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夜间噪声暴露对居住在机场附近人群血压的急性影响。

Acute effects of night-time noise exposure on blood pressure in populations living near airports.

作者信息

Haralabidis Alexandros S, Dimakopoulou Konstantina, Vigna-Taglianti Federica, Giampaolo Matteo, Borgini Alessandro, Dudley Marie-Louise, Pershagen Göran, Bluhm Gösta, Houthuijs Danny, Babisch Wolfgang, Velonakis Manolis, Katsouyanni Klea, Jarup Lars

机构信息

Department of Hygiene and Epidemiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias Street, Athens 11527, Greece.

出版信息

Eur Heart J. 2008 Mar;29(5):658-64. doi: 10.1093/eurheartj/ehn013. Epub 2008 Feb 12.

Abstract

AIMS

Within the framework of the HYENA (hypertension and exposure to noise near airports) project we investigated the effect of short-term changes of transportation or indoor noise levels on blood pressure (BP) and heart rate (HR) during night-time sleep in 140 subjects living near four major European airports.

METHODS AND RESULTS

Non-invasive ambulatory BP measurements at 15 min intervals were performed. Noise was measured during the night sleeping period and recorded digitally for the identification of the source of a noise event. Exposure variables included equivalent noise level over 1 and 15 min and presence/absence of event (with LAmax > 35 dB) before each BP measurement. Random effects models for repeated measurements were applied. An increase in BP (6.2 mmHg (0.63-12) for systolic and 7.4 mmHg (3.1, 12) for diastolic) was observed over 15 min intervals in which an aircraft event occurred. A non-significant increase in HR was also observed (by 5.4 b.p.m.). Less consistent effects were observed on HR. When the actual maximum noise level of an event was assessed there were no systematic differences in the effects according to the noise source.

CONCLUSION

Effects of noise exposure on elevated subsequent BP measurements were clearly shown. The effect size of the noise level appears to be independent of the noise source.

摘要

目的

在“鬣狗”(机场附近高血压与噪声暴露)项目框架内,我们调查了140名居住在欧洲四个主要机场附近的受试者夜间睡眠期间交通或室内噪声水平的短期变化对血压(BP)和心率(HR)的影响。

方法与结果

每隔15分钟进行一次无创动态血压测量。在夜间睡眠期间测量噪声,并进行数字记录以识别噪声事件的来源。暴露变量包括每次血压测量前1分钟和15分钟内的等效噪声水平以及是否存在事件(LAmax>35dB)。应用重复测量的随机效应模型。在发生飞机事件的15分钟间隔内,观察到血压升高(收缩压升高6.2mmHg(0.63-12),舒张压升高7.4mmHg(3.1,12))。还观察到心率有不显著的升高(升高5.4次/分钟)。在心率方面观察到的效应不太一致。当评估事件的实际最大噪声水平时,根据噪声源,效应没有系统差异。

结论

清楚显示了噪声暴露对随后血压升高测量的影响。噪声水平的效应大小似乎与噪声源无关。

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