抑郁症状会改变噪音与脂肪生物标志物之间的关联：来自捷克成年人人群研究的证据

IF 4.5 2区医学 Q1 INFECTIOUS DISEASES

International journal of hygiene and environmental health Pub Date : 2024-10-16 DOI:10.1016/j.ijheh.2024.114481

Anna Bartoskova Polcrova , Andrea Dalecka , Katarzyna Kordas , Daniel Szabo , Juan Pablo Gonzalez Rivas , Martin Bobak , Hynek Pikhart

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引用次数: 0

摘要

目标环境噪声暴露与肥胖有关。然而，人们对个人易受环境噪声影响而导致异常肥胖的情况知之甚少，尤其是与心理健康有关的情况。本研究调查了环境噪声暴露与四种脂肪生物标志物之间的关系，并测试了抑郁症状的调节作用。方法从 2013 年的 Kardiovize 研究中抽取了 2031 名年龄在 25-64 岁之间的横断面人群样本（54.70% 为女性）。全球综合（公路、铁路和机场）Lden（白天-傍晚-夜间）噪声暴露量是从捷克共和国战略噪声绘图第二次报告（2012 年）的地理预测模型中获得的。对四种脂肪生物标志物（体重指数、体脂百分比、腰围和内脏脂肪面积）进行了评估。抑郁症状通过 PHQ-9 测量。采用线性回归法估算噪声暴露和抑郁症状的四分位数对脂肪生物标志物的不同影响，并研究噪声暴露和抑郁症状之间的交互作用。与最低四分位数（51 分贝）相比，噪音暴露最高四分位数（56 分贝）的所有生物标志物都明显升高（P 0.05）。噪声与脂肪生物标志物之间的关系因抑郁症状的存在而改变；在有中度至重度抑郁症状的受试者中，噪声最高四分位数的所有脂肪生物标志物的增加幅度都明显更大（p <0.005）。该研究证实了环境噪声暴露与几种脂肪测量指标之间的关系。

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Depressive symptoms modify the association between noise and adiposity biomarkers: Evidence from a population study of Czech adults

Objective

Environmental noise exposure is associated with adiposity. However, less is known about the individual vulnerability to environmental noise in abnormal adiposity development, particularly in relation to mental health. This study investigated the association between environmental noise exposure and four adiposity biomarkers and tested the moderation effect of depressive symptoms.

Methods

A cross-sectional population-based sample of 2031 participants aged 25–64 years (54.70% women) was drawn from the Kardiovize study in 2013. Global combined (road, railway, and airport) L_den (day-evening-night) noise exposures were obtained from the geographical prediction modelling for the 2nd report of Strategic noise mapping in the Czech Republic (2012). Four adiposity biomarkers (BMI, body fat percentage, waist circumference, and visceral fat area) were assessed. Depressive symptoms were measured by PHQ-9. Linear regression was used to estimate the separate effects of quartiles of noise exposure and depressive symptoms on adiposity biomarkers and to examine the interaction between noise exposure and depressive symptoms.

Results

The average noise exposure was 53.79 dB, ranging from 42.50 dB to 66.97 dB. All biomarkers were significantly elevated in the highest noise exposure quartile (>56 dB), compared to the lowest quartile (<51 dB) (p < 0.05). The association between noise and adiposity biomarkers was modified by presence of depressive symptoms; the increase in all adiposity biomarkers in the highest quartile of noise was significantly larger among subjects with moderate to severe depressive symptoms (p < 0.005).

Conclusion

The study confirmed the association between environmental noise exposure and several adiposity measures. The association was stronger in the presence of depressive symptoms.

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来源期刊

International journal of hygiene and environmental health 医学-传染病学

CiteScore

11.50

自引率

5.00%

发文量

151

审稿时长

22 days

期刊介绍： The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.