Road traffic noise

道路交通噪声
  • 文章类型: Journal Article
    城市地区的不断扩大导致新的嘈杂环境的出现,这些环境可能会影响动物的交流。呼叫在无尾动物的交配显示中起着至关重要的作用,和人为噪声引起的听觉掩蔽的负面影响已经在几个物种中报道。我们调查了96只雄性Boanapulchella的声学变化(n=971个呼叫),它们在声学不受干扰的部位和不同的噪声条件下,与城市地区(城市)和道路(道路)相关,在阿根廷中部。我们分析了人为噪声条件对6个时间的影响(呼叫持续时间[CD],通话间隔,第一和第二音符持续时间,音符间隔,和通话率)和3频谱(第一和第二音符的主频,它们之间的频率差)调用属性。控制了温度和尺寸对声学变量的影响。我们观察到噪声条件之间所有呼叫属性的差异,除了通话间隔。暴露于城市和道路的男性表现出明显的CD变化,第二个音符的主频,和它们之间的频率差异。城市男性的音符间隔最长,而ROAD个人显示第一和第二音符持续时间和通话费率增加。有趣的是,公路男性对重型车辆的直接反应表现出呼叫率的立即变化。我们的研究强调了人为噪声对B.pulchella叫声的声学特性的影响。了解动物如何适应嘈杂的环境对于减轻城市化对其通信系统的不利影响至关重要。未来的调查应探讨观察到的呼叫调整是否能有效避免或减轻人为噪音对生殖成功的负面影响。
    The increasing expansion of urban areas leads to the emergence of new noisy environments that can affect animal communication. Calls play a crucial role in the mating displays of anurans, and the negative impact of anthropogenic noise-induced auditory masking has been reported in several species. We investigated the acoustic variation in 96 males (n = 971 calls) of the treefrog Boana pulchella across acoustically undisturbed sites and different noise conditions, associated with urban areas (URBAN) and roads (ROAD), in Central Argentina. We analyzed the effect of anthropogenic noise conditions on 6 temporal (call duration [CD], intercall interval, first and second note duration, internote interval, and call rate) and 3 spectral (dominant frequency of first and second note, frequency difference between them) call properties. The effects of temperature and size on acoustical variables were controlled. We observed differences in all call attributes among the noise conditions, except for intercall interval. Males exposed to URBAN and ROAD exhibited significant changes in CD, dominant frequency of the second note, and frequency difference between them. URBAN males had longest internote interval, while ROAD individuals displayed increased first and second note duration and call rates. Interestingly, ROAD males exhibited immediate changes in call rate in direct response to passing heavy vehicles. Our study emphasizes the impact of anthropogenic noise on the acoustic characteristics of B. pulchella calls. Understanding how animals adapt to noisy environments is crucial in mitigating the adverse effects of urbanization on their communication systems. Future investigations should explore whether the observed call adjustments are effective in avoiding or mitigating the negative consequences of anthropogenic noise on reproductive success.
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  • 文章类型: Journal Article
    噪声污染是世界各地城市环境中的主要挑战。该研究旨在评估道路交通噪声污染对研究区域居民的健康影响。使用IDW空间插值方法和基于ArcGIS的评估来绘制研究区域中记录的噪声水平。噪声描述符包括噪声气候(NC),交通噪声指数(TNI)等效噪声水平(Leq),并计算了噪声污染水平(NPL)。所需信息已通过问卷调查和先前发布的文件收集。研究表明,当前的噪声水平高于每个位置的建议国家阈值。根据研究,纳图拉巴德地区的噪声污染水平最高(86.5dBA),而KauniaAbasik地区的水平最低(67.8dBA)。研究结果还表明,在该地区背景下,商业区的噪声污染水平最高(82dBA),其次是工业区(80.4dBA),混合区(81.3dBA),和住宅区(72.7dBA)。最低水平在敏感区域(72.5dBA)。统计分析,包括单向方差分析,TukeyHSD事后和LSD事后测试结果,结果表明,早晨的噪声污染水平(NPL)之间没有统计学上的显着差异(p>0.05),中午,和夜班。结果显示,32%的受访者表示他们在工作时感到不安,27%的受访者表示这对他们来说有些敏感。作为将研究区域的噪声污染降至最低的最后一步,37%的受访者表示正在执行这些规定,31%的人建议非法制造液压喇叭,21%的人建议提高公众意识。这项研究可能有助于学术知识,并协助政府官员的决策者制定适当的当地战略来应对这一严重的环境问题。
    Noise pollution is a major challenge in urban contexts all around the world. The study was designed to assess road traffic noise pollution with possible health effects on those living in the study region. The IDW spatial interpolation approach and an ArcGIS-based evaluation were used to map the recorded noise levels in the research region. The noise descriptors including Noise Climate (NC), Traffic Noise Index (TNI), Equivalent Noise Level (Leq), and Noise Pollution Level (NPL) were computed. The required information has been collected through a questionnaire survey and previously published documents. The