Noise exposure at school and blood pressure in adolescents

  • Fadhilah Ihsani Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
  • Rafita Ramayati Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
  • Muhammad Ali Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
  • Rusdi Djas Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
  • Oke Rina Ramayani Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
  • Rosmayanti Siregar
  • Beatrix Siregar
Keywords: blood pressure, noise, adolescent

Abstract

Background The increasing prevalence of primary hypertension has motivated researchers to identify influencing factors, one of which is noise. There have been few studies on a relationships between noise exposure and blood pressure in children, and none have dealt exclusively with adolescents.

Objective To assess for an association between noise exposure at school and blood pressure in adolescents.  

Methods To identify noisy and quiet schools, the mean noise levels of 192 senior high schools in Medan were measured using sound level meters. One noisy school and one quiet school were randomly selected for inclusion (mean noise levels of  68.2 and  53.8 dB, respectively). Students from both schools underwent blood pressure measurements by mercury sphygmomanometer. Their Body weights and heights were obtained for body mass index calculations. Subjects filled questionnaires and their parents were interviewed regarding history of illnesses.

Results Of the 271 adolescents recruited, 136 (50.2%) were from the noisy school. Adolescents from the noisy school had higher mean systolic and diastolic blood pressures [121.6 (SD 13.87) mmHg and 71.1 (SD 8.15) mmHg, respectively], than those from the quiet school [111.8 (SD 12.61) mmHg and 63.8 (SD 8.05) mmHg, respectively]. After adjusting for other factors, noise had a significant, moderate, positive association with systolic and diastolic blood pressures [β = 0.452; B = 6.21 (95% CI 3.86-8.55) mmHg; and β = 0.473; B = 4.18 (95% CI 2.41 to 5.94) mmHg, respectively].

Conclusion Adolescents from a noisy school have a greater risk of higher systolic and diastolic blood pressures than those from a quiet school.

Author Biographies

Rosmayanti Siregar
Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera
Beatrix Siregar
Department of Child Health, University of Sumatera Utara Medical School/Haji Adam Malik General Hospital, Medan, North Sumatera

References

1. World Health Organization. A global brief on hypertension. Silent killer, global public health crisis. Geneva: WHO Press; 2013. p.9-18.
2. Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the Bogalusa Heart Study. Am J Hypertens. 1995;8:657-65.
3. McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J Pediatr. 2007;150:640-4.
4. Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA. 2004;291:2107-13.
5. Liu C, Fuertes E, Tiesler CM, Birk M, Babisch W, Bauer CP, et al. The associations between traffic-related air pollution and noise with blood pressure in children: results from the GINIplus and LISAplus studies. Int J Hyg Environ Health. 2014;217:499-505.
6. Spreng M. Central nervous system activation by noise. Noise Health. 2000;2:49-58.
7. Regecová V, Kellerová E. Effects of urban noise pollution on blood pressure and heart rate in preschool children. J Hypertens. 1995;13:405-12.
8. Paunovic K, Belojevic G, Jakovljevic B, Stojanov V. The influence of daytime road-traffic noise on blood pressure of school children. J Hypertens. 2010;28:e323.
9. Weinmann T, Ehrenstein V, von Kries R, Nowak D, Radon K. Subjective and objective personal noise exposure and hypertension: an epidemiologic approach. Int Arch Occup Environ Health. 2012;85:363-71.
10. Babisch W, Neuhauser H, Thamm M, Seiwert M. Blood pressure of 8-14 year old children in relation to traffic noise at home – results of the German Environmental Survey for Children (GerES IV). Sci Total Environ. 2009;407:5839-43.
11. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555-76.
12. Center for Disease Control and Prevention. Healthy weight: about child and teen BMI. [Cited 2013 November 20]; Available from: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
13. Center for Disease Control and Prevention. National Center for Health Statistics: clinical growth charts [Cited 2013 November 20]; Available from: http://www.cdc.gov/growthcharts/clinical_charts.htm
14. Pulungan AB. Pubertas dan gangguannya. In: Batubara JRL, Tridjaja B, Pulungan AB, editors. Buku ajar endokrinologi anak. 1st ed. Jakarta: Badan Penerbit IDAI; 2010. p. 90-4.
15. Belojevic G, Jakovljevic B, Stojanov V, Paunovic K, Ilic J. Urban road-traffic noise and blood pressure and heart rate in preschool children. Environ Int. 2008;34:226-31.
16. Belojevic G, Jakovljevic B, Paunovic K, Stojanov V, Ilic J. Urban road-traffic noise and blood pressure in school children. Proceedings of the ICBEN 2008, the 9th Congress of the International Commission on the Biological Effects of Noise. Noise as a public health problem; 2008 Jul 21-25; Mashantucket, CT: ICBEN Press; 2008. p. 287–92.
17. Spreng M. Possible health effects of noise induced cortisol increase. Noise Health. 2000;2:59-64.
18. Eggermont JJ. Noise and the brain. 1st ed. Canada: Elsevier; 2014. p. 266-99.
19. Paunovic K, Stansfeld S, Clark C, Belojevic G. Epidemiological studies on noise and blood pressure in children: observations and suggestions. Environ Int. 2011;37:1030-41
20. Mattoo TK, Gruskin AB. Essential hypertension in children. In: Portman RJ, Sorof JM, Ingelfinger JR, editors. Pediatric hypertension. 1st ed. Totowa: Humana Press; 2004. p. 181-211.
21. Awazu M. Epidemiology of hypertension. In: Avner ED, Harmon WE, Niaudet P, Yoshikawa N, editors. Pediatric nephrology. 6th ed. Berlin: Springer-Verlag; 2009. p. 1459-75.
22. Lurbe E, Alcon JJ, Redon J. Epidemiology and consequences of childhood hypertension. In: Geary DF, Schaefer F, editors. Comprehensive pediatric nephrology. 1st ed. Philadelphia: Mosby; 2008. p. 637-44.
23. Shankar RR, Eckert GJ, Saha C, Tu W, Pratt JH. The change in blood pressure during pubertal growth. J Clin Endocrinol Metab. 2005;90:163-7.
Published
2017-01-16
How to Cite
1.
Ihsani F, Ramayati R, Ali M, Djas R, Ramayani O, Siregar R, Siregar B. Noise exposure at school and blood pressure in adolescents. PI [Internet]. 16Jan.2017 [cited 23Nov.2024];56(6):330-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/512
Received 2016-09-09
Accepted 2016-12-07
Published 2017-01-16