TY - JOUR TI - Saliva cortisol and exposure to aircraft noise in six European countries AU - Selander, J. AU - Bluhm, G. AU - Theorell, T. AU - Pershagen, G. AU - Babisch, W. AU - Seiffert, I. AU - Houthuijs, D. AU - Breugelmans, O. AU - Vigna-Taglianti, F. AU - Antoniotti, M.C. AU - Velonakis, E. AU - Davou, E. AU - Dudley, M.-L. AU - Järup, L. JO - Environmental Health Perspectives PY - 2009 VL - 117 TODO - 11 SP - 1713-1717 PB - SN - 0091-6765, 1552-9924 TODO - 10.1289/ehp.0900933 TODO - hydrocortisone, adult; aged; aircraft noise; article; cardiovascular effect; clinical trial; confidence interval; controlled study; correlation analysis; cross-sectional study; employment status; Europe; female; human; human experiment; linear regression analysis; male; multicenter study; priority journal; risk factor; saliva; sex difference; traffic noise, Aged; Aircraft; Cardiovascular Diseases; Cross-Sectional Studies; Environmental Exposure; Europe; Female; Humans; Hydrocortisone; Male; Middle Aged; Noise, Transportation; Saliva; Sex Factors; Time Factors TODO - BACKGROUND: Several studies show an association between exposure to aircraft or road traffic noise and cardiovascular effects, which may be mediated by a noise-induced release of stress hormones. OBJECTIVE: Our objective was to assess saliva cortisol concentration in relation to exposure to aircraft noise. METHOD: A multicenter cross-sectional study, HYENA (Hypertension and Exposure to Noise near Airports), comprising 4,861 persons was carried out in six European countries. In a subgroup of 439 study participants, selected to enhance the contrast in exposure to aircraft noise, saliva cortisol was assessed three times (morning, lunch, and evening) during 1 day. RESULTS: We observed an elevation of 6.07 nmol/L [95% confidence interval (CI), 2.32-9.81 nmol/L] in morning saliva cortisol level in women exposed to aircraft noise at an average 24-hr sound level (LAeq,24h) > 60 dB, compared with women exposed to LAeq,24h ≤ 50 dB, corresponding to an increase of 34%. Employment status appeared to modify the response. We found no association between noise exposure and saliva cortisol levels in men. CONCLUSIONS: Our results suggest that exposure to aircraft noise increases morning saliva cortisol levels in women, which could be of relevance for noise-related cardiovascular effects. ER -