study reveals that the current noise level is higher than the recommended national threshold at every location. According to the study, the Nathullabad region had the highest level of noise pollution (86.5 dBA), while the Kaunia Abasik area had the lowest level (67.8 dBA). Study findings also show that in the area context, the highest levels of noise pollution are found in commercial areas (82 dBA), followed by industrial areas (80.4 dBA),mixed areas (81.3 dBA), and residential areas (72.7 dBA). The lowest level is found in sensitive areas (72.5 dBA). Statistical analyses, including one-way ANOVA, Tukey HSD post-hoc and LSD post-hoc test results, showed that there was no statistically significant difference (p > 0.05) between the noise pollution levels (NPL) in the morning, noon, and evening shifts. The results showed that 32 % of respondents stated they felt disturbed while working, and 27% of respondents said it was somewhat sensitive for them. As the last step in minimizing noise pollution in the research area, 37 % of respondents reported enforcing the regulations, 31% suggested making hydraulic horns illegally, and 21 % suggested raising public awareness. This study may contribute to academic knowledge and assist decision-makers of government officials in formulating appropriate local strategies to deal with this grave environmental problem.
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  • 文章类型: Journal Article
    噪声屏障是噪声源和人类接收器之间的路径干预措施,主要用于道路走廊,以改善受影响居民的声环境。尽管它们广泛使用,这些干预措施对社区感知的影响仍未得到充分调查.本文介绍了一项纵向研究的结果,该研究评估了高速公路旁三个居民区的隔音屏障的功效,与相对安静区域的参考案例相比。通过声学测量和噪声建模对噪声暴露进行客观量化,而社会声学调查则测量了居民在噪音烦恼以及生活质量其他方面的主观反应。虽然噪声暴露(Lday)在近屏障点平均下降4.4-11.7dBA,仅在一种情况下观察到干预前后噪音烦恼的直接减少。此外,只有在这种特殊情况下,对声环境的评估才恢复到类似于低水平噪声排放的状态(参考案例)。讨论了可能降低干预效果的背景因素,比如投诉和应对的历史,对道路当局的不信任,高期望,以及COVID-19大流行的影响。虽然噪声暴露的减少并没有直接导致噪声烦恼的减少,对所有病例进行序数回归分析后发现,噪声暴露量的降低幅度越大,居民在调查后报告交通噪声烦恼度降低的可能性越高.没有发现关于隔音屏障对生活质量其他方面的主观评估的影响的证据,如健康投诉,浓度扰动,和睡眠质量。
    Noise barriers are path interventions between noise sources and human receivers used mainly along road corridors to improve the acoustic environment for affected residents. Despite their widespread use, the impact of these interventions on community perception is still insufficiently investigated. This paper presents findings from a longitudinal study evaluating the efficacy of noise barriers in three residential areas alongside highways, compared to a reference case in a relatively quiet area. Noise exposure was objectively quantified via acoustic measurements and noise modelling, while socio-acoustic surveys measured the residents\' subjective response in terms of noise annoyance as well as other aspects of quality of life. While noise exposure (Lday) decreased on average by 4.4-11.7 dBA at near-barrier points, direct reductions in pre to post-intervention noise annoyance were observed only in one case. Additionally, only in this particular case were the appraisals of the acoustic environment restored to a condition similar to low-level noise emissions (reference case). Contextual factors potentially downgrading the interventions\' effectiveness are discussed, such as the history of complaints and coping, mistrust towards road authorities, high expectations, and the impacts of the COVID-19 pandemic. While noise exposure reductions did not directly lead to noise annoyance decreases, an ordinal regression pooling all cases revealed that larger reductions in noise exposure were associated with a higher likelihood of residents reporting decreased traffic noise annoyance in the post-survey. No evidence was found regarding noise barriers\' impact on the subjective assessment of other aspects of quality of life, such as health complaints, concentration disturbance, and sleep quality.
