Does severe subacute noise exposure increase risk of new onset hypertension beyond conventional risk factors? A 30 000 person-years cohort study

Abstract

Objectives: Previous studies mostly focused on the relationship between chronic environmental noise exposure and hypertension but the effects of subacute (under 4 years) exposure with severe (>85 dB) noise exposure on clinical level hypertension have not been explored. This study aimed to reveal the association between severe noise exposure and hypertension. Methods: The severe noise exposure group was recruited from a Common Data Model conducted for the Korean Participants Health Examination from January 2014 to December 2017. The use of antihypertensive drug and/or blood pressure of at least 140/90 mmHg was defined as new onset clinical hypertension. A multivariate Cox proportional hazard model was implemented to estimate hazard ratios and 95% confidence intervals (CI) by adjusting covariates including demographic, lifestyle, and other chemical exposure factors. Time-dependent Cox analysis and Landmark analysis were further performed as a sensitivity analysis. Results: During the 29 332 person-years follow-up with 12 412 participants of the entire cohort, new onset hypertension occurred in 1222 participants. The findings showed that severe noise exposure was associated with an increased risk of hypertension incidence in the entire cohort [final model hazard ratio 1.28 (95% CI 1.11–1.47)]. Other covariates did not attenuate the association after adjusting age and sex. Time-dependent Cox and Landmark analysis also showed significant results [hazard ratio 1.60 (95% CI 1.38–1.85) and hazard ratio 1.33 (95% CI 1.13–1.57)]. Conclusion: Severe noise with subacute exposure is significantly associated with hypertension development. Further studies should be implemented to clarify whether severe exposure to noise could be an important risk factor for hypertension.

Association of occupational noise exposure with hypertension: A cross‐sectional study

“…However, research on the relationship between occupational noise exposure and hypertension is ambiguous. 5 , 6 , 7 , 8 , 9 , 10 , 11 Several studies have confirmed that occupational noise exposure may be a risk factor for hypertension 6 , 7 , 8 , 11 ; however, some studies reported no association between the two. 9 , 10 A prospective study including 578 male workers from an aircraft manufacturing plant in Taiwan investigated the relationship between noise exposure and the 10‐year risk of hypertension and found that prolonged exposure to occupational noise levels ≥85 dBA (A‐weighted decibels) may increase blood pressure levels in men.…”

“…However, research on the relationship between occupational noise exposure and hypertension is ambiguous 5–11 . Several studies have confirmed that occupational noise exposure may be a risk factor for hypertension 6–8,11 ; however, some studies reported no association between the two 9,10 .…”

Prevalence of Hypertension in Military Personnel: A Study Conducted in Türkiye

“…This may damage the future health of veterans. A study found that ex-smokers developed hypertension at a rate of 52% more than non-smokers, and smokers developed hypertension at 26% more than non-smokers (Yun et al, 2022). On the contrary, some studies stated that smoking alone is a risk factor for the development of hypertension (Suzuki et al, 2022).…”

Effectiveness of patientoriented prevention of chronic non-infectious diseases in workers exposed to harmful factors of production

“…Факт обнаружен при проведении предварительного медицин-ского осмотра. Необходимо продолжать профилактические программы Выявленные результаты нашего исследования подтверждаются другими похожими исследованиями, сложностью которых является определение выборки по факторам риска ХНИЗ [7,20,[31][32][33][34].…”

“…Кардиоваскулярный риск играет важную роль в пациентоориентированной профилактике работающих. По некоторым данным отмечается влияние на него вибрации, шума, низких температур, инженерных наночастиц из промышленного аэрозоля [11,19,24,31]. При проведении пациентоориентированной профилактики мы выявили, что два визита к специалисту в условиях цехового здравпункта значительно влияют на снижение кардиоваскулярного и профессионального рисков [33].…”