Occupational Noise Exposure and Incident Hypertension in Men: A Prospective Cohort Study

The associations between occupational noise exposure and hypertension remain controversial because of the differences in study designs, exposure assessments, and confounding controls. This prospective study investigated the relationship between noise exposure and the 10-year risk of hypertension. A...

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Veröffentlicht in:American journal of epidemiology 2013-04, Vol.177 (8), p.818-825
Hauptverfasser: CHANG, Ta-Yuan, HWANG, Bing-Fang, LIU, Chiu-Shong, CHEN, Ren-Yin, WANG, Ven-Shing, BAO, Bo-Ying, LAI, Jim-Shoung
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container_end_page 825
container_issue 8
container_start_page 818
container_title American journal of epidemiology
container_volume 177
creator CHANG, Ta-Yuan
HWANG, Bing-Fang
LIU, Chiu-Shong
CHEN, Ren-Yin
WANG, Ven-Shing
BAO, Bo-Ying
LAI, Jim-Shoung
description The associations between occupational noise exposure and hypertension remain controversial because of the differences in study designs, exposure assessments, and confounding controls. This prospective study investigated the relationship between noise exposure and the 10-year risk of hypertension. A cohort of 578 male workers in Taiwan was followed from 1998 to 2008. All subjects were divided into high-, intermediate-, and low-exposure groups on the basis of noise exposure assessment. Cox regression models were used to estimate the relative risks of hypertension after adjustment for potential confounders. During the 7,805 person-years of follow-up, 141 hypertension cases were identified. Significant increases of 3.2 (95% confidence interval (CI): 0.2, 6.2) mm Hg in systolic blood pressure and 2.5 (95% CI: 0.1, 4.8) mm Hg in diastolic blood pressure between the baseline and follow-up measurements were observed in the high-exposure group. Participants exposed to ≥85 A-weighted decibels (dBA) had a 1.93-fold (95% CI: 1.15, 3.22) risk of hypertension compared with those exposed to
doi_str_mv 10.1093/aje/kws300
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This prospective study investigated the relationship between noise exposure and the 10-year risk of hypertension. A cohort of 578 male workers in Taiwan was followed from 1998 to 2008. All subjects were divided into high-, intermediate-, and low-exposure groups on the basis of noise exposure assessment. Cox regression models were used to estimate the relative risks of hypertension after adjustment for potential confounders. During the 7,805 person-years of follow-up, 141 hypertension cases were identified. Significant increases of 3.2 (95% confidence interval (CI): 0.2, 6.2) mm Hg in systolic blood pressure and 2.5 (95% CI: 0.1, 4.8) mm Hg in diastolic blood pressure between the baseline and follow-up measurements were observed in the high-exposure group. Participants exposed to ≥85 A-weighted decibels (dBA) had a 1.93-fold (95% CI: 1.15, 3.22) risk of hypertension compared with those exposed to &lt;80 dBA. There was a significant exposure-response pattern (P = 0.016) between the risk of hypertension and the stratum of noise exposure. Prolonged exposure to noise levels ≥85 dBA may increase males' systolic and diastolic blood pressure levels. This association may translate into a higher incidence of hypertension.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kws300</identifier><identifier>PMID: 23470795</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; Aircraft ; Alcohol Drinking - adverse effects ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology. 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Vascular system</subject><subject>Cohort Studies</subject><subject>Confidence Intervals</subject><subject>Epidemiology</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - etiology</subject><subject>Hypertension - physiopathology</subject><subject>Incidence</subject><subject>Industry</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mens health</subject><subject>Miscellaneous</subject><subject>Noise</subject><subject>Noise, Occupational - adverse effects</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational Diseases - physiopathology</subject><subject>Occupational medicine</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Cardiology. 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This prospective study investigated the relationship between noise exposure and the 10-year risk of hypertension. A cohort of 578 male workers in Taiwan was followed from 1998 to 2008. All subjects were divided into high-, intermediate-, and low-exposure groups on the basis of noise exposure assessment. Cox regression models were used to estimate the relative risks of hypertension after adjustment for potential confounders. During the 7,805 person-years of follow-up, 141 hypertension cases were identified. Significant increases of 3.2 (95% confidence interval (CI): 0.2, 6.2) mm Hg in systolic blood pressure and 2.5 (95% CI: 0.1, 4.8) mm Hg in diastolic blood pressure between the baseline and follow-up measurements were observed in the high-exposure group. Participants exposed to ≥85 A-weighted decibels (dBA) had a 1.93-fold (95% CI: 1.15, 3.22) risk of hypertension compared with those exposed to &lt;80 dBA. There was a significant exposure-response pattern (P = 0.016) between the risk of hypertension and the stratum of noise exposure. Prolonged exposure to noise levels ≥85 dBA may increase males' systolic and diastolic blood pressure levels. This association may translate into a higher incidence of hypertension.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>23470795</pmid><doi>10.1093/aje/kws300</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adult
Aircraft
Alcohol Drinking - adverse effects
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Cohort Studies
Confidence Intervals
Epidemiology
Follow-Up Studies
General aspects
Humans
Hypertension
Hypertension - epidemiology
Hypertension - etiology
Hypertension - physiopathology
Incidence
Industry
Male
Medical sciences
Mens health
Miscellaneous
Noise
Noise, Occupational - adverse effects
Occupational Diseases - epidemiology
Occupational Diseases - etiology
Occupational Diseases - physiopathology
Occupational medicine
Proportional Hazards Models
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Assessment
Risk Factors
Smoking - adverse effects
Studies
Surveys and Questionnaires
Taiwan - epidemiology
Work environment
title Occupational Noise Exposure and Incident Hypertension in Men: A Prospective Cohort Study
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