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  • 文章类型: Journal Article
    背景:新出现的证据表明,长期暴露于空气污染,道路交通噪声,绿色都与心血管疾病有关,但只有少数研究将这些暴露结合起来。在这项研究中,我们使用年度时变预测因子评估了多种环境暴露与心肌梗死发生率的相关性.
    方法:在瑞典的20,407名女性的人群队列中,我们估计了居民暴露于空气污染(PM2.5,PM10和NO2)的五年移动平均值,道路交通噪声(Lden),和绿度(归一化差异植被指数,500米缓冲区中的NDVI),从1998年到2017年,基于每年不同的风险敞口和地址历史。我们使用调整后的时变Cox比例风险回归来估计每四分位数范围(IQR)的心肌梗死的风险比(HR)和95%置信区间(95%CI)。此外,我们调查了暴露之间的相互作用,并探讨了潜在的脆弱亚组.
    结果:在多曝光模型中,长期暴露于绿色与心肌梗死的发生率呈负相关(HR0.89;95%CI0.80,0.99/IQRNDVI升高).在一些亚组中观察到更强的关联,例如,在受教育程度低和超重(BMI≥25kg/m2)的女性中。对于空气污染,我们观察到与PM2.5相关的心肌梗死风险有增加的趋势(HR1.07;95%CI0.93,1.23),且在文化程度低的女性中,这种关联似乎更强(HR1.30;95%CI1.06,1.58).未观察到PM10,NO2或道路交通噪声的关联。此外,曝光之间没有明确的相互作用模式。
    结论:经过20年的随访,在多曝光模型中,我们发现女性居住区绿色度与心肌梗死风险呈负相关.此外,我们观察到,在受教育程度低的女性中,与PM2.5相关的心肌梗死风险增加.道路交通噪声与心肌梗死无关。
    BACKGROUND: Emerging evidence shows that long-term exposure to air pollution, road traffic noise, and greenness can each be associated with cardiovascular disease, but only few studies combined these exposures. In this study, we assessed associations of multiple environmental exposures and incidence of myocardial infarction using annual time-varying predictors.
    METHODS: In a population-based cohort of 20,407 women in Sweden, we estimated a five-year moving average of residential exposure to air pollution (PM2.5, PM10 and NO2), road traffic noise (Lden), and greenness (normalized difference vegetation index, NDVI in 500 m buffers), from 1998 to 2017 based on annually varying exposures and address history. We used adjusted time-varying Cox proportional hazards regressions to estimate hazard ratios (HR) and 95 % confidence intervals (95 % CI) of myocardial infarction per interquartile range (IQR). Furthermore, we investigated interactions between the exposures and explored potential vulnerable subgroups.
    RESULTS: In multi-exposure models, long-term exposure to greenness was inversely associated with incidence of myocardial infarction (HR 0.89; 95 % CI 0.80, 0.99 per IQR NDVI increase). Stronger associations were observed in some subgroups, e.g. among women with low attained education and in overweight (BMI ≥ 25 kg/m2) compared to their counterparts. For air pollution, we observed a tendency of an increased risk of myocardial infarction in relation to PM2.5 (HR 1.07; 95 % CI 0.93, 1.23) and the association appeared stronger in women with low attained education (HR 1.30; 95 % CI 1.06, 1.58). No associations were observed for PM10, NO2 or road traffic noise. Furthermore, there were no clear interaction patterns between the exposures.
    CONCLUSIONS: Over a 20-year follow-up period, in multi-exposure models, we found an inverse association between residential greenness and risk of myocardial infarction among women. Furthermore, we observed an increased risk of myocardial infarction in relation to PM2.5 among women with low attained education. Road traffic noise was not associated with myocardial infarction.
