Meta-analysis

Association between long-term aircraft noise exposure and cardiovascular disease: a meta-analysis with focused subgroup analyses

Eur J Prev CardiolPublished

  • Systematic review and meta-analysis
  • random-effects model
  • pre-registered protocol

Authors' conclusion

Our study demonstrates a significant association between aircraft noise exposure and increased risk of cardiovascular events and mortality, with stronger association during night-time exposure.

Study context

Population
Adults aged 18 years and older exposed to long-term aircraft noise; follow-up 1 to 20 years
Participants
∼35.5 million adults · 34 studies
Comparison
Aircraft noise exposure vs lower/no exposure
Outcome
CVD risk

Pooled result

As reported in the abstract

Aircraft noise exposure and cardiovascular disease (CVD) risk, OR 1.1 (95% CI 1.07-1.14)

P < 0.001

Further pooled results

CVD risk, night-time exposure (subgroup)

Night-time exposure and CVD risk, OR 1.14 (95% CI 1.04-1.26)
P = 0.006

Overall CVD mortality

Aircraft noise exposure and CVD mortality, OR 1.07 (95% CI 1.01-1.13)
P = 0.02
Association appeared stronger in females; sex-specific difference not statistically significant

MI-related mortality

Aircraft noise exposure and MI mortality, OR 1.07 (95% CI 1.02-1.12)
P = 0.009

Ischaemic heart disease (IHD) and stroke mortality

IHD mortality, OR 1.05, not significant
P = 0.08
Stroke mortality, OR 1.01, not significant
P = 0.3

Hypertension

Overall hypertension, OR 1.02, not significant
P = 0.74
Hypertension in males, OR
1.42
Hypertension in females, OR
1.01

SBP

Aircraft noise exposure and SBP, MD 1.83 mmHg
P = 0.04

Original publication

Association between long-term aircraft noise exposure and cardiovascular disease: a meta-analysis with focused subgroup analyses. Eur J Prev Cardiol. Published 31 July 2025. doi:10.1093/eurjpc/zwaf471

Summarised from the published abstract; every number is checked against it