Journalartikel
Autorenliste: Bolm-Audorff, Ulrich; Hegewald, Janice; Pretzsch, Anna; Freiberg, Alice; Nienhaus, Albert; Seidler, Andreas
Jahr der Veröffentlichung: 2020
Zeitschrift: International Journal of Environmental Research and Public Health
Bandnummer: 17
Heftnummer: 17
eISSN: 1660-4601
Open Access Status: Gold
DOI Link: https://doi.org/10.3390/ijerph17176281
Verlag: MDPI
Abstract:
A number of epidemiological studies report an association between occupational noise exposure and arterial hypertension. Existing systematic reviews report conflicting results, so we conducted an updated systematic review with meta-analysis. We registered the review protocol with PROSPERO (registration no.: CRD 42019147923) and searched for observational epidemiological studies in literature databases (Medline, Embase, Scopus, Web of Science). Two independent reviewers screened the titles/abstracts and full texts of the studies. Two reviewers also did the quality assessment and data extraction. Studies without adequate information on recruitment, response, or without a comparison group that was exposed to occupational noise under 80 dB(A) were excluded. The literature search yielded 4583 studies, and 58 studies were found through hand searching. Twenty-four studies were included in the review. The meta-analysis found a pooled effect size (ES) for hypertension (systolic/diastolic blood pressure >= 140/90 mmHg) due to noise exposures >= 80 dB(A) of 1.81 (95% CI 1.51-2.18). There is no substantial risk difference between men and women, but data concerning this question are limited. We found a positive dose-response-relationship: ES = 1.21 (95% CI 0.78-1.87) <= 80 dB(A), ES = 1.77 (95% CI 1.36-2.29) > 80-<= 85 dB(A), and ES = 3.50 (95% CI 1.56-7.86) > 85-<= 90 dB(A). We found high quality of evidence that occupational noise exposure increases the risk of hypertension.
Zitierstile
Harvard-Zitierstil: Bolm-Audorff, U., Hegewald, J., Pretzsch, A., Freiberg, A., Nienhaus, A. and Seidler, A. (2020) Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis, International Journal of Environmental Research and Public Health, 17(17), Article 6281. https://doi.org/10.3390/ijerph17176281
APA-Zitierstil: Bolm-Audorff, U., Hegewald, J., Pretzsch, A., Freiberg, A., Nienhaus, A., & Seidler, A. (2020). Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 17(17), Article 6281. https://doi.org/10.3390/ijerph17176281
Schlagwörter
Arterial hypertension; BLOOD-PRESSURE; dose response relationship; Occupation; ORGANIC-SOLVENTS; systematic review; WORK
