Vol.4, No 1, 1997 pp. 57 - 61
UC 613.64; 613.62
CUMULATIVE EFFECTS OF COMMUNAL AND INDUSTRIAL NOISE ON CARDIOVASCULAR SYSTEM
Jovica Jovanović, Vladimir Popović, Zoran Milošević, Milan Jovanović
Institute for Occupational Health, Public Health Centre, Clinic of Surgery,University School of Medicine, Niš, Yugoslavia

Summary. The aim of the present study was to assess the cumulative effects of communal and industrial noise on blood pressure, blood lipid fractions and coronary artery disease in workers exposed to noise in working and living environment.
The studied group included 180 workers employed in metal industry exposed to industrial noise levels exceeding 80dB and to communal noise levels exceeding 70dB. The control group consisted od 90 workers that have never worked or lived in  a noisy environment. The studied and control group are similar with regard to factors other than noise exposure that can affect the cardiovascular system (sex, age, obesity, smoking habits, positive family history) These results indicate that communal and industrial noise could be possible contributing factors in the development of arterial hypertension, coronary heart disease, coronary risk factors (hypercholesterolaemia, hypertriglyceridaemia), vasospastic and atherosclerotic changes on arterial blood vessels of low extremitas.
Key words: Noise, arterial hypertension, coronary heart disease, cholesterol, tryglicerides
KOMULATIVNI EFEKTI KOMUNALNE I INDUSTIJSKE BUKE NA KARDIOVASKULARNI SISTEM
Kratak sadržaj. Cilj rada je bio da proceni kumulativne efekte komunalne i industrijske buke na krvni pritisak, serumske lipidne frakcije i koronarnu bolest kod radnika izloženih buci i životnoj i radnoj sredini. Ispitivanu grupu je činilo 180 radnika zaposlenih u metalopreradjivačkoj industriji, izloženih industrijskoj buci intenziteta preko 80dB i komunalnoj buci intenziteta preko 70dB. Kontrolnu grupu je činilo 90 radnika koji nikada nisu živeli i radili u bučnoj sredini. Kontrolna i ispitivana grupa su sem ekspozicije buci bile slične strukture u odnosu na faktore koji mogu uticati na stanje kardiovaskularnog sistema (pol, starost, gojaznost, navika pušenja, pozitivna porodična anamneza) (P>0,05). Rezultati pokazuju da su komunalna i industrijska buka mogući potencirajući faktori u nastanku arterijske hipertenzije, koronarne bolesti srca, faktora rizika koronarne bolesti (hiperholesterolemija, hipertrigliceridemija), vazospastičkih i aterosklerotičkih promena na krvnim sudovima donjih ekstremiteta.
Ključne reči: Buka, arterijska hipertenzija, koronarna bolest, holesterol, trigliceridi