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Long-Term Aircraft Noise Exposure and Body Mass Index, Waist Circumference, and Type 2 Diabetes: A Prospective Study.

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Title: Long-Term Aircraft Noise Exposure and Body Mass Index, Waist Circumference, and Type 2 Diabetes: A Prospective Study.
Authors: Eriksson, Charlotta1 Charlotta.eriksson@ki.se, Hilding, Agneta2, Pyko, Andrei1, Bluhm, Gösta1, Pershagen, Göran1, Östenson, Claes-Göran2
Source: Environmental Health Perspectives. Jul2014, Vol. 122 Issue 7, p687-694. 8p. 4 Charts, 1 Graph, 2 Maps.
Subject Terms: Type 2 diabetes risk factors, Metabolic disorders, Risk factors of environmental exposure, Airplanes, Confidence intervals, Noise, Research funding, Body mass index, Data analysis software, Waist circumference, Descriptive statistics, Odds ratio, Disease risk factors
Abstract: Background: Long-term aircraft noise exposure may increase the risk of cardiovascular disease, but no study has investigated chronic effects on the metabolic system. Objectives: The aim of this study was to investigate effects of long-term aircraft noise exposure on body mass index (BMI), waist circumference, and type 2 diabetes. Furthermore, we explored the modifying effects of sleep disturbance. Methods: This prospective cohort study of residents of Stockholm County, Sweden, followed 5,156 participants with normal baseline oral glucose tolerance tests (OGTT) for up to 10 years. Exposure to aircraft noise was estimated based on residential history. Information on outcomes and confounders was obtained from baseline and follow-up surveys and examinations, and participants who developed prediabetes or type 2 diabetes were identified by self-reported physician diagnosis or OGTT at follow-up. Adjusted associations were assessed by linear, logistic, and random-effects models. Results: The mean (± SD) increases in BMI and waist circumference during follow-up were 1.09 ± 1.97 kg/m2 and 4.39 ± 6.39 cm, respectively. The cumulative incidence of prediabetes and type 2 diabetes was 8% and 3%, respectively. Based on an ordinal noise variable, a 5‑dB(A) increase in aircraft noise was associated with a greater increase in waist circumference of 1.51 cm (95% CI: 1.13, 1.89), fully adjusted. This association appeared particularly strong among those who did not change their home address during the study period, which may be a result of lower exposure misclassification. However, no clear associations were found for BMI or type 2 diabetes. Furthermore, sleep disturbances did not appear to modify the associations with aircraft noise. Conclusions: Long-term aircraft noise exposure may be linked to metabolic outcomes, in particular increased waist circumference. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Long-Term Aircraft Noise Exposure and Body Mass Index, Waist Circumference, and Type 2 Diabetes: A Prospective Study.
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  Data: <searchLink fieldCode="AR" term="%22Eriksson%2C+Charlotta%22">Eriksson, Charlotta</searchLink><relatesTo>1</relatesTo><i> Charlotta.eriksson@ki.se</i><br /><searchLink fieldCode="AR" term="%22Hilding%2C+Agneta%22">Hilding, Agneta</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pyko%2C+Andrei%22">Pyko, Andrei</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bluhm%2C+Gösta%22">Bluhm, Gösta</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Pershagen%2C+Göran%22">Pershagen, Göran</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Östenson%2C+Claes-Göran%22">Östenson, Claes-Göran</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Environmental+Health+Perspectives%22">Environmental Health Perspectives</searchLink>. Jul2014, Vol. 122 Issue 7, p687-694. 8p. 4 Charts, 1 Graph, 2 Maps.
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  Data: Background: Long-term aircraft noise exposure may increase the risk of cardiovascular disease, but no study has investigated chronic effects on the metabolic system. Objectives: The aim of this study was to investigate effects of long-term aircraft noise exposure on body mass index (BMI), waist circumference, and type 2 diabetes. Furthermore, we explored the modifying effects of sleep disturbance. Methods: This prospective cohort study of residents of Stockholm County, Sweden, followed 5,156 participants with normal baseline oral glucose tolerance tests (OGTT) for up to 10 years. Exposure to aircraft noise was estimated based on residential history. Information on outcomes and confounders was obtained from baseline and follow-up surveys and examinations, and participants who developed prediabetes or type 2 diabetes were identified by self-reported physician diagnosis or OGTT at follow-up. Adjusted associations were assessed by linear, logistic, and random-effects models. Results: The mean (± SD) increases in BMI and waist circumference during follow-up were 1.09 ± 1.97 kg/m2 and 4.39 ± 6.39 cm, respectively. The cumulative incidence of prediabetes and type 2 diabetes was 8% and 3%, respectively. Based on an ordinal noise variable, a 5‑dB(A) increase in aircraft noise was associated with a greater increase in waist circumference of 1.51 cm (95% CI: 1.13, 1.89), fully adjusted. This association appeared particularly strong among those who did not change their home address during the study period, which may be a result of lower exposure misclassification. However, no clear associations were found for BMI or type 2 diabetes. Furthermore, sleep disturbances did not appear to modify the associations with aircraft noise. Conclusions: Long-term aircraft noise exposure may be linked to metabolic outcomes, in particular increased waist circumference. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1289/ehp.1307115
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        Text: English
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      Pagination:
        PageCount: 8
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    Subjects:
      – SubjectFull: Type 2 diabetes risk factors
        Type: general
      – SubjectFull: Metabolic disorders
        Type: general
      – SubjectFull: Risk factors of environmental exposure
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      – SubjectFull: Airplanes
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Noise
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      – SubjectFull: Research funding
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      – SubjectFull: Body mass index
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      – SubjectFull: Data analysis software
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      – SubjectFull: Waist circumference
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      – SubjectFull: Odds ratio
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              Text: Jul2014
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