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Exposure to traffic pollution is related to daytime sleepiness and habitual snoring: Results from the RHINE study

Ane Johannessen, Randi Bertelsen, Francisco Gomez Real, Torben Sigsgaard, Karl A. Franklin, Eva Lindberg, Christer Janson, Erna Sif Arnardottir, Johan Hellgren, Bryndis Benediktsdottir, Bertil Forsberg, Thorarinn Gislason
European Respiratory Journal 2016 48: PA4922; DOI: 10.1183/13993003.congress-2016.PA4922
Ane Johannessen
1Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
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Randi Bertelsen
1Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
2Institute of Clinical Medicine, University of Bergen, Bergen, Norway
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Francisco Gomez Real
2Institute of Clinical Medicine, University of Bergen, Bergen, Norway
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Torben Sigsgaard
3Department of Public Health, Aarhus University, Aarhus, Denmark
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Karl A. Franklin
4Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden
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Eva Lindberg
5Department of Medical Sciences, Respiratory-, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
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Christer Janson
5Department of Medical Sciences, Respiratory-, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
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Erna Sif Arnardottir
6Faculty of Medicine, University of Iceland, Reykjavik, Iceland
7Department of Respiratory Medicine and Sleep, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland
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Johan Hellgren
8Institute of Clinical Science, University of Gothenburg, Gothenburg, Sweden
9Department of Otorhinolaryngology, Head & Neck Surgery, Sahlgrenska Academy, Gothenburg, Sweden
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Bryndis Benediktsdottir
6Faculty of Medicine, University of Iceland, Reykjavik, Iceland
7Department of Respiratory Medicine and Sleep, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland
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Bertil Forsberg
10Department of Public Health and Clinical Medicine/Environmental Medicine, Umeå University, Umeå, Sweden
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Thorarinn Gislason
6Faculty of Medicine, University of Iceland, Reykjavik, Iceland
7Department of Respiratory Medicine and Sleep, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland
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Abstract

We aimed to examine associations between self-reported exposure to traffic and habitual snoring/daytime sleepiness in a general population.

In the RHINE III study, 12,184 adults answered questions on sleep disturbances and traffic exposure. We analyzed bedroom near road with traffic, bedroom with traffic noise, and traveling more than 60 minutes/day along busy roads as proxies for traffic exposures, using logistic regression. Adjustment factors were study center, gender, age, smoking habits, educational level, body mass index, physical activity, obstructive sleep apnea and sleep duration.

Ten % lived near a busy road, 6% slept in bedroom with traffic noise, and 11% travelled along busy roads more than 60 minutes/day. Habitual snoring affected 25% and daytime sleepiness 21%. Daytime sleepiness but not habitual snoring increased with increasing pollution exposure (Medium exposure: bedroom or outdoor exposure, but not both. High exposure: both bedroom and outdoor exposure). Bedroom with traffic noise was associated with snoring (adjusted OR 1.29, [95% CI 1.12, 1.48]). For daytime sleepiness, bedroom with traffic noise and high level of exposure to traffic pollution were significant risk factors (adjusted ORs 1.46 [1.11, 1.92] and 1.65 [1.11, 2.45]).

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To conclude, daytime sleepiness is associated with traffic pollution and traffic noise, while habitual snoring is only associated with traffic noise.

  • Air pollution
  • Environment
  • Epidemiology
  • Copyright ©the authors 2016
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Exposure to traffic pollution is related to daytime sleepiness and habitual snoring: Results from the RHINE study
Ane Johannessen, Randi Bertelsen, Francisco Gomez Real, Torben Sigsgaard, Karl A. Franklin, Eva Lindberg, Christer Janson, Erna Sif Arnardottir, Johan Hellgren, Bryndis Benediktsdottir, Bertil Forsberg, Thorarinn Gislason
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4922; DOI: 10.1183/13993003.congress-2016.PA4922

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Exposure to traffic pollution is related to daytime sleepiness and habitual snoring: Results from the RHINE study
Ane Johannessen, Randi Bertelsen, Francisco Gomez Real, Torben Sigsgaard, Karl A. Franklin, Eva Lindberg, Christer Janson, Erna Sif Arnardottir, Johan Hellgren, Bryndis Benediktsdottir, Bertil Forsberg, Thorarinn Gislason
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4922; DOI: 10.1183/13993003.congress-2016.PA4922
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