Elsevier

Sleep Medicine Reviews

Volume 11, Issue 2, April 2007, Pages 135-142
Sleep Medicine Reviews

CLINICAL REVIEW
Environmental noise, sleep and health

https://doi.org/10.1016/j.smrv.2006.09.001Get rights and content

Summary

Unlike other physical ambient factors (i.e. electromagnetic fields or air pollutants), noise is perceived by a specific system (auditory system) in humans. It is therefore a phenomenon that is sensed and evaluated by everybody, and this is why exposure to noise is one of the most, if not the most, frequent complaints of populations living in large cities. In these areas and their surroundings, the sources of noise most frequently cited are traffic, followed by neighbourhood noises and aircraft noises. Sleep is a physiological state that needs its integrity to allow the living organism to recuperate normally. It seems to be sensitive to environmental factors that can interrupt it or reduce its amount. Ambient noise, for example, is external stimuli that are still processed by the sleeper sensory functions, despite a non-conscious perception of their presence. Over the past 30 years, research into environmental noise and sleep has focused on different situations and environments, and therefore the findings are variable. However, it still seems necessary for some fundamental questions to be answered on whether environmental noise has long-term detrimental effects on health and quality of life and, if so, what these effects are for night-time, noise-exposed populations.

Section snippets

Sound and noise

Sound is produced by any mechanical movement and is propagated as a motion wave through the air or any other material. Therefore, sound is defined by its mechanical energy and is measured in energy-related units. Sound pressure proportional to the square of sound intensity (W/m2) is expressed in Pascal units (Pa), whereas sound pressure level is expressed in decibel units (dB) on a logarithmic scale, owing to the wide range covered.

Sound evokes physiological signals in the auditory system

Noise in the environment

Noise is a phenomenon that affects everybody. We are constantly exposed to noise during our everyday life. Within our environment, there are different sources of noise, but they generally depend on our activity, location, and the time of day.

Transportation noise represents a large majority of external noise affecting people in large cities and their surroundings. Road traffic noise is mostly noise generated by the engine of the vehicle, but noise produced by frictional contact between the

Sleep disturbance due to noise

Sleep disturbance is part of the extra-auditory effects of noise (Fig. 1). The input to the auditory area of the brain through the auditory pathways is prolonged by inputs reaching both the brain cortical area and the descending pathways of the autonomic functions. Thus, the sleeping body still responds to stimuli coming from the environment, although the noise sensitivity of the sleeper depends on several factors. Some of these factors are noise dependent, such as the type of noise (e.g.

Secondary effects of the sleep disturbance due to noise

The secondary effects of night-time noise exposure can be separated into subjective reports of sleep disturbances and objective effects on daytime functioning.

Physiological sensitivity to noise

The noise physiological sensitivity depends also on the age of the sleeper. Although electroencephalogram (EEG) modifications and awakening thresholds are, on average, 10 dB(A) higher in children than in adults, their cardiovascular sensitivity to noise is similar to, if not higher than, older people.21 Elderly people complain much more than younger adults about environmental noise. However, their spontaneous awakenings during sleep are also much more numerous. Therefore, it is difficult to

Possible health effects of noise-disturbed sleep

From a public health perspective, it is necessary to be able to link sleep disturbance from noise exposure with long-term health effects. Of course, these effects depend on the magnitude and the repetition of sleep disturbance. To be awakened when engaged in a quiet and comfortable universe full of sweet dreams is, per se, a real aggression that only few sleepers may appreciate. However, it is much more through the reduction of daytime quality of life that sleep disturbance can be evaluated.

Conclusion

Sleep is a physiological state that needs its integrity to allow for normal recuperation of the living organism. Its reduction or disruption is detrimental in the long term, as chronic partial sleep deprivation induces marked tiredness, increases low vigilance state and reduces daytime performance and quality of life. Sleep seems to be fairly sensitive to environmental factors, and, specifically, to ambient noise, as external stimuli are still processed by the sleeper sensory functions, despite

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