Residential road traffic noise as a risk factor for hypertension in adults: Systematic review and meta-analysis of analytic studies published in the period 2011-2017.

摘要: Abstract Multiple cross-sectional studies indicated an association between hypertension and road traffic noise they were recently synthetized in a WHO systematic evidence review. However, recent years have seen growing body of high-quality, large-scale research, which is missing from the Therefore, we aimed to close that gap by conducting updated review meta-analysis on exposure-response relationship residential risk adults. Studies identified searching MEDLINE, EMBASE, Internet, conference proceedings, reference lists, expert archives English, Russian, Spanish through August 5, 2017. The bias for each extracted estimate overall quality evaluated using list predefined safeguards against related different study characteristics Grading Recommendations Assessment, Development Evaluation system, respectively. inverse variance heterogeneity (IVhet) model was used meta-analysis. possibility publication funnel Doi plots, asymmetry these tested with Egger's test Luis Furuya-Kanamori index, Sensitivity analyses included leave-one-out meta-analysis, subgroup meta-regressions, non-linear Based seven cohort two case-control (n = 5 514 555; 14 estimates; Lden range ≈ 25–90 dB(A)), found “low” RR per 10 dB(A) = 1.018 (95% CI: 0.984, 1.053), moderate (I2 = 46%), no bias. In studies, “moderate” 0.987, 1.049), I2 = 31%, conclusion, associated higher adults, but lower than previously reported literature.