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0386 Occupational noise exposure and ambulatory blood pressure: the exposure response relation with acute and lagged exposure
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  1. Zara Ann Stokholm1,
  2. Kent Lodberg Christensen2,
  3. Thomas W Frederiksen1,
  4. Jesper M Vestergaard1,
  5. Åse Marie Hansen3,5,
  6. Jens Peter Bonde4,
  7. Jesper Kristiansen5,
  8. Søren Peter Lund5,
  9. Henrik A Kolstad1
  1. 1Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark
  2. 2Department of Internal Medicine and Cardiology A, Aarhus University Hospital, Aarhus, Denmark
  3. 3Faculty of Health, University of Copenhagen, Copenhagen, Denmark
  4. 4Department of Occupational and Environmental Medicine, Bispebjerg Hospital, Copenhagen, Denmark
  5. 5National Research Centre for the Working Environment, Copenhagen, Denmark

Abstract

Background Long-term environmental noise exposure has repeatedly been related to increased risk of cardiovascular disease at exposure levels as low as 35 dB(A). Occupational exposure levels are orders of magnitude higher than the environmental levels. We examined if blood pressure was increased during and subsequent to occupational noise exposure.

Methods We studied 483 industrial, finance, and service workers selected as a random sample from 10 industrial trades and financial services between 2009 and 2010. For 24 hours, we recorded noise exposure levels every 5 s by personal dosimeters and measured ambulatory blood pressure and heart rate every 20–30 min. In mixed linear regression models, we assessed the acute and lagged effects of ambient noise exposure (LAEq)) on blood pressure and heart rate for work, leisure and night hours. For 319 workers, we estimated these effects for noise exposure at the ear accounting for hearing protection use.

Results Full-shift occupational noise exposure levels ranged between 59–97 dB(A). Results of the regression models adjusted for sex, age, income, BMI, alcohol, tobacco, salt intake, and family history of hypertension suggest no relation between acute or lagged occupational noise exposure level and blood pressure levels for the industrial workers.

Conclusion Occupational noise exposure showed no acute or lagged effects on blood pressure in industrial workers.

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