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 |
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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 |
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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 <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. 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</subject><ispartof>American journal of epidemiology, 2013-04, Vol.177 (8), p.818-825</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright Oxford Publishing Limited(England) Apr 15, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-b56c849c5b61ac636c78321a0624c3614321f7d1cff2a864e52bb5e5e46da893</citedby><cites>FETCH-LOGICAL-c414t-b56c849c5b61ac636c78321a0624c3614321f7d1cff2a864e52bb5e5e46da893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27491598$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23470795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHANG, Ta-Yuan</creatorcontrib><creatorcontrib>HWANG, Bing-Fang</creatorcontrib><creatorcontrib>LIU, Chiu-Shong</creatorcontrib><creatorcontrib>CHEN, Ren-Yin</creatorcontrib><creatorcontrib>WANG, Ven-Shing</creatorcontrib><creatorcontrib>BAO, Bo-Ying</creatorcontrib><creatorcontrib>LAI, Jim-Shoung</creatorcontrib><title>Occupational Noise Exposure and Incident Hypertension in Men: A Prospective Cohort Study</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><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 <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><subject>Adult</subject><subject>Aircraft</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Cardiology. 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. Hygiene-occupational medicine</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan - epidemiology</subject><subject>Work environment</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0EtLxDAQwPEgiq6Pix9AAiKIUM27jbdl8QW-QA_eSppOsWu3qUmr7rc3uquCp2Hgx8D8Edql5JgSzU_MFE5e3gMnZAWNqEhVophUq2hECGGJZoptoM0QpoRQqiVZRxuMi5SkWo7Q0521Q2f62rWmwbeuDoDPPjoXBg_YtCW-am1dQtvjy3kHvoc2RIrrFt9Ae4rH-N670IHt6zfAE_fsfI8f-qGcb6O1yjQBdpZzCz2enz1OLpPru4uryfg6sYKKPimkspnQVhaKGqu4smnGGTVEMWG5oiIuVVpSW1XMZEqAZEUhQYJQpck030KHi7Odd68DhD6f1cFC05gW3BByyiVjmaSKR7r_j07d4OPb34pILaRUUR0tlI2PBQ9V3vl6Zvw8pyT_yp3H3Pkid8R7y5NDMYPyl_70jeBgCUywpqm8iTnDn0uFplJn_BNsY4ed</recordid><startdate>20130415</startdate><enddate>20130415</enddate><creator>CHANG, Ta-Yuan</creator><creator>HWANG, Bing-Fang</creator><creator>LIU, Chiu-Shong</creator><creator>CHEN, Ren-Yin</creator><creator>WANG, Ven-Shing</creator><creator>BAO, Bo-Ying</creator><creator>LAI, Jim-Shoung</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7TV</scope><scope>7U1</scope></search><sort><creationdate>20130415</creationdate><title>Occupational Noise Exposure and Incident Hypertension in Men: A Prospective Cohort Study</title><author>CHANG, Ta-Yuan ; HWANG, Bing-Fang ; LIU, Chiu-Shong ; CHEN, Ren-Yin ; WANG, Ven-Shing ; BAO, Bo-Ying ; LAI, Jim-Shoung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-b56c849c5b61ac636c78321a0624c3614321f7d1cff2a864e52bb5e5e46da893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aircraft</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Cohort Studies</topic><topic>Confidence Intervals</topic><topic>Epidemiology</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - etiology</topic><topic>Hypertension - physiopathology</topic><topic>Incidence</topic><topic>Industry</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mens health</topic><topic>Miscellaneous</topic><topic>Noise</topic><topic>Noise, Occupational - adverse effects</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational Diseases - physiopathology</topic><topic>Occupational medicine</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Smoking - adverse effects</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan - epidemiology</topic><topic>Work environment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHANG, Ta-Yuan</creatorcontrib><creatorcontrib>HWANG, Bing-Fang</creatorcontrib><creatorcontrib>LIU, Chiu-Shong</creatorcontrib><creatorcontrib>CHEN, Ren-Yin</creatorcontrib><creatorcontrib>WANG, Ven-Shing</creatorcontrib><creatorcontrib>BAO, Bo-Ying</creatorcontrib><creatorcontrib>LAI, Jim-Shoung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Pollution Abstracts</collection><collection>Risk Abstracts</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHANG, Ta-Yuan</au><au>HWANG, Bing-Fang</au><au>LIU, Chiu-Shong</au><au>CHEN, Ren-Yin</au><au>WANG, Ven-Shing</au><au>BAO, Bo-Ying</au><au>LAI, Jim-Shoung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occupational Noise Exposure and Incident Hypertension in Men: A Prospective Cohort Study</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2013-04-15</date><risdate>2013</risdate><volume>177</volume><issue>8</issue><spage>818</spage><epage>825</epage><pages>818-825</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>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 <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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