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