Abstract
The association between road traffic noise and type 2 diabetes (T2DM) was inconsistent. To address this, we have synthesized available cohort studies about their association by meta-analysis. PubMed, Web of Science, EBSCO, Cochrane Library, EMBASE, and Scopus databases were searched up to July 2022. The Quality-effect model (QE) was used to incorporate the results of included studies. The possibility of publication bias was assessed by the Doi plots and Luis Furuya-Kanamori index. Sensitivity analyses included leave-one-out meta-analysis, subgroup meta-analysis, and meta-regressions. The Recommendations for Assessment, Development, and Evaluation (GRADE) guidelines were conducted to evaluate the overall quality of evidence. Eight cohort studies with 4,989,846 participants and 416,799 diabetes cases were included. Based on the fully adjusted models from 8 cohort studies (10 estimates; Lden range ≈ 15–98.5 dB(A)), we found “high” evidence of RR per 10 dB(A) = 1.07 (1.05, 1.10), high heterogeneity (I2 = 0.91%, p < 0.001), and high publication bias (LKF index = 4.55). Sensitivity analyses showed stable model results, and the GRADE assessment suggested the current overall quality of evidence is high. Comprehensive evidence from cohort studies supports that increasing exposure to road traffic noise may be associated with higher risk of T2DM.
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The datasets used and/or analyzed during this study are available from the corresponding author on reasonable request.
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The authors thanks the Editor and two anonymous reviewers for their valuable comments which helped in improving the quality of the manuscript.
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The study was supported by the GuangDong Basic and Applied Basic Research Foundation (2019A1515110656), GuangDong Medical Scientific Research Foundation (A2020141, C2022097), Project of Administration of Traditional Chinese Medicine of Guangdong Province (20231204), and National Undergraduate Innovation Training Program (202210573019), and Dongguan Science and Technology of Development key Program (202050715005209).
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SW and WJD designed the research; WJD, XBZ, and FW conducted the research; WJD, XBZ and JQL performed statistical analysis; SW and WJD wrote the paper; SW revised the paper; SW had primary responsibility for final content. All authors have read and approved the final manuscript.
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Wu, S., Du, W., Zhong, X. et al. The association between road traffic noise and type 2 diabetes: a systematic review and meta-analysis of cohort studies. Environ Sci Pollut Res 30, 39568–39585 (2023). https://doi.org/10.1007/s11356-023-25926-5
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DOI: https://doi.org/10.1007/s11356-023-25926-5