Long-term exposure to wind turbine noise and redemption of antihypertensive medication

A nationwide cohort study

Aslak H. Poulsen, Ole Raaschou-Nielsen, Alfredo Peña, Andrea N. Hahmann, Rikke Baastrup Nordsborg, Matthias Ketzel, Jørgen Brandt, Mette Sørensen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Noise from wind turbines (WTs) has been reported more annoying than traffic noise at similar levels, and concerns have been raised about whether WT noise (WTN) can increase risk for cardiovascular disease. We aimed to investigate if long-term exposure to WTN increases risk for hypertension, estimated as redemption of prescriptions for antihypertensive drugs. We identified all Danish dwellings within a radius of 20 WT heights from a WT and 25% randomly selected dwellings within 20–40 WT heights radius. Using data on WT type and hourly wind conditions at each WT, we estimated hourly outdoor (10–10,000 Hz) and low frequency (LF: 10–160 Hz) indoor WTN for all dwellings, and aggregated it as long-term nighttime running means. From nationwide registries, we identified 535,675 persons age 25–85 years living in these dwellings for >1 year from 1996 to 2013, of whom 83,729 fulfilled our case definition of redeeming ≥2 prescriptions and ≥180 defined daily doses of antihypertensive drugs within a year. Data were analyzed using Poisson regression according to categories of WTN exposure and adjustment for individual and area-level covariates. We found no associations between 5-year mean exposure to WTN during night and redemption of antihypertensives, with hazard ratios (HR) of 0.91 (95% confidence intervals (CI): 0.78–1.06) for outdoor WTN ≥ 42 dB(A) and of 1.06 (CI: 0.83–1.35) for indoor LF WTN ≥ 15 dB(A) when compared to the reference WTN levels (<24 dB(A) and <5 dB(A), respectively). The lack of association was consistent across sub-populations of people living on farms, far from major roads and with high validity of the noise estimate. For people younger than 65 years we found HRs of 0.81 (95% CI: 0.67–0.98) and 0.94 (95% CI: 0.68–1.30) for outdoor WTN ≥ 42 dB(A) and indoor WTN ≥ 15 dB(A), respectively, whereas for people above 65 years the corresponding HRs were 1.17 (95% CI: 0.90–1.52) and 1.28 (95% CI: 0.87–1.88). In conclusion, the present study does not support an association between WTN and redemption of antihypertensive medication.
OriginalsprogEngelsk
TidsskriftEnvironment International
Vol/bind121
Udgave nummer1
Sider (fra-til)204-215
ISSN0160-4120
DOI
StatusUdgivet - 2018

