1. Higher Aircraft Noise Exposure Is Linked to Worse Heart Structure and Function by Cardiovascular MRI.
- Author
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Topriceanu CC, Gong X, Shah M, Shiwani H, Eminson K, Atilola GO, Jephcote C, Adams K, Blangiardo M, Moon JC, Hughes AD, Gulliver J, Rowlands AV, Chaturvedi N, O'Regan DP, Hansell AL, and Captur G
- Subjects
- Humans, Male, Female, Middle Aged, Aged, United Kingdom epidemiology, Prospective Studies, Heart diagnostic imaging, Adult, Environmental Exposure adverse effects, Aircraft, Noise, Transportation adverse effects, Magnetic Resonance Imaging, Cine methods
- Abstract
Background: Aircraft noise is a growing concern for communities living near airports., Objectives: This study aimed to explore the impact of aircraft noise on heart structure and function., Methods: Nighttime aircraft noise levels (L
night ) and weighted 24-hour day-evening-night aircraft noise levels (Lden ) were provided by the UK Civil Aviation Authority for 2011. Health data came from UK Biobank (UKB) participants living near 4 UK major airports (London Heathrow, London Gatwick, Manchester, and Birmingham) who had cardiovascular magnetic resonance (CMR) imaging starting from 2014 and self-reported no hearing difficulties. Generalized linear models investigated the associations between aircraft noise exposure and CMR metrics (derived using a validated convolutional neural network to ensure consistent image segmentations), after adjustment for demographic, socioeconomic, lifestyle, and environmental confounders. Mediation by cardiovascular risk factors was also explored. Downstream associations between CMR metrics and major adverse cardiac events (MACE) were tested in a separate prospective UKB subcohort (n = 21,360), to understand the potential clinical impact of any noise-associated heart remodeling., Results: Of the 3,635 UKB participants included, 3% experienced higher Lnight (≥45 dB) and 8% higher Lden (≥50 dB). Participants exposed to higher Lnight had 7% (95% CI: 4%-10%) greater left ventricular (LV) mass and 4% (95% CI: 2%-5%) thicker LV walls with a normal septal-to-lateral wall thickness ratio. This concentric LV remodeling is relevant because a 7% greater LV mass associates with a 32% greater risk of MACE. They also had worse LV myocardial dynamics (eg, an 8% [95% CI: 4%-12%] lower global circumferential strain which associates with a 27% higher risk of MACE). Overall, a hypothetical individual experiencing the typical CMR abnormalities associated with a higher Lnight exposure may have a 4 times higher risk of MACE. Findings were clearest for Lnight but were broadly similar in analyses using Lden . Body mass index and hypertension appeared to mediate 10% to 50% of the observed associations. Participants who did not move home during follow-up and were continuously exposed to higher aircraft noise levels had the worst CMR phenotype., Conclusions: Higher aircraft noise exposure associates with adverse LV remodeling, potentially due to noise increasing the risk of obesity and hypertension. Findings are consistent with the existing literature on aircraft noise and cardiovascular disease, and need to be considered by policymakers and the aviation industry., Competing Interests: Funding Support and Author Disclosures This project was funded by the Medical Research Council (MRC) ANCO (Aircraft Noise and Cardiovascular Outcomes) study grant (principal investigator: Dr Hansell). Dr Topriceanu was supported by a British Cardiovascular Society Heart Research UK Fellowship and by a University College London (UCL) Charlotte and Yule Bogue Research Fellowship. Dr Captur was supported by the British Heart Foundation (MyoFit46 Special Programme Grant SP/20/2/34841), a National Institute for Health and Care Research (NIHR) iFAST grant (187075), and by the NIHR UCL Hospitals Biomedical Research Centre. Drs Hansell, Gulliver, and Gong were funded by the NIHR Health Protection Research Unit in Environmental Exposures and Health at the University of Leicester development award, a partnership between the UK Health Security Agency, the Health and Safety Executive, and the University of Leicester. Dr Hansell was funded by the NIHR Leicester Biomedical Research Centre. Dr Blangiardo was partially supported by the MRC Centre for Environment and Health funded by the UK Medical Research Council (grant no. MR/L01341X/1). Dr Hughes was supported by the British Heart Foundation, the Horizon 2020 and Horizon Europe Programmes of the European Union, the NIHR UCL Hospitals Biomedical Research Centre, the UK Medical Research Council, the NIHR, and the Wellcome Trust, and works in a unit that receives support from the UK Medical Research Council. None of the funders were involved in the study design, collection, analysis, interpretation of the data, or decision to submit the article for publication. The views expressed in this publication are those of the authors and not necessarily those of the funders. All other have reported that they have no relationships relevant to the contents of this paper to disclose., (Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.)- Published
- 2025
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