Environmental noise exposure and health outcomes: an umbrella review of systematic reviews and meta-analysis

作者全名："Chen, Xia; Liu, Mingliang; Zuo, Lei; Wu, Xiaoyi; Chen, Mengshi; Li, Xingli; An, Ting; Chen, Li; Xu, Wenbin; Peng, Shuang; Chen, Haiyan; Liang, Xiaohua; Hao, Guang"

作者地址："[Chen, Xia; Liu, Mingliang; Zuo, Lei; Hao, Guang] Jinan Univ, Sch Med, Dept Publ Hlth & Prevent Med, Guangzhou, Peoples R China; [Wu, Xiaoyi; An, Ting] Jinan Univ, Sch Med, Dept Clin Med, Guangzhou, Peoples R China; [Chen, Mengshi; Li, Xingli] Cent South Univ, Xiangya Sch Publ Hlth, Hunan Prov Key Lab Clin Epidemiol, Changsha, Hunan, Peoples R China; [Chen, Li] Augusta Univ, Georgia Prevent Inst, Med Coll Georgia, Dept Populat Hlth Sci, Augusta, GA USA; [Xu, Wenbin] Guangdong Univ Technol, Sch Environm Sci & Engn, Guangzhou, Guangdong, Peoples R China; [Peng, Shuang] Jinan Univ, Sch Med, Dept Pathophysiol, Guangzhou, Guangdong, Peoples R China; [Chen, Haiyan] Guangzhou Ctr Dis Control & Prevent, Guangzhou, Peoples R China; [Liang, Xiaohua] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Clin Epidemiol & Biostat Dept, Chongqing Key Lab Pediat,Childrens Hosp,Minist Edu, Chongqing, Peoples R China; [Chen, Haiyan] Guangzhou Ctr Dis Control & Prevent, Dept Parasit Dis & Endem Dis Control & Prevent, 1 Qi Rd, Guangzhou 510440, Peoples R China; [Liang, Xiaohua] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Key Lab Child Dev & Disorders, Minist Educ,Chongqing Key Lab Pediat,Childrens Hos, 136 2nd Zhongshan Rd,Yuzhong Dist, Chongqing 400014, Peoples R China; [Hao, Guang] Jinan Univ, Sch Med, Dept Publ Hlth & Prevent Med, 601 West Huangpu Rd, Guangzhou 510632, Guangdong, Peoples R China"

通信作者："Chen, HY (通讯作者)，Guangzhou Ctr Dis Control & Prevent, Dept Parasit Dis & Endem Dis Control & Prevent, 1 Qi Rd, Guangzhou 510440, Peoples R China.; Liang, XH (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Key Lab Child Dev & Disorders, Minist Educ,Chongqing Key Lab Pediat,Childrens Hos, 136 2nd Zhongshan Rd,Yuzhong Dist, Chongqing 400014, Peoples R China.; Hao, G (通讯作者)，Jinan Univ, Sch Med, Dept Publ Hlth & Prevent Med, 601 West Huangpu Rd, Guangzhou 510632, Guangdong, Peoples R China."

来源：EUROPEAN JOURNAL OF PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000964224900001

JCR分区：Q1

影响因子：3.7

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Review; Early Access

关键词：　

摘要："Background Environmental noise is becoming increasingly recognized as an urgent public health problem, but the quality of current studies needs to be assessed. To evaluate the significance, validity and potential biases of the associations between environmental noise exposure and health outcomes. Methods We conducted an umbrella review of the evidence across meta-analyses of environmental noise exposure and any health outcomes. A systematic search was done until November 2021. PubMed, Cochrane, Scopus, Web of Science, Embase and references of eligible studies were searched. Quality was assessed by AMSTAR and Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Results Of the 31 unique health outcomes identified in 23 systematic reviews and meta-analyses, environmental noise exposure was more likely to result in a series of adverse outcomes. Five percent were moderate in methodology quality, the rest were low to very low and the majority of GRADE evidence was graded as low or even lower. The group with occupational noise exposure had the largest risk increment of speech frequency [relative risk (RR): 6.68; 95% confidence interval (CI): 3.41-13.07] and high-frequency (RR: 4.46; 95% CI: 2.80-7.11) noise-induced hearing loss. High noise exposure from different sources was associated with an increased risk of cardiovascular disease (34%) and its mortality (12%), elevated blood pressure (58-72%), diabetes (23%) and adverse reproductive outcomes (22-43%). In addition, the dose-response relationship revealed that the risk of diabetes, ischemic heart disease (IHD), cardiovascular (CV) mortality, stroke, anxiety and depression increases with increasing noise exposure. Conclusions Adverse associations were found for CV disease and mortality, diabetes, hearing impairment, neurological disorders and adverse reproductive outcomes with environmental noise exposure in humans, especially occupational noise. The studies mostly showed low quality and more high-quality longitudinal study designs are needed for further validation in the future."

基金机构："Hunan Provincial Key Laboratory of Clinical Epidemiology [2021ZNDXLCL002]; Program for Youth Innovation in Future Medicine,Chongqing Medical University [W0088]"

基金资助正文："This work was financially supported by the Hunan Provincial Key Laboratory of Clinical Epidemiology [grant number 2021ZNDXLCL002] and Program for Youth Innovation in Future Medicine,Chongqing Medical University [No. W0088]."