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Published on: August 7, 2017
Noise exposure and childhood asthma up to adolescence
Alva Enoksson Wallas1, Charlotta Eriksson2, Mikael Ögren3
1Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Insights
This study found no clear link between childhood noise exposure from traffic or work and later asthma development. Further research is needed to understand noise
Area of Science:
- Environmental Health
- Pediatric Health
- Epidemiology
Background:
- Immune-mediated diseases can worsen with stress.
- Noise is a known stressor, but its impact on children's respiratory health is understudied.
- Understanding noise exposure effects is crucial for public health.
Purpose of the Study:
- To investigate the association between prenatal and postnatal noise exposure and asthma development in children.
- To examine the relationship between road traffic and occupational noise and asthma symptoms from infancy to adolescence.
Main Methods:
- Utilized the Swedish birth cohort BAMSE (over 4000 participants) followed until age 16.
- Assessed residential road traffic noise and maternal occupational noise exposure during pregnancy.
- Employed logistic regression and generalized estimating equations to analyze noise-asthma associations.
Main Results:
- No significant associations were found between residential road traffic noise in infancy (≥55 dB Lden) and asthma up to age 16 (aOR=1.22, 95% CI 0.90-1.65).
- Prenatal occupational noise exposure (≥80 dB LAeq,8h) also showed non-significant associations with asthma (aOR=1.18, 95% CI 0.85-1.62).
- Longitudinal analyses revealed no clear links between various noise exposures and asthma or wheeze by adolescence.
Conclusions:
- The study did not establish a clear overall association between noise exposure during different life stages and the development of asthma or wheeze in children up to adolescence.
- Further investigation may be needed to explore potential subtle effects or specific noise characteristics.
- Findings suggest that common levels of traffic and occupational noise may not be major drivers of asthma in this cohort.
Objective:
Increasing evidence indicates aggravation of immune-mediated diseases due to physiological and psychological stress. Noise is a stressor, however, little is known about its effects on children's respiratory health. This study investigates the association between pre- or postnatal road traffic or occupational noise exposure and asthma as well as related symptoms from infancy to adolescence.
Methods:
The study was conducted in the Swedish birth cohort BAMSE, including over 4000 participants followed with repeated questionnaires and clinical tests until 16 years of age. Pre- and postnatal residential road traffic noise was assessed by estimating time-weighted average noise levels at the most exposed façade. Maternal occupational noise exposure during pregnancy was evaluated using a job-exposure-matrix. The associations between noise exposure and asthma-related outcomes were explored using logistic regression and generalised estimating equations.
Results:
We observed non-significant associations for asthma ever up to 16 years with residential road traffic noise exposure in infancy ≥55 dBLden (adjusted OR = 1.22; 95% CI 0.90-1.65), as well as prenatal occupational noise exposure ≥80 dBLAeq,8h (1.18, 0.85-1.62). In longitudinal analyses, however, no clear associations between pre- or postnatal exposure to residential road traffic noise, or average exposure to noise since birth, were detected in relation to asthma or wheeze until 16 years.
Conclusion:
We did not find a clear overall association between exposure to noise during different time periods and asthma or wheeze up to adolescence.
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