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Tytuł:
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The association of noise exposure with stroke incidence and mortality: A systematic review and dose-response meta-analysis of cohort studies.
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Autorzy:
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Fu W; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Liu Y; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Yan S; School of Public Health, Hainan Medical University, Haikou, 571199, China.
Wen J; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Zhang J; Department of Endocrinology, Taihe Hospital, Hubei University of Medicine, Shiyan, 442000, China.
Zhang P; Department of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan, 442000, China.
Zou L; Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. Electronic address: .
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Źródło:
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Environmental research [Environ Res] 2022 Dec; Vol. 215 (Pt 1), pp. 114249. Date of Electronic Publication: 2022 Sep 01.
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Typ publikacji:
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Journal Article; Meta-Analysis; Review; Systematic Review; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: <2000- > : Amsterdam : Elsevier
Original Publication: New York, Academic Press.
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MeSH Terms:
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Stroke*/epidemiology
Cohort Studies ; Humans ; Incidence ; Mortality ; Noise ; Noise, Occupational
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Contributed Indexing:
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Keywords: Cerebrovascular disorder; Cohort studies; Dose-response; Environmental noise; Occupational noise; Stroke
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Entry Date(s):
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Date Created: 20220904 Date Completed: 20221011 Latest Revision: 20221212
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Update Code:
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20240105
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DOI:
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10.1016/j.envres.2022.114249
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PMID:
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36058275
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Background and Aims: Noise exposure is a major public health challenge with important implications for cardiovascular health. However, the association between noise exposure and stroke risk remains controversial. Therefore, we aimed to evaluate the role of noise exposure on stroke incidence and mortality by conducting a dose-response meta-analysis of cohort studies.
Methods: The relevant publications were retrieved via PubMed, Embase, Web of Science, and Scopus up to June 26, 2022. The potential linear and curve relationship between noise and stroke were fitted using the generalized least squares method and restricted cubic spline. We estimated the pooled relative risk (RR) with 95% confidence interval (CI) by random-effect models. The Grading of Recommendations Assessment Development and Evaluation (GRADE) approach was used to evaluate the strength of the results.
Results: In total, 21 cohort studies with 16,075,204 participants and 311,878 cases were included in the analysis. The risk of stroke incidence increased up to 4% (95% CI:1.02-1.06) and stroke mortality increased up to 3% (95% CI:1.00-1.07), every 10 dB(A) increment in noise exposure. Moreover, each 10 dB(A) increment in noise exposure was associated with a 4% (95% CI:1.01-1.07) increase in ischemic stroke and a 2% (95% CI:1.00-1.04) increase in hemorrhagic stroke. According to GRADE criteria, the evidence level in this study was rated as moderate.
Conclusions: The current findings provide further evidence of a dose-response relationship between exposure to noise and the risk of stroke incidence and mortality. Additionally, we update and fill a knowledge gap that the statistically significant increase in stroke incidence when noise decibels are >65 dB(A).
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
