Journal article

Diurnal variability of transportation noise exposure and cardiovascular mortality: A nationwide cohort study from Switzerland.

  • Héritier H Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Vienneau D Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Foraster M Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Eze IC Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Schaffner E Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Thiesse L Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Wilhelm Klein-Strasse 27, 4012 Basel, Switzerland.
  • Ruzdik F Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Wilhelm Klein-Strasse 27, 4012 Basel, Switzerland.
  • Habermacher M N-sphere AG, Räffelstrasse 29, 8045 Zürich, Switzerland.
  • Köpfli M N-sphere AG, Räffelstrasse 29, 8045 Zürich, Switzerland.
  • Pieren R Empa, Laboratory for Acoustics/Noise control, Swiss Federal Laboratories for Materials Science and Technology, Überland Str. 129, 8600 Dübendorf, Switzerland.
  • Schmidt-Trucksäss A Department of Sport, Exercise and Health, Division of Sports and Exercise Medicine, University of Basel, Birsstrasse 320, 4052 Basel, Switzerland.
  • Brink M Federal Office for The Environment, Papiermühlestrasse 172, 3063 Ittigen, Switzerland.
  • Cajochen C Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Wilhelm Klein-Strasse 27, 4012 Basel, Switzerland.
  • Wunderli JM Empa, Laboratory for Acoustics/Noise control, Swiss Federal Laboratories for Materials Science and Technology, Überland Str. 129, 8600 Dübendorf, Switzerland.
  • Probst-Hensch N Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland.
  • Röösli M Swiss Tropical and Public Health Institute, Socinstrasse 57,4051 Basel, Switzerland; University of Basel, Petersplatz 1, 4001 Basel, Switzerland. Electronic address: martin.roosli@swisstph.ch.
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  • 2018-02-28
Published in:
  • International journal of hygiene and environmental health. - 2018
English BACKGROUND
Most epidemiological noise studies consider 24 h average noise exposure levels. Our aim was to exploratively analyze the impact of noise exposure at different time windows during day and night on cardiovascular mortality.


METHODS
We generated Switzerland-wide exposure models for road traffic, railway and aircraft noise for different time windows for the year 2001. Combined noise source equivalent continuous sound levels (Leq) for different time windows at the most exposed façade were assigned to each of the 4.41 million Swiss National Cohort adult participants. Follow-up period was from 2000 to 2008. Hazard ratios (HR) of noise effects on various cardiovascular primary causes of death were computed by Cox regression models adjusted for potential confounders and NO2 levels.


RESULTS
For most cardiovascular causes of death we obtained indications for a diurnal pattern. For ischemic heart disease the highest HR was observed for the core night hours from 01 h to 05 h (HR per standard deviation of Leq: 1.025, 95% CI: 1.016-1.034) and lower HR for the daytime 07 h to 19 h (1.018 [1.009-1.028]). Heart failure and daytime Leq yielded the highest HR (1.047 [1.027-1.068]).


CONCLUSION
For acute cardiovascular diseases, nocturnal intermittent noise exposure tended to be more relevant than daytime exposure, whereas it was the opposite for chronic conditions such as heart failure most strongly associated with continuous daytime noise. This suggests that for acute diseases sleep is an important mediator for health consequences of transportation noise.
Language
  • English
Open access status
green
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/202360
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