BackgroundWe investigated whether radiofrequency electromagnetic fields (RF-EMF) from mobile phones and other wireless devices or by the wireless device use itself due to non-radiation related factors in that context are associated with an increase in health symptom reports of adolescents in Central Switzerland. Methods In a prospective cohort study, 439 study participants (participation rate: 36.8%) aged 12-17 years, completed questionnaires about their mobile and cordless phone use, their selfreported symptoms and possible confounding factors at baseline (2012/2013) and one year later (2013/2014). Operator recorded mobile phone data was obtained for a subgroup of 234 adolescents. RF-EMF dose measures considering various factors affecting RF-EMF exposure were computed for the brain and the whole body. Data were analysed using a mixed-logistic cross-sectional model and a cohort approach, where we investigated whether cumulative dose over one year was related to a new onset of a symptom between baseline and follow-up. All analyses were adjusted for relevant confounders. Results Participation rate in the follow-up was 97% (425 participants). In both analyses, crosssectional and cohort, various symptoms tended to be mostly associated with usage measures that are only marginally related to RF-EMF exposure such as the duration of data traffic on the mobile phone (e.g. OR for tiredness: 2.33; 95%CI: 1.54 to 3.52 for crosssectional analyses and OR: 2.70; 95%CI:1.52 to 4.80 for cohort analyses) and number of text messages sent per day (tiredness: OR:1.81; 95%CI:1.20 to 2.74 and OR:1.87; 95%CI:1.04 to 3.38). Outcomes were less strongly or not associated with mobile phone call duration and RF-EMF dose measures.
ConclusionsStronger associations between symptoms of ill health and wireless communication device use than for RF-EMF dose measures were observed. Such a result pattern does not support a causal association between RF-EMF exposure and health symptoms of adolescents but rather suggests that other aspects of extensive media use are related to symptoms.