Long-Term Exposure to Transportation Noise and Ischemic Heart Disease: A Pooled Analysis of Nine Scandinavian Cohorts.

Autor: Pyko A; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden., Roswall N; Danish Cancer Society Research Centre, Copenhagen, Denmark., Ögren M; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.; Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden., Oudin A; Planetary Health, Lund University, Lund, Sweden.; Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Sweden., Rosengren A; Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden., Eriksson C; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden., Segersson D; Swedish Meteorological and Hydrological Institute, Norrköping, Sweden.; Department of Environmental Science, Stockholm University, Stockholm, Sweden., Rizzuto D; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.; Stockholm Gerontology Research Center, Stockholm, Sweden., Andersson EM; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.; Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden., Aasvang GM; Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway., Engström G; Department of Clinical Science, Lund University, Malmö, Sweden., Gudjonsdottir H; Centre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Jørgensen JT; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Selander J; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden., Christensen JH; Department of Environmental Science, Aarhus University, Roskilde, Denmark., Brandt J; Department of Environmental Science, Aarhus University, Roskilde, Denmark.; iClimate - Interdisciplinary Centre for Climate Change, Aarhus University, Roskilde, Denmark., Leander K; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden., Overvad K; Department of Public Health, Aarhus University, Aarhus, Denmark.; Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark., Eneroth K; Environment and Health Administration, Stockholm, Sweden., Mattisson K; Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden., Barregard L; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.; Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden., Stockfelt L; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.; Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden., Albin M; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.; Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden., Simonsen MK; Department of Neurology, The Parker Institute, Frederiksberg Hospital, Capital Region, Frederiksberg, Denmark., Tiittanen P; Department of Health Security, Finnish Institute for Health and Welfare (THL), Kuopio, Finland., Molnar P; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.; Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden., Ljungman P; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; Department of Cardiology, Danderyd Hospital, Stockholm, Sweden., Solvang Jensen S; Department of Environmental Science, Aarhus University, Roskilde, Denmark., Gustafsson S; Environment Department, City of Malmö, Malmö, Sweden., Lanki T; Department of Health Security, Finnish Institute for Health and Welfare (THL), Kuopio, Finland.; School of Medicine, University of Eastern Finland, Kuopio, Finland.; Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland., Lim YH; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Andersen ZJ; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Sørensen M; Danish Cancer Society Research Centre, Copenhagen, Denmark.; Department of Natural Science and Environment, Roskilde University, Roskilde, Denmark., Pershagen G; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.; Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Environmental health perspectives [Environ Health Perspect] 2023 Jan; Vol. 131 (1), pp. 17003. Date of Electronic Publication: 2023 Jan 06.
DOI: 10.1289/EHP10745
Abstrakt: 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 L den 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 L den 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 L den 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.
Databáze: MEDLINE
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