There isclearevidencethatsleepdisturbancesareassociated
with healthdeterioration,andgrowingevidencethatexpo-
sure tonoisepollution,around-the-clock,negativelyaffects
health, too.Ithasalsobeenproventhatnocturnalnoise
pollution significantly impairssleep,objectivelyandsubjec-
tively. Whetherthesenoise-inducedsleepdisturbances
represent thelinkbetweenenvironmentalnoiseexposure
and negativehealthoutcomesstillremainsuncertain.How-
ever, theemergingdatasuggestthatindeednocturnalenvir-
onmental noisemaybethemostworryingformofnoise
pollution intermsofitshealthconsequences,possibly
because ofitssynergisticdirectandindirect(throughsleep
disturbances)influence onbiologicalsystems.Durationand
quality ofsleepshouldthusberegardedasriskfactorsor
markers significantly influenced bytheenvironmentand
possibly amenabletomodification throughbotheducation
and counselingaswellasthroughmeasuresofpublichealth.
One ofthemeansthatshouldbeproposedisavoidanceatall
costs ofsleepdisruptionscausedbyenvironmentalnoise.
Furthermore,morelargescaleprospectivestudiesare
needed. Thesestudiesshouldinvolverepresentativesamples
of thepopulationincludingvulnerablegroupslikechildren,
elderly andmentallyillsubjects,haveasufficient follow-up
period, assesshealthoutcomesaccordingtodaytimeversus
nighttime exposure,assesshormonalandpolysomnographic
measures,andtakeintoconsiderationpotentialconfounders.
Subgroup sleepanalysesshouldalsobeperformed.This
would helptobetterunderstandtowhatextentsleepdis-
turbancesindeedmediatebetweenexposuretoenvironmen-
tal noiseandnegativehealthconsequences.
There isclearevidencethatsleepdisturbancesareassociatedwith healthdeterioration,andgrowingevidencethatexpo-sure tonoisepollution,around-the-clock,negativelyaffectshealth, too.Ithasalsobeenproventhatnocturnalnoisepollution significantly impairssleep,objectivelyandsubjec-tively. Whetherthesenoise-inducedsleepdisturbancesrepresent thelinkbetweenenvironmentalnoiseexposureand negativehealthoutcomesstillremainsuncertain.How-ever, theemergingdatasuggestthatindeednocturnalenvir-onmental noisemaybethemostworryingformofnoisepollution intermsofitshealthconsequences,possiblybecause ofitssynergisticdirectandindirect(throughsleepdisturbances)influence onbiologicalsystems.Durationandquality ofsleepshouldthusberegardedasriskfactorsormarkers significantly influenced bytheenvironmentandpossibly amenabletomodification throughbotheducationand counselingaswellasthroughmeasuresofpublichealth.One ofthemeansthatshouldbeproposedisavoidanceatallcosts ofsleepdisruptionscausedbyenvironmentalnoise.Furthermore,morelargescaleprospectivestudiesareneeded. Thesestudiesshouldinvolverepresentativesamplesof thepopulationincludingvulnerablegroupslikechildren,elderly andmentallyillsubjects,haveasufficient follow-upperiod, assesshealthoutcomesaccordingtodaytimeversusnighttime exposure,assesshormonalandpolysomnographicmeasures,andtakeintoconsiderationpotentialconfounders.Subgroup sleepanalysesshouldalsobeperformed.Thiswould helptobetterunderstandtowhatextentsleepdis-turbancesindeedmediatebetweenexposuretoenvironmen-tal noiseandnegativehealthconsequences.
การแปล กรุณารอสักครู่..
