А.В. Пыко, О.А. Мукалова, А.А. Пыко, Н.П. Митьковская
3-я городская районная клиническая поликлиника Октябрьского района г. Минска, Минск, Беларусь; 17-я городская детская клиническая поликлиника г. Минска, Минск, Беларусь; Институт медицины окружающей среды, Каролинский Институт, Стокгольм, Швеция; Учреждение образования «Белорусский государственный медицинский университет», Минск, Беларусь
В развивающемся обществе существуют два наиболее важных фактора риска окружающей среды: транспортный шум и загрязнение воздуха. В данном обзоре обсуждаются эпидемиологические данные, свидетельствующие о существовании влиянии этих факторов на метаболические нарушения и сердечно-сосудистую заболеваемость и смертность. Рассматривается вопрос совместного и независимого воздействия транспортного шума и загрязнения воздуха на здоровье человека, а также обсуждаются возможные способы снижения воздействия этих факторов окружающей среды. Повышение осведомленности общества и профильных специалистов о негативных эффектах транспортного шума и загрязнения воздуха на здоровье, их признание стандартными факторами риска поможет в разработке эффективной правовой базы для снижения уровней транспортного шума и загрязнения воздуха и их негативного влияния на здоровье людей.
ключевые слова: транспортный шум, загрязнение воздуха, сердечно-сосудистые заболевания, метаболический синдром

для цитирования: Пыко А.В., Мукалова О.А., Пыко А.А., Митьковская Н.П. Влияние транспортного шума и загрязнения воздуха на метаболическую и сердечно-сосудистую заболеваемость и смертность. Неотложная кардиология и кардиоваскулярные риски, 2018, Т. 2, № 1, С. 270–279.

Pyko A.V., Mukalova O.A., Pyko A.A., Mitkovskaya N.P.
Пыко А.В., Мукалова О.А., Пыко А.А., Митьковская Н.П.
In a modern developing society, there are two most important environmental risk factors: transportation noise and air pollution. In this review, we evaluated and discussed epidemiological evidence of the effect of these factors on metabolic disorders and cardiovascular morbidity and mortality. We consider the issue of mutual and independent impact of transportation noise and air pollution on human health as well as possible ways of reducing the impact of these environmental factors. Raising the awareness of society and professionals about adverse health effects of transportation noise and air pollution, defining these environmental factors as independent risk factors for cardiovascular and metabolic outcomes, will help to develop an effective legal framework for reducing levels of transportation noise and air pollution and their adverse health effects.
keywords: transportation noise, air pollution, cardiovascular discuse, metabolic syndrom

for references: Pyko A.V., Mukalova O.A., Pyko A.A., Mitkovskaya N.P. Vliyanie transportnogo shuma i zagryazneniya vozducha na metabolicheskuyu i serdechno-sosudistuyu zabolevaemost’ i smertnost’ [Influence of transport noise and air pollution on metabolic and cardiovascular morbidity and mortality]. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2018, vol. 2, no. 1, pp. 270–279.

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