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Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis

Author

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  • Ulrich Bolm-Audorff

    (Division of Occupational Health, Department of Occupational Safety and Environment, Regional Government of South Hesse, 65197 Wiesbaden, Germany
    Associate Professor of Occupational Medicine, Justus-Liebig-University, 35392 Giessen, Germany
    Shared first authorship (contributed equally).)

  • Janice Hegewald

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany
    Institute of Sociology, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, Thüringer Weg 9, 09126 Chemnitz, Germany
    Shared first authorship (contributed equally).)

  • Anna Pretzsch

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany
    Shared first authorship (contributed equally).)

  • Alice Freiberg

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany)

  • Albert Nienhaus

    (Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany
    Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany)

  • Andreas Seidler

    (Institute and Policlinic of Occupational and Social Medicine (IPAS), Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany)

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.

Suggested Citation

  • Ulrich Bolm-Audorff & Janice Hegewald & Anna Pretzsch & Alice Freiberg & Albert Nienhaus & Andreas Seidler, 2020. "Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(17), pages 1-24, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6281-:d:405615
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    References listed on IDEAS

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    1. Elise Van Kempen & Maribel Casas & Göran Pershagen & Maria Foraster, 2018. "WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Cardiovascular and Metabolic Effects: A Summary," IJERPH, MDPI, vol. 15(2), pages 1-59, February.
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    Cited by:

    1. Ulrich Bolm-Audorff & Janice Hegewald & Anna Pretzsch & Alice Freiberg & Albert Nienhaus & Andreas Seidler, 2021. "Reply to Seafarers’ Occupational Noise Exposure and Cardiovascular Risk. Comments to Bolm-Audorff, U.; et al. Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis. Int. J. E," IJERPH, MDPI, vol. 18(3), pages 1-2, January.
    2. Gwansic Kim & Hanjun Kim & Byungyoon Yun & Juho Sim & Changyoung Kim & Yeonsuh Oh & Jinha Yoon & Jiho Lee, 2022. "Association of Occupational Noise Exposure and Incidence of Metabolic Syndrome in a Retrospective Cohort Study," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    3. Lucas David & Loddé Brice & Pougnet Richard & Dewitte Jean Dominique & Jégaden Dominique, 2021. "Seafarers’ Occupational Noise Exposure and Cardiovascular Risk. Comments to Bolm-Audorff, U.; et al. Occupational Noise and Hypertension Risk: A Systematic Review and Meta-Analysis. Int. J. Environ. R," IJERPH, MDPI, vol. 18(3), pages 1-3, January.
    4. Tahereh Abdollahi & Shadan Pedram Razi & Daryoush Pahlevan & Mir Saeed Yekaninejad & Sara Amaniyan & Christina Leibold Sieloff & Mojtaba Vaismoradi, 2020. "Effect of an Ergonomics Educational Program on Musculoskeletal Disorders in Nursing Staff Working in the Operating Room: A Quasi-Randomized Controlled Clinical Trial," IJERPH, MDPI, vol. 17(19), pages 1-12, October.
    5. Yurong Fan & Jin Liang & Xiaodong Cao & Liping Pang & Jie Zhang, 2022. "Effects of Noise Exposure and Mental Workload on Physiological Responses during Task Execution," IJERPH, MDPI, vol. 19(19), pages 1-21, September.
    6. Karla Romero Starke & Sophie Friedrich & Melanie Schubert & Daniel Kämpf & Maria Girbig & Anna Pretzsch & Albert Nienhaus & Andreas Seidler, 2021. "Are Healthcare Workers at an Increased Risk for Obstructive Respiratory Diseases Due to Cleaning and Disinfection Agents? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(10), pages 1-24, May.

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