Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study

Background Pediatric hypertension is linked to environmental factors like neighborhood noise disrupting sleep, which is crucial for health. The specific interaction between noise and sleep health in causing hypertension still needs to be explored. Methods and Results We analyzed data from 3320 parti...

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Main Authors: Augusto César F. De Moraes, Martin Y. Ma, Marcus V. Nascimento‐Ferreira, Ethan H. Hunt, Deanna M. Hoelscher
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.037503
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author Augusto César F. De Moraes
Martin Y. Ma
Marcus V. Nascimento‐Ferreira
Ethan H. Hunt
Deanna M. Hoelscher
author_facet Augusto César F. De Moraes
Martin Y. Ma
Marcus V. Nascimento‐Ferreira
Ethan H. Hunt
Deanna M. Hoelscher
author_sort Augusto César F. De Moraes
collection DOAJ
description Background Pediatric hypertension is linked to environmental factors like neighborhood noise disrupting sleep, which is crucial for health. The specific interaction between noise and sleep health in causing hypertension still needs to be explored. Methods and Results We analyzed data from 3320 participants of the ABCD (Adolescent Brain Cognitive Development) study, recruited across 21 US cities and monitored from 2018 to 2020 through 2020 to 2022. Participants with complete data on Fitbit‐tracked sleep, blood pressure, height, neighborhood noise, and covariates (biological sex, race and ethnicity, pubertal stage, waist circumference) were included. Hypertension was defined as average blood pressure ≥95th percentile for age, sex, and height. Sleep health was categorized on the basis of daily duration: healthy (9–12 hours), moderately healthy (±1 hour from optimal), and low (≥1 hour deviation). Noise exposure was measured as median nighttime anthropogenic noise levels by zip code. The incidence of hypertension increased from 1.7% (95% CI, 1.4–2.1) in 2018 to 2020 to 2.9% (95% CI, 2.4–3.6) in 2020 to 2022. Adolescents with healthier sleep had a lower risk of developing hypertension (relative risk, 0.63 [95% CI, 0.25–0.82]), while no significant effects were found for neighborhood noise alone or in combination with sleep health. Conclusions Adequate sleep significantly reduces the risk of hypertension in adolescents, independent of environmental noise exposure. These findings underscore the importance of promoting good sleep hygiene among youth to mitigate hypertension risk.
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spelling doaj-art-b7d3c5ee57a7444ea0d6b729f1f0de7a2024-11-19T12:31:39ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-11-01132210.1161/JAHA.124.037503Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD StudyAugusto César F. De Moraes0Martin Y. Ma1Marcus V. Nascimento‐Ferreira2Ethan H. Hunt3Deanna M. Hoelscher4The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Michael & Susan Dell Center for Healthy Living, Texas Physical Activity Research Collaborative Austin TX USAThe University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Michael & Susan Dell Center for Healthy Living, Texas Physical Activity Research Collaborative Austin TX USAHealth, Physical Activity and Behavior Research (HEALTHY‐BRA) group Federal University of Tocantins, Miracema do Tocantins Miracema BrazilThe University of Texas Health Science Center at Houston School of Public Health in Austin, Department of Health Promotion and Behavioral Sciences, Michael & Susan Dell Center for Healthy Living Austin TX USAThe University of Texas Health Science Center at Houston School of Public Health in Austin, Department of Health Promotion and Behavioral Sciences, Michael & Susan Dell Center for Healthy Living Austin TX USABackground Pediatric hypertension is linked to environmental factors like neighborhood noise disrupting sleep, which is crucial for health. The specific interaction between noise and sleep health in causing hypertension still needs to be explored. Methods and Results We analyzed data from 3320 participants of the ABCD (Adolescent Brain Cognitive Development) study, recruited across 21 US cities and monitored from 2018 to 2020 through 2020 to 2022. Participants with complete data on Fitbit‐tracked sleep, blood pressure, height, neighborhood noise, and covariates (biological sex, race and ethnicity, pubertal stage, waist circumference) were included. Hypertension was defined as average blood pressure ≥95th percentile for age, sex, and height. Sleep health was categorized on the basis of daily duration: healthy (9–12 hours), moderately healthy (±1 hour from optimal), and low (≥1 hour deviation). Noise exposure was measured as median nighttime anthropogenic noise levels by zip code. The incidence of hypertension increased from 1.7% (95% CI, 1.4–2.1) in 2018 to 2020 to 2.9% (95% CI, 2.4–3.6) in 2020 to 2022. Adolescents with healthier sleep had a lower risk of developing hypertension (relative risk, 0.63 [95% CI, 0.25–0.82]), while no significant effects were found for neighborhood noise alone or in combination with sleep health. Conclusions Adequate sleep significantly reduces the risk of hypertension in adolescents, independent of environmental noise exposure. These findings underscore the importance of promoting good sleep hygiene among youth to mitigate hypertension risk.https://www.ahajournals.org/doi/10.1161/JAHA.124.037503adolescent healthenvironmental noisepediatric hypertensionpublic healthsleep health
spellingShingle Augusto César F. De Moraes
Martin Y. Ma
Marcus V. Nascimento‐Ferreira
Ethan H. Hunt
Deanna M. Hoelscher
Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
adolescent health
environmental noise
pediatric hypertension
public health
sleep health
title Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
title_full Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
title_fullStr Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
title_full_unstemmed Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
title_short Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study
title_sort impact of environmental noise and sleep health on pediatric hypertension incidence abcd study
topic adolescent health
environmental noise
pediatric hypertension
public health
sleep health
url https://www.ahajournals.org/doi/10.1161/JAHA.124.037503
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