Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia.
Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia.
Environ Res. 2018 May;163:249-262. doi: 10.1016/j.envres.2018.01.048. Epub 2018 Feb 22.
Noise exposure increases blood pressure and peripheral vascular resistance in both genders in an experimental setting, as previously reported by the authors.
The aim of this re-analysis was to present the minute-by-minute timeline of blood pressure changes and hemodynamic events provoked by traffic noise in the young and healthy adults.
The experiment consisted of three 10-min phases: rest in quiet conditions before noise (Leq = 40 dBA), exposure to recorded road-traffic noise (Leq = 89 dBA), and rest in quiet conditions after noise (Leq = 40 dBA). Participants' blood pressure, heart rate, and hemodynamic parameters (cardiac index and total peripheral resistance index) were concurrently measured with a thoracic bioimpedance device. The raw beat-to-beat data were collected from 112 participants, i.e., 82 women and 30 men, aged 19-32 years. The timeline of events was created by splitting each experimental phase into ten one-minute intervals (30 intervals in total). Four statistical models were fitted to answer the six study questions what is happening from one minute to another during the experiment.
Blood pressure decreased during quiet phase before noise, increased in the first minute of noise exposure and then decreased gradually toward the end of noise exposure, and continued to decline to baseline values after noise exposure. The cardiac index showed a gradual decrease throughout the experiment, whereas total vascular resistance increased steadily during and after noise exposure.
The timeline of events in this 30-min experiment provides insight into the hemodynamic processes underlying the changes of blood pressure before, during and after noise exposure.
作者先前的实验研究表明,噪声暴露会导致男女两性的血压和外周血管阻力升高。
本重新分析旨在呈现年轻健康成年人在交通噪声刺激下血压变化和血流动力学事件的分钟时间线。
实验由三个 10 分钟阶段组成:在噪声(Leq=40 dBA)前的安静条件下休息、暴露于记录的道路交通噪声(Leq=89 dBA)和噪声后安静条件下休息(Leq=40 dBA)。参与者的血压、心率和血流动力学参数(心指数和总外周阻力指数)通过胸部生物阻抗设备同时测量。从 112 名参与者(82 名女性和 30 名男性,年龄 19-32 岁)中收集了原始逐拍数据。通过将每个实验阶段分为十个一分钟间隔(总共 30 个间隔)来创建事件时间线。拟合了四个统计模型来回答六个研究问题,即在实验过程中每分钟发生了什么。
在噪声前的安静阶段血压下降,在噪声暴露的第一分钟内升高,然后逐渐下降到噪声暴露结束时,噪声暴露后继续下降到基线值。心指数在整个实验过程中逐渐下降,而总血管阻力在噪声暴露期间和之后持续稳定增加。
这个 30 分钟实验的事件时间线提供了对噪声暴露前后血压变化的血流动力学过程的深入了解。