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  • 文章类型: Journal Article
    在环境污染物饱和的高度城市化的世界里,道路交通噪音是导致广泛公共卫生问题的重要因素。它有助于各种非传染性疾病的发展,比如心血管疾病,代谢失调,认知障碍,和神经退行性疾病。尽管这些非听觉健康效应背后的确切机制尚不清楚,噪声反应模型以对噪声的应激反应为中心。当暴露在噪音中时,身体激活下丘脑-垂体-肾上腺轴和交感神经系统,导致分泌压力荷尔蒙,如儿茶酚胺和皮质醇。长时间暴露于噪声诱导的应激会导致慢性炎症和氧化应激。这篇综述强调了炎症和氧化应激在噪声引起的血管功能障碍进展中的作用。昼夜节律的中断,加速老化,神经炎症,和微生物组的变化。此外,我们的重点是理解这些健康结果的相互联系的性质:这些相互联系的因素产生了级联效应,导致多种风险因素的积累,最终导致严重的不良健康影响。
    In heavily urbanized world saturated with environmental pollutants, road traffic noise stands out as a significant factor contributing to widespread public health issues. It contributes in the development of a diverse range of non-communicable diseases, such as cardiovascular diseases, metabolic dysregulation, cognitive impairment, and neurodegenerative disorders. Although the exact mechanisms behind these non-auditory health effects remain unclear, the noise reaction model centres on the stress response to noise. When exposed to noise, the body activates the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system, leading to the secretion of stress hormones like catecholamines and cortisol. Prolonged exposure to noise-induced stress results in chronic inflammation and oxidative stress. This review underscores the role of inflammation and oxidative stress in the progression of noise-induced vascular dysfunction, disruption of the circadian rhythm, accelerated aging, neuroinflammation, and changes in microbiome. Additionally, our focus is on understanding the interconnected nature of these health outcomes: These interconnected factors create a cascade effect, contributing to the accumulation of multiple risk factors that ultimately lead to severe adverse health effects.
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  • 文章类型: Journal Article
    最近的证据表明,欧洲国家内部和之间的环境健康不平等以及社会贫困群体可能更容易受到污染。然而,证据仍无定论,需要更多的研究.这项研究旨在调查长期居住暴露于空气污染的社会人口统计学不平等。道路交通噪声,和绿色,考虑到生活方式和城市化程度。
    共有20407名女性,出生于1914-48居住在乌普萨拉县,瑞典,在1997年至2017年之间进行了跟踪。时变的社会人口统计学变量是从登记册中获得的,问卷提供了生活方式信息。使用广义估计方程来计算社会人口统计学和生活方式变量与时空建模的颗粒物(PM2.5,PM10)之间的关联的β系数(β)和95%置信区间(95%CI)。二氧化氮(NO2),道路交通噪音和绿色。所有模型都按城市化类型进行了额外分层。
    城市居住区是高度暴露于空气污染和噪音的最重要预测因素,和低绿色。例如,在郊区和农村地区,NO2的β为-2.92(95%CI=-3.00,-2.83)和-3.10(95%CI=-3.18,-3.01)µg/m3,分别,与城市地区相比。为了绿色,相反,相应的β为0.059(95%CI=0.056,0.062)和0.095(95%CI=0.092,0.098)。在城市地区,老年人,未婚和受过良好教育的妇女的环境负担最高。然而,不太明显,甚至在郊区和农村地区发现了相反的协会。
    这项研究提供了城市地区社会人口群体之间环境卫生不平等的混合模式的证据。
    UNASSIGNED: Recent evidence suggests environmental health inequalities both within and between European countries and socially deprived groups may be more susceptible to pollution. However, evidence is still inconclusive and additional studies are warranted. This study aims to investigate sociodemographic inequalities in long-term residential exposure to air pollution, road traffic noise, and greenness, taking lifestyle and degree of urbanization into account.
    UNASSIGNED: In total 20,407 women, born 1914-48 residing in Uppsala County, Sweden, were followed between 1997 and 2017. Time-varying sociodemographic variables were obtained from registers, and questionnaires provided lifestyle information. Generalized estimating equations were used to compute beta-coefficients (β) and 95% confidence intervals (95% CI) for associations between sociodemographic and lifestyle variables and spatial-temporal modeled particulate matter (PM2.5, PM10), nitrogen dioxide (NO2), road traffic noise and greenness. All models were additionally stratified by urbanization type.
