Long-term exposure to transportation noise in relation to global cognitive decline and cognitive impairment: Results from a Swedish longitudinal cohort.

Autor: Wu J; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 171 65, Stockholm, Sweden. Electronic address: jing.wu@ki.se., Grande G; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 171 65, Stockholm, Sweden., Pyko A; Institute of Environmental Medicine, Karolinska Institute, 171 65, Stockholm, Sweden; Center for Occupational and Environmental Medicine, Stockholm Region, 113 65, Stockholm, Sweden., Laukka EJ; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 171 65, Stockholm, Sweden; Stockholm Gerontology Research Center, 113 46, Stockholm, Sweden., Pershagen G; Institute of Environmental Medicine, Karolinska Institute, 171 65, Stockholm, Sweden., Ögren M; Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, 405 30, Gothenburg, Sweden; Department of Occupational and Environmental Medicine, Sahlgrenska Academy, 413 90, Gothenburg, Sweden., Bellander T; Institute of Environmental Medicine, Karolinska Institute, 171 65, Stockholm, Sweden., Rizzuto D; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, 171 65, Stockholm, Sweden; Stockholm Gerontology Research Center, 113 46, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Environment international [Environ Int] 2024 Mar; Vol. 185, pp. 108572. Date of Electronic Publication: 2024 Mar 11.
DOI: 10.1016/j.envint.2024.108572
Abstrakt: Background and Aims: Transportation noise is an environmental exposure with mounting evidence of adverse health effects. Besides the increased risk of cardiovascular and metabolic diseases, recent studies suggest that long-term noise exposure might accelerate cognitive decline in older age. We examined the association between transportation noise and cognitive function in a cohort of older adults.
Methods: The present study is based on 2594 dementia-free participants aged 60 + years from the Swedish National study on Aging and Care in Kungsholmen (SNAC-K). Global cognition score and CIND (cognitive impairment, no dementia) were assessed with a comprehensive neuropsychological battery at baseline and up to 16 years. Residential transportation noise resulting from road traffic, railway, and aircraft were estimated at the most exposed façade and the time-weighted average exposure was assessed. Linear mixed-effect models were used to assess the effect of long-term traffic noise exposure on the rate of change in global cognition score. Hazard ratios (HRs) and 95 % confidence intervals (CIs) of CIND by transportation noise exposure were obtained with Cox proportional hazard models.
Results: Global cognition score decreased at an average rate of -0.041 (95 %CI -0.043, -0.039) per year. Aircraft noise was associated with a 0.007 (per 10 dB L den ; 95 %CI -0.012, -0.001) faster annual rate of decline. Global cognition score seems to be not affected by road traffic and railway noise. During the follow-up, 422 (21 %) participants developed CIND. A 10-dB L den difference in exposure to aircraft and railway noise was associated with a 16 % (HR 1.16, 95 %CI 0.91, 1.49) and 26 % (HR 1.26, 95 %CI 1.01, 1.56) increased hazard of CIND in the multi-pollutant model, respectively. No association was found for road traffic (HR 1.00, 95 %CI 0.83, 1.21).
Conclusions: Transportation noise was linked to cognitive impairment and faster cognitive decline among older adults. Future studies are warranted to confirm our results.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE