHC), Montréal, Québec, Canada. 5. MRC-PHE Centre for Environment and Health, Imperial College London, London, United Kingdom; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland. 6. Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom. 7. HUNT Research Centre, Department of Public Health and General Practice, Norwegian University of Science and Technology, Levanger, Norway. 8. National Human Genome Research Institute, Metabolic, Cardiovascular and Inflammatory Disease Genomics Branch, Bethesda, USA. 9. School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom. 10. ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Universitat Pompeu Fabra (UPF), Barcelona, Spain; Imperial College Healthcare NHS Trust, London, UK. 11. University of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, The Netherlands. 12. University of Groningen, University Medical Center Groningen, Departments of Psychiatry and Internal Medicine, Groningen, The Netherlands.
Abstract
INTRODUCTION: Exposure to road traffic noise may increase blood pressure and heart rate. It is unclear to what extent exposure to air pollution may influence this relationship. We investigated associations between noise, blood pressure and heart rate, with harmonized data from three European cohorts, while taking into account exposure to air pollution. METHODS: Road traffic noise exposure was assessed using a European noise model based on the Common Noise Assessment Methods in Europe framework (CNOSSOS-EU). Exposure to air pollution was estimated using a European-wide land use regression model. Blood pressure and heart rate were obtained by trained clinical professionals. Pooled cross-sectional analyses of harmonized data were conducted at the individual level and with random-effects meta-analyses. RESULTS: We analyzed data from 88,336 participants, across the three participating cohorts (mean age 47.0 (±13.9) years). Each 10dB(A) increase in noise was associated with a 0.93 (95% CI 0.76;1.11) bpm increase in heart rate, but with a decrease in blood pressure of 0.01 (95% CI -0.24;0.23) mmHg for systolic and 0.38 (95% CI -0.53; -0.24) mmHg for diastolic blood pressure. Adjustments for PM10 or NO2 attenuated the associations, but remained significant for DBP and HR. Results for BP differed by cohort, with negative associations with noise in LifeLines, no significant associations in EPIC-Oxford, and positive associations with noise >60dB(A) in HUNT3. CONCLUSIONS: Our study suggests that road traffic noise may be related to increased heart rate. No consistent evidence for a relation between noise and blood pressure was found.
INTRODUCTION: Exposure to road traffic noise may increase blood pressure and heart rate. It is unclear to what extent exposure to air pollution may influence this relationship. We investigated associations between noise, blood pressure and heart rate, with harmonized data from three European cohorts, while taking into account exposure to air pollution. METHODS: Road traffic noise exposure was assessed using a European noise model based on the Common Noise Assessment Methods in Europe framework (CNOSSOS-EU). Exposure to air pollution was estimated using a European-wide land use regression model. Blood pressure and heart rate were obtained by trained clinical professionals. Pooled cross-sectional analyses of harmonized data were conducted at the individual level and with random-effects meta-analyses. RESULTS: We analyzed data from 88,336 participants, across the three participating cohorts (mean age 47.0 (±13.9) years). Each 10dB(A) increase in noise was associated with a 0.93 (95% CI 0.76;1.11) bpm increase in heart rate, but with a decrease in blood pressure of 0.01 (95% CI -0.24;0.23) mmHg for systolic and 0.38 (95% CI -0.53; -0.24) mmHg for diastolic blood pressure. Adjustments for PM10 or NO2 attenuated the associations, but remained significant for DBP and HR. Results for BP differed by cohort, with negative associations with noise in LifeLines, no significant associations in EPIC-Oxford, and positive associations with noise >60dB(A) in HUNT3. CONCLUSIONS: Our study suggests that road traffic noise may be related to increased heart rate. No consistent evidence for a relation between noise and blood pressure was found.
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