Evidence map›Paper›PMID 40859126›Full record

SynthesisBMC cardiovascular disorders2025

The relationship between noise pollution and cardiovascular diseases: an umbrella review on meta-analyses.

Samira Tabaei, Sara Rashki Ghalenoo, Maryam Panahandeh, Gholamreza Bagheri, Seyedeh Samaneh Tabaee

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Samira TabaeiDepartment of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Sara Rashki GhalenooDepartment of Cardiology, Zabol University of Medical Sciences, Zabol, Iran.
Maryam PanahandehDepartment of Natural resources and Environment, Science and research branch, Islamic Azad University, Tehran, Iran.
Gholamreza BagheriZabol University of Medical Sciences, Zabol, Iran.
Seyedeh Samaneh TabaeeNoncommunicable Diseases Research Center, Faculty of Medicine, Neyshabur University of Medical Sciences, Neyshabur, Iran. tabaeeseyedehsamaneh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease (CVD) is a global health concern, with established risk factors like smoking, hypertension (HTN), diabetes, and dyslipidemia. Emerging evidence suggests that environmental noise resulting from urbanization and industrialization may contribute to CVD. A comprehensive assessment of existing research is needed to understand the role of environmental noise in cardiovascular health. Following PRISMA guidelines, we conducted a comprehensive literature search across PubMed, Scopus, and Web of Science from inception to 8 May 2025, identifying relevant meta-analyses with specific inclusion and exclusion criteria. Data extraction encompassed study characteristics, exposure-outcome details, and effect estimates. Methodological quality was assessed using the GRADE framework. In our umbrella review of 20 studies, we found that noise pollution is associated with an increased risk of HTN (RR 1.81, 95% CI: 1.51-2.18), atrial fibrillation (RR 1.05, 95% CI: 1.02-1.09), coronary heart disease (RR 1.08, 95% CI: 1.04-1.13), and ischemic heart disease (RR 1.06, 95% CI: 1.03-1.09) per 10-decibel (dB) increase in noise exposure. The exposure-response relationship indicated effects at lower noise levels (50 dB). However, noise exposure did not significantly impact myocardial infarctions (RR 1.02, 95% CI: 1.00-1.05), ischemic heart disease mortality (RR 1.03, 95% CI: 0.99-1.08), or cardiovascular mortality (RR 1.01, 95% CI: 0.98-1.05). We also observed an elevated risk of stroke (RR 1.04, 95% CI: 1.00-1.08) and stroke mortality (RR 1.05, 95% CI: 0.97-1.14). Blood pressure dysregulations (RR 2.55, 95% CI: 1.94-3.36) and ECG abnormalities (RR 2.27, 95% CI: 1.96-2.62) were substantially higher in individuals exposed to noise. Our umbrella review strongly suggests noise exposure as a significant potential risk factor for CVD. The substantial evidence and consistent effect sizes found in our analysis underscore the crucial importance of recognizing noise pollution as a substantial contributor to CVD. With urbanization and industrialization driving increased noise levels, understanding this link is of paramount importance for public health and future research.

Indexed as

Cardiovascular DiseasesEnvironmental ExposureNoiseAgedFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedRisk AssessmentRisk FactorsCardiovascular diseasesHypertensionNoiseReviewUmbrella review

Identifiers

PMID40859126
PMCPMC12379546

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.