    UNASSIGNED: Urban area residency was the most important predictor of high exposure to air pollution and noise, and to low greenness. For instance, β for NO2 was -2.92 (95% CI = -3.00, -2.83) and -3.10 (95% CI = -3.18, -3.01) µg/m3 in suburban and rural areas, respectively, compared with urban areas. For greenness, the opposite held true with corresponding β of 0.059 (95% CI = 0.056, 0.062) and 0.095 (95% CI = 0.092, 0.098). Within urban areas, elderly, unmarried and well-educated women had the highest environmental burden. However, less pronounced, and even reversed associations were found in suburban and rural areas.
    UNASSIGNED: This study provides evidence of a mixed pattern of environmental health inequalities across sociodemographic groups in urban areas.
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  • 文章类型: Journal Article
    在大韩民国,环境影响评估(EIA)先于开发项目,以预测和分析潜在的环境影响。一般来说,EIA噪声评估利用2D噪声预测方程和校正系数。这种方法,然而,仅提供分段噪声评估,并且在具有多种噪声源的复杂环境中具有局限性。此外,EIA过程中各种变量的确定基于人的主观判断引起了人们对结果可靠性的担忧。因此,本研究旨在开发可通过网络环境访问的软件,以进行用户友好的EIA噪声评估。该软件支持集成数据管理,并生成3D噪声预测模型,以便对噪声影响进行更精确和真实的分析,在这个发展阶段,特别关注道路交通噪声。通过与现场噪声测量和商业EIA软件的结果进行比较,验证了由开发软件生成的3D噪声预测模型和噪声图。声音计划。此验证旨在评估应用程序的实际实用性。
    In the Republic of Korea, Environmental Impact Assessment (EIAs) precedes development projects to predict and analyze potential environmental effects. Generally, EIA noise evaluations utilize 2D noise prediction equations and correction coefficients. This method, however, offers only a sectional noise evaluation and has limitations in complex environments with diverse noise sources. Moreover, the determination of various variables during the EIA process based on subjective human judgment raises concerns about the reliability of the results. Thus, this study aims to develop software accessible via a web environment for user-friendly EIA noise evaluations. This software supports integrated data management and generates a 3D noise prediction model for more precise and realistic analysis of noise impacts, specifically focusing on road-traffic noise at this stage of development. The 3D noise prediction model and noise map generated by the developed software have been validated against through comparison with the results of onsite noise measurements and commercial EIA software, SoundPLAN. This validation aimed to assess the practical utility of the application.
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  • 文章类型: Journal Article
    道路交通是城市环境噪声污染的主要来源。由于城市扩展规划不足,这个问题也在蔓延。因此,将道路交通噪声分析纳入城市规划是有效降低城市噪声,适应性强,可持续的方式。本研究旨在开发一种方法,该方法适用于任何城市,仅通过其城市特征通过其功能对城市道路进行分层。它旨在成为聚集类似街道的工具,因此,交通噪声,使城市和交通规划者能够支持减少人们的噪声暴露。提出了三个多元有序逻辑回归统计模型(模型1、2和3),它们将城市道路显着分层为五个,四,和三个类别,分别。开发的模型显示McFadden伪R2在0.5和0.6之间(相当于R2>0.8)。模型1或模型2之间的选择取决于城市的规模。模式1建议用于具有广泛道路网络的发达城市,而模型2最适合中等和发展中的城市。另一方面,模型3可以应用于任何城市规模,但侧重于交通路线的本地管理和声学传感器装置的设计。城市声路,和安静区域的识别。与道路宽度和长度相关的城市特征,交通基础设施的存在,在所有三种模式中,公共交通路线都与交通噪音增加有关。这些模型被证明对旨在通过战略性城市规划减少噪音的未来行动计划很有用。
    Road traffic is the primary source of environmental noise pollution in cities. This problem is also spreading due to inadequate urban expansion planning. Hence, integrating road traffic noise analysis into urban planning is necessary for reducing city noise in an effective, adaptable, and sustainable way. This study aims to develop a methodology that applies to any city for the stratification of urban roads by their functionality through only their urban features. It is intended to be a tool to cluster similar streets and, consequently, traffic noise to enable urban and transportation planners to support the reduction of people\'s noise exposure. Three multivariate ordered logistic regression statistical models (Model 1, 2, and 3) are presented that significantly stratify urban roads into five, four, and three categories, respectively. The developed models exhibit a McFadden pseudo-R2 between 0.5 and 0.6 (equivalent to R2 >0.8). The choice between Model 1 or 2 depends on the scale of the city. Model 1 is recommended for developed cities with an extensive road network, while Model 2 is most suitable in intermediate and growing cities. On the other hand, Model 3 could be applied at any city scale but focused on local management of transit routes and for designing acoustic sensor installations, urban soundwalks, and identification of quiet areas. Urban features related to road width and length, presence of transport infrastructure, and public transport routes are associated with increased traffic noise in all three models. These models prove useful for future action plans aimed at reducing noise through strategic urban planning.
