+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Self-reported exposure to traffic pollution in relation to daytime sleepiness and habitual snoring: a questionnaire study in seven North-European cities



Self-reported exposure to traffic pollution in relation to daytime sleepiness and habitual snoring: a questionnaire study in seven North-European cities



Sleep Medicine 24: 93-99



Little is known about associations between traffic exposure and sleep disturbances. We examined if self-reported exposure to traffic is associated with habitual snoring and daytime sleepiness in a general population. In the RHINE III study, 12184 adults answered questions on sleep disturbances and traffic exposure. We analysed bedrooms near roads with traffic, bedrooms with traffic noise, and travelling regularly along busy roads as proxies for traffic exposures, using logistic regression. Adjustment factors were study centre, gender, age, smoking habits, educational level, body mass index, physical activity, obstructive sleep apnoea, and sleep duration. One in ten lived near a busy road, 6% slept in a bedroom with traffic noise, and 11% travelled regularly along busy roads. Habitual snoring affected 25% and daytime sleepiness 21%. More men reported snoring and more women reported daytime sleepiness. Having a bedroom with traffic noise was associated with snoring (adjusted OR 1.29, [95% CI 1.12, 1.48]). For daytime sleepiness, on the other hand, bedroom with traffic noise and high exposure to traffic pollution have significant risk factors (adjusted ORs 1.46 [1.11, 1.92] and 1.65 [1.11, 2.45]). Results were consistent across study centres. Daytime sleepiness is associated with traffic pollution and traffic noise, while habitual snoring is only associated with traffic noise. Self-reported traffic exposure should be taken into account when diagnosing and planning treatment for patients with sleep disturbances, because reducing noise and pollution exposure in the bedroom may have a beneficial effect.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058825515

Download citation: RISBibTeXText

PMID: 27810192

DOI: 10.1016/j.sleep.2016.08.007


Related references

Genetic factors in self-reported snoring and excessive daytime sleepiness: a twin study. American Journal of Respiratory and Critical Care Medicine 164(6): 949-952, 2001

Questionnaire about Snoring and Daytime Sleepiness Due to Springtime Hay Fever. Nihon Jibiinkoka Gakkai Kaiho 120(1): 36-43, 2017

Questionnaire about Snoring and Daytime Sleepiness Due to Springtime Hay Fever. Nippon Jibiinkoka Gakkai Kaiho 120(1): 36-43, 2017

Self reported snoring and daytime sleepiness in men aged 35 65 years. Thorax 46(11): 807-810, 1991

Daytime sleepiness, snoring and gastro-oesophageal reflux amongst young adults in three European countries. Journal Of Internal Medicine. 237(3): 277-285, 1995

Patients' and cohabitants' reports on snoring and daytime sleepiness, 1-8 years after surgical treatment of snoring. Orl; Journal for Oto-Rhino-Laryngology and Its Related Specialties 61(1): 19-24, 1999

Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale. Chest 103(1): 30-36, 1993

A comparison of the Epworth Sleepiness Scale and the Functional Outcomes of Sleepiness Questionnaire in the assessment of excessive daytime sleepiness in the elderly. Sleep 24(Abstract Suppl.): A233-A234, 2001

Snoring men with daytime sleepiness drive more than others: A population-based study. Sleep Medicine 10(9): 1012-1015, 2009

Snoring, daytime sleepiness, and incident cardiovascular disease in the health, aging, and body composition study. Sleep 36(11): 1737-1745, 2013

Snoring and daytime sleepiness as risk factors for hypertension and diabetes in womenA population-based study. Yearbook of Medicine 2008: 321-323, 2008

Snoring and daytime sleepiness as risk factors for hypertension and diabetes in women--a population-based study. Respiratory Medicine 101(6): 1283-1290, 2007

Study of physio-psychological effects on traffic wardens due to traffic noise pollution; exposure-effect relation. Journal of Environmental Health Science and Engineering 13: 30, 2015

The prevalence of snoring sleep disturbance and sleep related breathing disorders and their relation to daytime sleepiness in 4 5 year old children. American Review of Respiratory Disease 143(4 Part 2): A391, 1991

Assessment of schoolchildren's exposure to traffic-related air pollution in the French Six Cities Study using a dispersion model. Atmospheric Environment 40(13): 2274-2287, 2006