Abstract

Chronic sleep disturbance induced by traffic noise is considered to cause environmental sleep disorder, which increases the risk of cardiovascular disease, stroke, diabetes and other stress-related diseases. However, noise indices for the evaluation of sleep disturbance are not based on the neurophysiological process of awakening regulated by the brainstem. In this study, through the neurophysiological approach, we attempted (1) to investigate the thresholds of awakening due to external stimuli in the brainstem; (2) to evaluate the dynamic characteristics in the brainstem and (3) to verify the validity of existing noise indices. Using the mathematical Phillips–Robinson model, we obtained thresholds of awakening in the brainstem for different durations of external stimuli. The analysis revealed that the brainstem seemed insensitive to short stimuli and that the response to external stimuli in the brainstem could be approximated by a first-order lag system with a time constant of 10–100 s. These results suggest that the brainstem did not integrate sound energy as external stimuli, but neuroelectrical signals from auditory nerve. To understand the awakening risk accumulated in the brainstem, we introduced a new concept of “awakening potential” instead of sound energy.

Highlights

  • IntroductionNoise-induced sleep disturbance is a serious environmental problem that is associated with health concerns, such as environmental sleep disorder and risk of cardiovascular disease [1,2,3,4,5,6,7,8]

  • We used the mathematical Phillips–Robinson model [28,29] of sleep and wakefulness that describes the activity of populations of neurons in the brainstem and enables the quantitative evaluation of the sleep-wake switch when a brief awakening is triggered by an external stimulus [33]

  • The effect of sleep stage is excluded in the Phillips–Robinson model, our results indicated that noise-induced sleep disturbances are most likely to occur in the early morning, as has been noted elsewhere [14,15]

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Summary

Introduction

Noise-induced sleep disturbance is a serious environmental problem that is associated with health concerns, such as environmental sleep disorder and risk of cardiovascular disease [1,2,3,4,5,6,7,8]. The estimated number of noise-induced behavioral awakenings per year due to commercial aircraft would be in the worst case at the indoor night-time equivalent level (Lnight,i ) of 40 dB [2]. The WHO Regional Office for Europe considered health implications, such as cardiovascular disease, stroke, diabetes and other stress-related diseases, due to night-time noise and developed a guideline: Lnight of 40 dB.

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