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  • 文章类型: Clinical Trial Protocol
    背景:压力是日常生活中普遍存在的现象和现实,给身心健康带来负面影响。先前的研究表明,暴露于绿地和基于自然的干预措施是减轻压力和促进恢复的有希望的方法。然而,越来越多的人口居住在城市地区,在绿地上花费时间的机会有限。此外,城市环境通常具有增加的噪音水平,这是一个主要的环境压力源。尽管各种研究已经比较了暴露于绿地与城市建筑环境的影响,在这种情况下,噪声影响的证据非常有限。与早期研究中报告的城市建筑环境相比,暴露于绿地的心理生理益处可能较少(或至少不仅如此)由于绿地的特征而不是额外的压力源,例如城市建筑环境中的道路交通噪声。因此,以前研究中归因于绿色的影响差异也可能是由于比较设置中潜在的有害噪声影响。本文报道了一项随机的研究方案,对照干预研究,比较在森林和城市建筑环境中行走的影响,在各自的设置中考虑步行期间的道路交通噪声暴露。
    方法:该协议设想了一项实地研究,采用前测-后测设计,以比较在具有不同道路交通噪声水平的城市建筑环境和森林中30分钟步行的影响。评估将包括自我报告的措施,生理数据(唾液皮质醇和皮肤电导),注意力测试,和噪音,以及绿色测量。结果将是恢复,压力,积极和消极的影响,注意,沉思,和自然连通性。
    结论:结果将告知一般步行的恢复效果,暴露在不同类型的环境中,以及这些地点的不同噪音水平。该研究将提供有关步行和基于自然的干预措施的好处的见解,考虑到噪声暴露的潜在有害影响。因此,这将有助于更好地理解低门槛干预措施,以防止压力和促进福祉。
    背景:ISRCTN48943261;注册23.11.2023。
    BACKGROUND: Stress is a widespread phenomenon and reality of everyday life, entailing negative consequences for physical and psychological wellbeing. Previous studies have indicated that exposure to greenspaces and nature-based interventions are promising approaches to reducing stress and promoting restoration. However, an increasing percentage of the population lives in urban regions with limited opportunities to spend time in greenspaces. In addition, urban settings typically feature increased levels of noise, which represents a major environmental stressor. Although various studies have compared the effects of exposure to greenspaces versus urban built environments, evidence of the effects of noise in this context is very limited. Psychophysiological benefits of exposure to greenspaces compared to urban built environments reported in earlier studies might be less (or at least not only) due to features of the greenspaces than to additional stressors, such as road traffic noise in the urban built environment. Hence, differences in the effects attributed to greenness in previous studies may also be due to potentially detrimental noise effects in comparison settings. This paper reports the study protocol for a randomized, controlled intervention study comparing the effects of walking in forest versus urban built environments, taking road traffic noise exposure during walks in the respective settings into account.
    METHODS: The protocol envisages a field study employing a pretest-posttest design to compare the effects of 30-min walks in urban built environments and forests with different road traffic noise levels. Assessments will consist of self-reported measures, physiological data (salivary cortisol and skin conductance), an attention test, and noise, as well as greenness measurements. The outcomes will be restoration, stress, positive and negative affect, attention, rumination, and nature connectedness.
    CONCLUSIONS: The results will inform about the restorative effect of walking in general, of exposure to different types of environments, and to different noise levels in these sites. The study will provide insights into the benefits of walking and nature-based interventions, taking into account the potential detrimental effects of noise exposure. It will thus facilitate a better understanding of low-threshold interventions to prevent stress and foster wellbeing.