Citer dette

Poulsen, A. H., Raaschou-Nielsen, O., Peña, A., Hahmann, A. N., Nordsborg, R. B., Ketzel, M., ... Sørensen, M. (2018). Long-term exposure to wind turbine noise and redemption of antihypertensive medication: A nationwide cohort study. Environment International, 121(1), 204-215. https://doi.org/10.1016/j.envint.2018.08.054
Poulsen, Aslak H. ; Raaschou-Nielsen, Ole ; Peña, Alfredo ; Hahmann, Andrea N. ; Nordsborg, Rikke Baastrup ; Ketzel, Matthias ; Brandt, Jørgen ; Sørensen, Mette. / Long-term exposure to wind turbine noise and redemption of antihypertensive medication : A nationwide cohort study. I: Environment International. 2018 ; Bind 121, Nr. 1. s. 204-215.
@article{5caa0994c7304a998fb7955c6bc8ac79,
title = "Long-term exposure to wind turbine noise and redemption of antihypertensive medication: A nationwide cohort study",
abstract = "Noise from wind turbines (WTs) has been reported more annoying than traffic noise at similar levels, and concerns have been raised about whether WT noise (WTN) can increase risk for cardiovascular disease. We aimed to investigate if long-term exposure to WTN increases risk for hypertension, estimated as redemption of prescriptions for antihypertensive drugs. We identified all Danish dwellings within a radius of 20 WT heights from a WT and 25{\%} randomly selected dwellings within 20–40 WT heights radius. Using data on WT type and hourly wind conditions at each WT, we estimated hourly outdoor (10–10,000 Hz) and low frequency (LF: 10–160 Hz) indoor WTN for all dwellings, and aggregated it as long-term nighttime running means. From nationwide registries, we identified 535,675 persons age 25–85 years living in these dwellings for >1 year from 1996 to 2013, of whom 83,729 fulfilled our case definition of redeeming ≥2 prescriptions and ≥180 defined daily doses of antihypertensive drugs within a year. Data were analyzed using Poisson regression according to categories of WTN exposure and adjustment for individual and area-level covariates. We found no associations between 5-year mean exposure to WTN during night and redemption of antihypertensives, with hazard ratios (HR) of 0.91 (95{\%} confidence intervals (CI): 0.78–1.06) for outdoor WTN ≥ 42 dB(A) and of 1.06 (CI: 0.83–1.35) for indoor LF WTN ≥ 15 dB(A) when compared to the reference WTN levels (<24 dB(A) and <5 dB(A), respectively). The lack of association was consistent across sub-populations of people living on farms, far from major roads and with high validity of the noise estimate. For people younger than 65 years we found HRs of 0.81 (95{\%} CI: 0.67–0.98) and 0.94 (95{\%} CI: 0.68–1.30) for outdoor WTN ≥ 42 dB(A) and indoor WTN ≥ 15 dB(A), respectively, whereas for people above 65 years the corresponding HRs were 1.17 (95{\%} CI: 0.90–1.52) and 1.28 (95{\%} CI: 0.87–1.88). In conclusion, the present study does not support an association between WTN and redemption of antihypertensive medication.",
author = "Poulsen, {Aslak H.} and Ole Raaschou-Nielsen and Alfredo Pe{\~n}a and Hahmann, {Andrea N.} and Nordsborg, {Rikke Baastrup} and Matthias Ketzel and J{\o}rgen Brandt and Mette S{\o}rensen",
year = "2018",
doi = "10.1016/j.envint.2018.08.054",
language = "English",
volume = "121",
pages = "204--215",
journal = "Environment International",
issn = "0160-4120",
publisher = "Pergamon Press",
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}

Poulsen, AH, Raaschou-Nielsen, O, Peña, A, Hahmann, AN, Nordsborg, RB, Ketzel, M, Brandt, J & Sørensen, M 2018, 'Long-term exposure to wind turbine noise and redemption of antihypertensive medication: A nationwide cohort study', Environment International, bind 121, nr. 1, s. 204-215. https://doi.org/10.1016/j.envint.2018.08.054

Long-term exposure to wind turbine noise and redemption of antihypertensive medication : A nationwide cohort study. / Poulsen, Aslak H.; Raaschou-Nielsen, Ole; Peña, Alfredo; Hahmann, Andrea N.; Nordsborg, Rikke Baastrup; Ketzel, Matthias; Brandt, Jørgen; Sørensen, Mette.

I: Environment International, Bind 121, Nr. 1, 2018, s. 204-215.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Long-term exposure to wind turbine noise and redemption of antihypertensive medication

T2 - A nationwide cohort study

AU - Poulsen, Aslak H.

AU - Raaschou-Nielsen, Ole

AU - Peña, Alfredo

AU - Hahmann, Andrea N.

