Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort
Background: The potential health effects related to wind turbine noise (WTN) have received increased focus during the past decades, but evidence is sparse. We examined the association between long-term exposure to wind turbine noise and incidence of atrial fibrillation (AF). Methods: First ever hosp...
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doaj-fba921edeeb64a4e828186ca2e88cada2020-11-24T21:11:04ZengElsevierEnvironment International0160-41202019-09-01130Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohortElvira V. Bräuner0Jeanette T. Jørgensen1Anne Katrine Duun-Henriksen2Claus Backalarz3Jens E. Laursen4Torben H. Pedersen5Mette K. Simonsen6Zorana J. Andersen7Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Department of Growth and Reproduction, Rigshospitalet, University of Copenhagen, DenmarkSection of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, DenmarkSection of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, DenmarkDELTA Acoustics, Hørsholm, DenmarkDELTA Acoustics, Hørsholm, DenmarkDELTA Acoustics, Hørsholm, DenmarkDiakonissestiftelsen, Frederiksberg, Denmark; The Parker Institute, Copenhagen University Hospital, Bispebjerg, Frederiksberg, DenmarkSection of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Centre for Epidemiological Research, Nykøbing F Hospital, Nykøbing F, Denmark; Corresponding author at: Section of Environmental Health, Department of Public Health, University of Copenhagen, CSS, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.Background: The potential health effects related to wind turbine noise (WTN) have received increased focus during the past decades, but evidence is sparse. We examined the association between long-term exposure to wind turbine noise and incidence of atrial fibrillation (AF). Methods: First ever hospital admission of AF amongst 28,731 female nurses in the Danish Nurse Cohort were identified in the Danish National Patient register until ultimo 2013. WTN levels at residential addresses between 1982 and 2013 were estimated using the Nord2000 noise propagation model, as the annual means of Lden, Lday, Levening and Lnight at the most exposed façade. Time-varying Cox proportional hazard regression models were used to examine the association between the 11-, 5- and 1-year rolling means of WTN levels and AF incidence. Results: 1430 nurses developed AF by end of follow-up in 2013. Mean (standard deviation) baseline residential noise levels amongst exposed nurses were 26.3 (6.7) dB and slightly higher in those who developed AF (27.3 (7.31) dB), than those who didn't (26.2 (6.6)). We observed a 30% statistically significant increased risk (95% CI: 1.05–1.61) of AF amongst nurses exposed to long-term (11-year running mean) WTN levels ≥20 dB(A) at night compared to nurses exposed to levels <20 dB(A). Similar effects were observed with day (HR 1.25; 95% CI: 1.01–1.54), and evening (HR 1.25; 95% CI: 1.01–1.54) noise levels. Conclusions: We found suggestive evidence of an association between long-term exposure to WTN and AF amongst female nurses. However, interpretation should be cautious as exposure levels were low.http://www.sciencedirect.com/science/article/pii/S0160412019308852 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elvira V. Bräuner Jeanette T. Jørgensen Anne Katrine Duun-Henriksen Claus Backalarz Jens E. Laursen Torben H. Pedersen Mette K. Simonsen Zorana J. Andersen |
spellingShingle |
Elvira V. Bräuner Jeanette T. Jørgensen Anne Katrine Duun-Henriksen Claus Backalarz Jens E. Laursen Torben H. Pedersen Mette K. Simonsen Zorana J. Andersen Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort Environment International |
author_facet |
Elvira V. Bräuner Jeanette T. Jørgensen Anne Katrine Duun-Henriksen Claus Backalarz Jens E. Laursen Torben H. Pedersen Mette K. Simonsen Zorana J. Andersen |
author_sort |
Elvira V. Bräuner |
title |
Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort |
title_short |
Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort |
title_full |
Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort |
title_fullStr |
Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort |
title_full_unstemmed |
Long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the Danish Nurse cohort |
title_sort |
long-term wind turbine noise exposure and the risk of incident atrial fibrillation in the danish nurse cohort |
publisher |
Elsevier |
series |
Environment International |
issn |
0160-4120 |
publishDate |
2019-09-01 |
description |
Background: The potential health effects related to wind turbine noise (WTN) have received increased focus during the past decades, but evidence is sparse. We examined the association between long-term exposure to wind turbine noise and incidence of atrial fibrillation (AF). Methods: First ever hospital admission of AF amongst 28,731 female nurses in the Danish Nurse Cohort were identified in the Danish National Patient register until ultimo 2013. WTN levels at residential addresses between 1982 and 2013 were estimated using the Nord2000 noise propagation model, as the annual means of Lden, Lday, Levening and Lnight at the most exposed façade. Time-varying Cox proportional hazard regression models were used to examine the association between the 11-, 5- and 1-year rolling means of WTN levels and AF incidence. Results: 1430 nurses developed AF by end of follow-up in 2013. Mean (standard deviation) baseline residential noise levels amongst exposed nurses were 26.3 (6.7) dB and slightly higher in those who developed AF (27.3 (7.31) dB), than those who didn't (26.2 (6.6)). We observed a 30% statistically significant increased risk (95% CI: 1.05–1.61) of AF amongst nurses exposed to long-term (11-year running mean) WTN levels ≥20 dB(A) at night compared to nurses exposed to levels <20 dB(A). Similar effects were observed with day (HR 1.25; 95% CI: 1.01–1.54), and evening (HR 1.25; 95% CI: 1.01–1.54) noise levels. Conclusions: We found suggestive evidence of an association between long-term exposure to WTN and AF amongst female nurses. However, interpretation should be cautious as exposure levels were low. |
url |
http://www.sciencedirect.com/science/article/pii/S0160412019308852 |
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