Practical guidance for risk assessment of traffic noise effects on sleep

Abstract Environmental noise disturbs sleep and may impair well-being, performance and health. The European Union Directive 2002/49/EC (END) requires member states to generate noise maps and action plans to mitigate traffic noise effects on the population. However, practical guidance for the generation of action plans, i.e. for assessing the effects of traffic noise on sleep, is missing. Based on the current literature, we provide guidance on hazard identification, exposure assessment, exposure–response relationships and risk estimation: there is currently no consensus on both exposure and outcome variables that describe traffic noise effects on sleep most adequately. END suggests the equivalent noise level L night as the primary exposure variable, and our own simulations of single nights with up to 200 noise events based on a field study on the effects of aircraft noise on sleep support using expert consensus L night ranges ( 55 dB) for risk assessment. However, the precision of risk assessment may be considerably improved by adding information on the number of noise events contributing to L night . The calculation of L night should be extended to the shoulder hours of the day if traffic is busy during these periods. More data are needed on the combined effects of different traffic modes.

[1]  Mathias Basner,et al.  Event-related awakenings caused by nocturnal transportation noise. , 2008 .

[2]  T. Young,et al.  Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Coun , 2008, Journal of the American College of Cardiology.

[3]  L A Reyner,et al.  A field study of sleep disturbance: effects of aircraft noise and other factors on 5,742 nights of actimetrically monitored sleep in a large subject sample. , 1994, Sleep.

[4]  Mathias Basner,et al.  Autonomic arousals related to traffic noise during sleep. , 2008, Sleep.

[5]  D. Dinges,et al.  Behavioral and physiological consequences of sleep restriction. , 2007, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[6]  A. Rechtschaffen,et al.  A manual of standardized terminology, technique and scoring system for sleep stages of human subjects , 1968 .

[7]  Mathias Basner,et al.  Nocturnal aircraft noise exposure increases objectively assessed daytime sleepiness , 2008 .

[8]  A. M. Taylor,et al.  Discriminative responses to stimulation during human sleep. , 1960, Brain : a journal of neurology.

[9]  J. Born,et al.  Sleep inspires insight , 2004, Nature.

[10]  E. Greiser,et al.  Night-time aircraft noise increases prevalence of prescriptions of antihypertensive and cardiovascular drugs irrespective of social class—the Cologne-Bonn Airport study , 2007, Journal of Public Health.

[11]  E. Öhrström,et al.  Effects of road traffic noise on sleep: Studies on children and adults , 2006 .

[12]  Adelaide M. Arruda-Olson,et al.  Sleep Apnea and Cardiovascular Disease , 2003, Herz.

[13]  S. Drummond,et al.  The effects of one night of sleep deprivation on known‐risk and ambiguous‐risk decisions , 2007, Journal of sleep research.

[14]  F. Speizer,et al.  Extended work shifts and the risk of motor vehicle crashes among interns. , 2005, The New England journal of medicine.

[15]  Wei-Ting Hwang,et al.  The relationship between nurse work schedules, sleep duration, and drowsy driving. , 2007, Sleep.

[16]  R. Stickgold Sleep-dependent memory consolidation , 2005, Nature.

[17]  Adrian J. Ecker,et al.  Effects of night work, sleep loss and time on task on simulated threat detection performance. , 2008, Sleep.

[18]  Ross Pigeau,et al.  Heart rate activation during spontaneous arousals from sleep: effect of sleep deprivation , 2004, Clinical Neurophysiology.

[19]  K. Dimakopoulou,et al.  Hypertension and Exposure to Noise Near Airports: the HYENA Study , 2007, Environmental health perspectives.

[20]  A. Samel,et al.  Extrinsische Schlafstörungen und Lärmwirkungen , 2005 .

[21]  A. Walters,et al.  The scoring of arousal in sleep: reliability, validity, and alternatives. , 2007, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[22]  Mathias Basner,et al.  Schlafphysiologische Bewertung nächtlicher Flugbetriebsbeschränkungen vor dem Hintergrund aktueller Urteile des Bundesverwaltungsgerichts , 2007 .

[23]  Uta Meier,et al.  Das Schlafverhalten der deutschen Bevölkerung—eine repräsentative Studie , 2004 .

[24]  M. Basner,et al.  Annoyance from nocturnal aircraft noise exposure: Laboratory and field-specific dose–response curves , 2006 .

[25]  A. Chesson,et al.  The American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications , 2007 .

[26]  Wolfgang Babisch,et al.  Transportation noise and cardiovascular risk , 2006 .

[27]  Mathias Basner,et al.  Effects of nocturnal aircraft noise on sleep structure , 2005 .

[28]  Barbara Griefahn,et al.  Noise emitted from road, rail and air traffic and their effects on sleep , 2006 .

[29]  Mathias Basner,et al.  Single and combined effects of air, road and rail traffic noise on sleep , 2006 .

[30]  Mathias Basner,et al.  An ECG-based algorithm for the automatic identification of autonomic activations associated with cortical arousal. , 2007, Sleep.

[31]  Thomas Penzel,et al.  Aircraft noise: effects on macro- and microstructure of sleep. , 2008, Sleep medicine.

[32]  Robert L. Miller,et al.  Federal Interagency Committee on Aviation Noise: 1994 Annual Report. , 1997 .

[33]  D. Dinges,et al.  The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. , 2003, Sleep.

[34]  Mathias Basner,et al.  Aircraft noise effects on sleep: application of the results of a large polysomnographic field study. , 2006, The Journal of the Acoustical Society of America.

[35]  Mathias Basner,et al.  Markov Processes for the Prediction of Aircraft Noise Effects on Sleep , 2010, Medical decision making : an international journal of the Society for Medical Decision Making.