Association between road traffic noise exposure and heart failure: A systematic review and meta-analysis of prospective cohort studies

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Pub Date : 2025-04-01 Epub Date: 2025-02-18 DOI:10.1016/j.puhe.2025.01.029

Mingliang Liu , Xia Chen , Guangjun Zheng , Biying Zhou , Zhenger Fang , Haiyan Chen , Xiaohua Liang , Guang Hao

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Abstract

Objectives

To examine the relationship between road traffic noise exposure and heart failure.

Study design

A systematic review and meta-analysis was conducted.

Methods

We systematically searched eight databases (PubMed, Embase, Scopus, Cochrane, Web of Science, CNKI, Wanfang Data, and Chinese Biomedical Literature Database) through July 2024 to identify cohort studies on road traffic noise exposure and heart failure according to a priori inclusion criteria. The random effect model was adopted to summarize the effect estimates. Using the piecewise linear model, the dose-response relationship between road traffic noise exposure and heart failure was also estimated.

Results

This meta-analysis included eight cohort studies including 8,601,385 participants and 221,842 patients with heart failure. Overall, higher road traffic noise exposure was associated with an increased risk of heart failure (pooled HR = 1.12, 95 % CI: 1.06–1.18) with high heterogeneity (I² = 87.8 %, p < 0.001, τ² = 0.004, Q-statistic = 57.31). Piecewise linear model showed an obvious linear relationship between exposure to road traffic noise above 50 dB and heart failure (p < 0.001), and the risk of heart failure increased by 7 % per 10 dB increase in road traffic noise exposure.

Conclusions

The existing evidence showed a significant correlation between road traffic noise exposure and the incidence of heart failure. Further studies are required to explain the potential biological mechanisms.

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道路交通噪音暴露与心力衰竭之间的关系：前瞻性队列研究的系统回顾和荟萃分析

目的探讨道路交通噪声暴露与心力衰竭的关系。研究设计进行系统评价和荟萃分析。方法系统检索PubMed、Embase、Scopus、Cochrane、Web of Science、CNKI、万方数据、中国生物医学文献数据库等8个数据库，根据先验纳入标准筛选道路交通噪声暴露与心力衰竭的队列研究。采用随机效应模型对效果估计进行总结。采用分段线性模型，估计了道路交通噪声暴露与心力衰竭之间的剂量-反应关系。该荟萃分析包括8项队列研究，包括8,601,385名参与者和221,842名心力衰竭患者。总体而言，较高的道路交通噪声暴露与心力衰竭风险增加相关（合并HR = 1.12, 95% CI: 1.06-1.18），且异质性高(I2 = 87.8%, p <；0.001, τ2 = 0.004, Q-statistic = 57.31)。分段线性模型显示，暴露于50 dB以上的道路交通噪声与心力衰竭之间存在明显的线性关系(p <；0.001)，道路交通噪音每增加10分贝，心力衰竭的风险就增加7%。结论现有证据表明道路交通噪声暴露与心衰发生率有显著相关性。需要进一步的研究来解释潜在的生物学机制。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.