噪音导致心血管疾病:是时候采取行动了
Thomas Münzel1,2,3, Andreas Daiber4,5,6, Nicole Engelmann7,8
1Department of Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany. tmuenzel@uni-mainz.de.
Journal of exposure science & environmental epidemiology
|December 10, 2024
概括
慢性运输噪音显著增加了心血管疾病的风险,包括心脏病发作和中风. 这种环境压力因素会导致氧化应激和炎症,导致血管损伤,没有观察到习惯.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 慢性运输噪音是广泛存在的环境压力因素.
- 运输噪音和心血管疾病 (CVD) 风险之间存在已确定的联系.
- 世界卫生组织 (WHO) 承认,随着噪音水平的提高,心血管疾病风险增加.
研究的目的:
- 审查有关运输噪音和心血管不良影响的流行病学和翻译研究.
- 综合2018年世卫组织环境噪音指南和最近的高质量系统审查的证据.
主要方法:
- 使用了一种雨+审查方法.
- 包括由AMSTAR 2评估的高质量的系统审查 (2015年后).
- 专注于文献搜索质量,偏见风险和元分析.
主要成果:
- 长期暴露于高速道路交通噪音与过早死亡,缺血性心脏病 (IHD),睡眠障碍和烦有关.
- 噪音暴露机制包括氧化应激,炎症,内皮功能障碍和昼夜干扰.
- 弱势群体,如那些有现有心血管疾病的人群,面临更高的风险;习惯性不会发生.
结论:
- 慢性运输噪音对心血管健康构成重大威胁.
- 了解机制性途径对于缓解策略至关重要.
- 公共卫生倡议应解决噪音污染问题,以减少心血管疾病负担.
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