Background
While previous epidemiological studies report adverse effects of long-term noise exposure on cardiovascular health, the mechanisms responsible for these effects are unclear. We sought to elucidate the cardiovascular and stress response to short-term, low (31.5-125 Hz) and high (500 – 2000 Hz) frequency noise exposures.
Methods
Healthy male (n = 10) participants were monitored on multiple visits during no noise, low- or high-frequency noise exposure scenarios lasting 40 minutes. Participants were fitted with an ambulatory electrocardiogram (ECG) and blood pressure measures and saliva samples were taken before, during and after noise exposures. ECGs were processed for measures of heart rate variability (HRV): high-frequency power (HF), low-frequency power (LF), the root of the mean squared difference between adjacent normal heart beats (N-N) intervals (RMSSD), and the standard deviation of N-N intervals (SDNN). Systolic blood pressure (SBP), diastolic blood pressure (DPB), and pulse were reported and saliva was analyzed for salivary cortisol and amylase. Multivariate mixed-effects linear regression models adjusted for age were used to identify statistically significant difference in outcomes by no noise, during noise or after noise exposure periods and whether this differed by noise frequency.
Results
A total of 658, 205, and 122, HRV, saliva,and blood pressure measurements were performed over 41 person days. Reductions in HRV (LF and RMSSD) were observed during noise exposure (a reduction of 19%(−35,−3.5) and 9.1%(−17,−1.1), respectively). After adjusting for noise frequency, during low frequency noise exposure, HF, LF, and SDNN were reduced (a reduction of 32%(−57,−6.2), 34%(−52,−15), and 16%(−26,−6.1), respectively and during high frequency noise exposure, a 21%(−39,−2.3) reduction in LF, as compared to during no noise exposure was found. No significant (p>0.05) changes in blood pressure,salivary cortisol or amylase were observed.
Conclusions
These results suggest that exposure to noise, and in particular, to low-frequency noise negatively impacts HRV. The frequencies of noise should be considered when evaluating the cardiovascular health impacts of exposure.