Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
J Clin Hypertens (Greenwich). 2020 Aug;22(8):1434-1441. doi: 10.1111/jch.13946. Epub 2020 Aug 2.
Although blood pressure (BP) tracks from childhood to adulthood, and the prevalence of pediatric primary hypertension is increasing, related determinants are not well understood. The role of noise pollution and psychological distress in increasing BP is well documented in adults, but it remains elusive in children. This study aims to investigate the association of noise annoyance and psychological distress with BP in a pediatric population. This national cross-sectional study was conducted in 2015 on a sample of 14400 Iranian students, aged 7-18 years. Information regarding noise annoyance and psychological distress were assessed using questionnaires, and BP values were measured. Levels of noise annoyance and psychological distress were classified based on tertiles to no/low, moderate, and high. Data of 14274 students were completed. The mean age of participants was 12.28 (0.05), with 51% boys and 71.4% urban inhabitant. Diastolic BP and mean arterial BP (MAP) had positive correlations with noise annoyance (regression coefficient: 0.028, 95 % CI: 0.005 - 0.05 and 0.025, 95 % CI: 0.002 - 0.04, respectively). Participants with higher psychological distress were 15 % more likely to experience abnormally high BP compared to those with normal psychological status or mild distresses (OR: 1.15, 95 % CI: 1.003 - 1.34). Here, we found significant positive relationships between the level of noise annoyance and values of diastolic BP and MAP. Moreover, high psychological distress showed to increase the chance of abnormally high BP. The clinical impact of these findings should be assessed in further longitudinal studies.
尽管血压（BP）从儿童期一直跟踪到成年期，并且儿科原发性高血压的患病率正在增加，但相关决定因素尚不清楚。噪声污染和心理困扰对成年人血压升高的影响已有充分的记录，但在儿童中仍然难以捉摸。本研究旨在调查儿童人群中噪声烦恼和心理困扰与 BP 的关系。这项全国性的横断面研究于 2015 年在伊朗 14400 名年龄在 7-18 岁的学生样本中进行。使用问卷评估了噪声烦恼和心理困扰的信息，并且测量了 BP 值。根据三分之一的方法将噪声烦恼和心理困扰水平分为无/低、中、高。14274 名学生的数据完成。参与者的平均年龄为 12.28（0.05），其中 51%是男孩，71.4%是城市居民。舒张压（DBP）和平均动脉压（MAP）与噪声烦恼呈正相关（回归系数：0.028，95%置信区间：0.005-0.05 和 0.025，95%置信区间：0.002-0.04）。与心理状态正常或轻度困扰的参与者相比，心理困扰程度较高的参与者发生异常高 BP 的可能性高 15%（OR：1.15，95%置信区间：1.003-1.34）。在这里，我们发现噪声烦恼水平与 DBP 和 MAP 值之间存在显著的正相关关系。此外，高心理困扰表明异常高 BP 的几率增加。这些发现的临床影响应在进一步的纵向研究中进行评估。