    BACKGROUND: ISRCTN48943261 ; Registered 23.11.2023.
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  • 文章类型: Journal Article
    背景:长期暴露于运输噪声与心脏代谢疾病有关,最近的证据也显示与糖尿病(DM)发病率有关。这项研究旨在评估瑞士国家队列中交通噪声与DM死亡率之间的关系。
    方法:在15年的随访中(2001-2015年;414万成年人),累计超过72,000DM死亡。在住宅位置计算了特定源的噪声,考虑到移动的历史。多次曝光,时变Cox回归用于推导风险比(HR,和95%-置信区间)。模型包括道路交通,铁路和飞机噪音,空气污染,以及个人和地区一级的协变量,包括社会经济地位。分析包括暴露反应建模,效果修饰,和机场周围的子集分析。主要研究结果与已发表的关于死亡率和发病率的研究(单独和合并)整合到荟萃分析中。
    结果:HR为1.06(1.05,1.07),1.02(1.01,1.03)和1.01(0.99,1.02)每10分贝的昼夜水平(Lden)道路交通,铁路和飞机噪音,分别(调整后的模型,包括NO2)。样条建议道路交通噪声的阈值(~46dBLden,远低于53dBLdenWHO指南水平),但不是铁路噪音。替代PM2.5或包括1型DM死亡几乎没有改变相关性。男性的HR高于女性,与老年人相比,年轻人更年轻。仅关注1型DM显示出与道路交通噪声的独立关联。Meta分析仅适用于道路交通噪声与死亡率的关系(1.08[0.99,1.18]每10dB,n=4),点估计与发病率大致相似(每10分贝1.07[1.05,1.09],n=10)。结合发病率和死亡率研究表明,每种来源都有正相关关系,道路交通噪声最强(1.07[1.05,1.08],1.02[1.01,1.03],和1.02[1.00,1.03]每10分贝道路交通[n=14],铁路[n=5]和飞机噪音[n=5],分别)。
    结论:这项研究提供了交通噪音与糖尿病死亡率相关的新证据。随着越来越多的证据和巨大的疾病负担,DM应被视为噪声和健康讨论中的重要结果。
    BACKGROUND: Long-term exposure to transportation noise is related to cardio-metabolic diseases, with more recent evidence also showing associations with diabetes mellitus (DM) incidence. This study aimed to evaluate the association between transportation noise and DM mortality within the Swiss National Cohort.
    METHODS: During 15 years of follow-up (2001-2015; 4.14 million adults), over 72,000 DM deaths were accrued. Source-specific noise was calculated at residential locations, considering moving history. Multi-exposure, time-varying Cox regression was used to derive hazard ratios (HR, and 95%-confidence intervals). Models included road traffic, railway and aircraft noise, air pollution, and individual and area-level covariates including socio-economic position. Analyses included exposure-response modelling, effect modification, and a subset analysis around airports. The main findings were integrated into meta-analyses with published studies on mortality and incidence (separately and combined).
    RESULTS: HRs were 1.06 (1.05, 1.07), 1.02 (1.01, 1.03) and 1.01 (0.99, 1.02) per 10 dB day evening-night level (Lden) road traffic, railway and aircraft noise, respectively (adjusted model, including NO2). Splines suggested a threshold for road traffic noise (~ 46 dB Lden, well below the 53 dB Lden WHO guideline level), but not railway noise. Substituting for PM2.5, or including deaths with type 1 DM hardly changed the associations. HRs were higher for males compared to females, and in younger compared to older adults. Focusing only on type 1 DM showed an independent association with road traffic noise. Meta-analysis was only possible for road traffic noise in relation to mortality (1.08 [0.99, 1.18] per 10 dB, n = 4), with the point estimate broadly similar to that for incidence (1.07 [1.05, 1.09] per 10 dB, n = 10). Combining incidence and mortality studies indicated positive associations for each source, strongest for road traffic noise (1.07 [1.05, 1.08], 1.02 [1.01, 1.03], and 1.02 [1.00, 1.03] per 10 dB road traffic [n = 14], railway [n = 5] and aircraft noise [n = 5], respectively).
    CONCLUSIONS: This study provides new evidence that transportation noise is associated with diabetes mortality. With the growing evidence and large disease burden, DM should be viewed as an important outcome in the noise and health discussion.
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