{"title":"Effects of Occupational Noise Exposure on Disease Control and Psychological Status in Patients with Diabetic Nephropathy.","authors":"Xue Zhou, Ting Guo, Liangfeng Lin","doi":"10.4103/nah.nah_181_24","DOIUrl":null,"url":null,"abstract":"<p><p>Objective To investigate the effects of occupational noise exposure on disease control and psychological status in patients with diabetic nephropathy.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 306 patients with diabetic nephropathy who visited the Second Affiliated Hospital of Fujian Medical University between January 2022 and January 2024. The patients were divided into two groups based on their occupational noise exposure level as follows: Group A (noise level ≥55 dB, 148 cases) and Group B (noise level <55 dB, 158 cases). The general information, noise exposure levels, glycaemic indicators [glycosylated haemoglobin (HbA1c), fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPG), glycated serum protein (GSP)], renal function indicators [blood urea nitrogen (BUN), urinary albumin excretion rate (UAER), serum creatinine (SCr), 24-hour urinary protein (24hUP)] and psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)] were compared between Groups A and B. Univariate analysis was performed using Pearson correlation analysis.</p><p><strong>Results: </strong>No significant differences were observed in age, gender and body mass index between the two groups (P > 0.05). However, glycaemic indicators such as HbA1c, FPG, PBG, GSP; renal function indicators such as BUN, UAER, SCr, 24hUP and psychological status (SAS and SDS scores) in Group A were significantly higher than those in Group B (P < 0.05). A significantly positive association was found between noise levels with SDS score (r = 0.321), FPG (r = 0.320) and UAER level (r = 0.405) (P < 0.001).</p><p><strong>Conclusion: </strong>This study reveals that occupational noise exposure negatively impacts disease control and psychological status in patients with diabetic nephropathy. Therefore, focusing on noise control in clinical practice is essential.</p>","PeriodicalId":19195,"journal":{"name":"Noise & Health","volume":"27 125","pages":"128-134"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063945/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Noise & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/nah.nah_181_24","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective To investigate the effects of occupational noise exposure on disease control and psychological status in patients with diabetic nephropathy.
Methods: A cross-sectional study was conducted on 306 patients with diabetic nephropathy who visited the Second Affiliated Hospital of Fujian Medical University between January 2022 and January 2024. The patients were divided into two groups based on their occupational noise exposure level as follows: Group A (noise level ≥55 dB, 148 cases) and Group B (noise level <55 dB, 158 cases). The general information, noise exposure levels, glycaemic indicators [glycosylated haemoglobin (HbA1c), fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPG), glycated serum protein (GSP)], renal function indicators [blood urea nitrogen (BUN), urinary albumin excretion rate (UAER), serum creatinine (SCr), 24-hour urinary protein (24hUP)] and psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)] were compared between Groups A and B. Univariate analysis was performed using Pearson correlation analysis.
Results: No significant differences were observed in age, gender and body mass index between the two groups (P > 0.05). However, glycaemic indicators such as HbA1c, FPG, PBG, GSP; renal function indicators such as BUN, UAER, SCr, 24hUP and psychological status (SAS and SDS scores) in Group A were significantly higher than those in Group B (P < 0.05). A significantly positive association was found between noise levels with SDS score (r = 0.321), FPG (r = 0.320) and UAER level (r = 0.405) (P < 0.001).
Conclusion: This study reveals that occupational noise exposure negatively impacts disease control and psychological status in patients with diabetic nephropathy. Therefore, focusing on noise control in clinical practice is essential.
Noise & HealthAUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
审稿时长
6-12 weeks
期刊介绍:
Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.