AU - Nordsborg, Rikke Baastrup

AU - Ketzel, Matthias

AU - Brandt, Jørgen

AU - Sørensen, Mette

PY - 2018

Y1 - 2018

N2 - Noise from wind turbines (WTs) has been reported more annoying than traffic noise at similar levels, and concerns have been raised about whether WT noise (WTN) can increase risk for cardiovascular disease. We aimed to investigate if long-term exposure to WTN increases risk for hypertension, estimated as redemption of prescriptions for antihypertensive drugs. We identified all Danish dwellings within a radius of 20 WT heights from a WT and 25% randomly selected dwellings within 20–40 WT heights radius. Using data on WT type and hourly wind conditions at each WT, we estimated hourly outdoor (10–10,000 Hz) and low frequency (LF: 10–160 Hz) indoor WTN for all dwellings, and aggregated it as long-term nighttime running means. From nationwide registries, we identified 535,675 persons age 25–85 years living in these dwellings for >1 year from 1996 to 2013, of whom 83,729 fulfilled our case definition of redeeming ≥2 prescriptions and ≥180 defined daily doses of antihypertensive drugs within a year. Data were analyzed using Poisson regression according to categories of WTN exposure and adjustment for individual and area-level covariates. We found no associations between 5-year mean exposure to WTN during night and redemption of antihypertensives, with hazard ratios (HR) of 0.91 (95% confidence intervals (CI): 0.78–1.06) for outdoor WTN ≥ 42 dB(A) and of 1.06 (CI: 0.83–1.35) for indoor LF WTN ≥ 15 dB(A) when compared to the reference WTN levels (<24 dB(A) and <5 dB(A), respectively). The lack of association was consistent across sub-populations of people living on farms, far from major roads and with high validity of the noise estimate. For people younger than 65 years we found HRs of 0.81 (95% CI: 0.67–0.98) and 0.94 (95% CI: 0.68–1.30) for outdoor WTN ≥ 42 dB(A) and indoor WTN ≥ 15 dB(A), respectively, whereas for people above 65 years the corresponding HRs were 1.17 (95% CI: 0.90–1.52) and 1.28 (95% CI: 0.87–1.88). In conclusion, the present study does not support an association between WTN and redemption of antihypertensive medication.

AB - Noise from wind turbines (WTs) has been reported more annoying than traffic noise at similar levels, and concerns have been raised about whether WT noise (WTN) can increase risk for cardiovascular disease. We aimed to investigate if long-term exposure to WTN increases risk for hypertension, estimated as redemption of prescriptions for antihypertensive drugs. We identified all Danish dwellings within a radius of 20 WT heights from a WT and 25% randomly selected dwellings within 20–40 WT heights radius. Using data on WT type and hourly wind conditions at each WT, we estimated hourly outdoor (10–10,000 Hz) and low frequency (LF: 10–160 Hz) indoor WTN for all dwellings, and aggregated it as long-term nighttime running means. From nationwide registries, we identified 535,675 persons age 25–85 years living in these dwellings for >1 year from 1996 to 2013, of whom 83,729 fulfilled our case definition of redeeming ≥2 prescriptions and ≥180 defined daily doses of antihypertensive drugs within a year. Data were analyzed using Poisson regression according to categories of WTN exposure and adjustment for individual and area-level covariates. We found no associations between 5-year mean exposure to WTN during night and redemption of antihypertensives, with hazard ratios (HR) of 0.91 (95% confidence intervals (CI): 0.78–1.06) for outdoor WTN ≥ 42 dB(A) and of 1.06 (CI: 0.83–1.35) for indoor LF WTN ≥ 15 dB(A) when compared to the reference WTN levels (<24 dB(A) and <5 dB(A), respectively). The lack of association was consistent across sub-populations of people living on farms, far from major roads and with high validity of the noise estimate. For people younger than 65 years we found HRs of 0.81 (95% CI: 0.67–0.98) and 0.94 (95% CI: 0.68–1.30) for outdoor WTN ≥ 42 dB(A) and indoor WTN ≥ 15 dB(A), respectively, whereas for people above 65 years the corresponding HRs were 1.17 (95% CI: 0.90–1.52) and 1.28 (95% CI: 0.87–1.88). In conclusion, the present study does not support an association between WTN and redemption of antihypertensive medication.

U2 - 10.1016/j.envint.2018.08.054

DO - 10.1016/j.envint.2018.08.054

M3 - Journal article

VL - 121

SP - 204

EP - 215

JO - Environment International

JF - Environment International

SN - 0160-4120

IS - 1

ER -