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Updated: Feb 15, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Association between community noise and adiposity in patients with cardiovascular disease
Angel M Dzhambov1, Penka D Gatseva1, Mariya P Tokmakova2
1Department of Hygiene and Ecomedicine, Faculty of Public Health, Medical University of Plovdiv, Bulgaria.
Insights
Community noise, particularly indoor road traffic noise, may increase body mass index (BMI) and waist circumference (WC) in cardiovascular disease (CVD) patients. Global noise annoyance showed an inverse relationship with these adiposity measures.
Area of Science:
- Environmental Health
- Cardiovascular Disease Research
- Obesity Studies
Background:
- Cardiovascular disease (CVD) patients face various health risks.
- Community noise exposure is a growing public health concern.
- The link between noise and metabolic health, especially in vulnerable populations, requires further investigation.
Purpose of the Study:
- To investigate the association between community noise and anthropometric measures (BMI, WC) in patients with CVD.
- To differentiate the impact of outdoor versus indoor noise exposure.
- To identify subgroups of CVD patients potentially more susceptible to noise-related adiposity.
Main Methods:
- A cohort of 132 CVD patients from Plovdiv, Bulgaria, was assessed.
- Anthropometric data (BMI, WC) were correlated with noise exposure metrics (Lden, Lnight).
- Indoor noise levels were estimated considering façade exposure, window opening, and sound insulation.
Main Results:
- Non-significant increases in BMI and WC were observed per 5 dB noise increase.
- Indoor noise exposure demonstrated a stronger association with adiposity than outdoor exposure.
- Specific subgroups (men, diabetics, high noise sensitivity, certain heating types, first-floor residents) showed more pronounced effects from indoor noise.
Conclusions:
- Road traffic noise is linked to increased adiposity in certain vulnerable CVD patient groups.
- Global noise annoyance (GNA) was paradoxically associated with lower BMI and WC.
- Environmental noise warrants consideration in managing cardiovascular health and metabolic risk.
Introduction:
This study aimed to explore the effect of community noise on body mass index (BMI) and waist circumference (WC) in patients with cardiovascular disease (CVD).
Materials And Methods:
A representative sample of 132 patients from three tertiary hospitals in the city of Plovdiv, Bulgaria was collected. Anthropometric measurements were linked to global noise annoyance (GNA) based on different residential noise annoyances, day-evening-night (Lden), and nighttime (Lnight) road traffic noise exposure. Noise map Lden and Lnight were determined at the living room and bedroom façades, respectively, and further corrected to indoor exposure based on the window-opening frequency and soundproofing insulation.
Results And Discussion:
Results showed that BMI and WC increased (non-significantly) per 5 dB. The effect of indoor noise was stronger in comparison with that of outdoor noise. For indoor Lden, the effect was more pronounced in men, those with diabetes, family history of diabetes, high noise sensitivity, using solid fuel/gas for domestic heating/cooking, and living on the first floor. As regards indoor Lnight, its effect was more pronounced in those with low socioeconomic status, hearing loss, and using solid fuel/gas for domestic heating/cooking. GNA was associated with lower BMI and WC.
Conclusion:
Road traffic noise was associated with an increase in adiposity in some potentially vulnerable patients with CVD.
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