Night noise guidelines for Europe - WHO/Europe - World Health ...
Night noise guidelines for Europe - WHO/Europe - World Health ...
Night noise guidelines for Europe - WHO/Europe - World Health ...
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46<br />
EFFECTS ON SLEEP<br />
ing sleep stages 1 and 2) increases with age (Mathur and Douglas, 1995; Boselli et<br />
al., 1998) possibly only <strong>for</strong> men (Hume, Van and Watson, 2003), their average length<br />
is stable and circa 15 seconds (Boselli et al., 1998). Also the threshold <strong>for</strong> auditory<br />
arousal decreases with age (Zepelin, McDonald and Zammit, 1984; Busby and Pivik,<br />
1985; Busby, Mercier and Pivik, 1994) and towards the end of the night (Basner et<br />
al., 2004). Recovery after EEG awakenings takes longer <strong>for</strong> <strong>noise</strong>-induced awakenings<br />
than <strong>for</strong> spontaneous awakenings (Basner et al., 2004). The time required <strong>for</strong><br />
falling asleep again depends on the sound level and especially <strong>for</strong> loud events this<br />
latency is considerably longer than after spontaneous awakenings. Thus, in general,<br />
<strong>noise</strong>-induced EEG awakenings are more disruptive than spontaneous awakenings<br />
and there<strong>for</strong>e will more often be experienced consciously and remembered afterwards.<br />
In common situations with aircraft overflight <strong>noise</strong> at home, (minor) arousals<br />
were found in 10.3% of the 64-second intervals without aircraft <strong>noise</strong> and this percentage<br />
was found to be increased by circa 4% up to 14.3% in intervals with an aircraft<br />
<strong>noise</strong> event (Hume, Van and Watson, 2003). Thus, in that particular (exposure)<br />
situation, about 1 in 24 aircraft overflights caused a (minor) arousal.<br />
3.1.3 MECHANISMS<br />
Activity in the auditory system up to the brainstem nucleus inferior colliculus occurs<br />
within 10 milliseconds after the onset of a sound. This early activity appears to be<br />
obligatory and is hardly affected by the state (sleeping or awake). Being asleep or<br />
awake does influence later activity. The auditory pathways proceed from the inferior<br />
colliculus to the thalamus and from there to the auditory cortex. The state (asleep<br />
or awake) affects the activity in the thalamocortical circuits, which occurs after<br />
10–80 milliseconds. In particular, during SWS the transmission of auditory in<strong>for</strong>mation<br />
through the thalamus is suppressed. This is not the case during REM sleep or<br />
when awake.<br />
Thus, while in all (sleep) stages, sound activates the auditory system up to the inferior<br />
colliculus, the sound-induced activation of higher areas is suppressed in SWS.<br />
There<strong>for</strong>e, further activation depending on those higher areas (<strong>for</strong> example, extracting<br />
meaning) is not likely to occur as a primary reaction to sound during SWS. For<br />
understanding arousal during SWS, it is important that the inferior colliculus and the<br />
earlier auditory nucleus of the lateral lemniscus, and also the (dorsal and ventral)<br />
cochlear nuclei project to reticular arousal system. Presumably, sound is always<br />
capable of arousing the sleeping subject through these connections. The ascending<br />
arousal system is heterogeneous and encompasses mono-aminergic, glutamatergic,<br />
and cholinergic nuclei that can directly or indirectly activate the thalamus and cortex.<br />
An important indirect route is the activation of the basal <strong>for</strong>ebrain, which can<br />
activate the cerebral cortex through widespread, mainly cholinergic projections. The<br />
activation of the thalamus and cortex is indicated by an increase in EEG rhythm frequency<br />
and a reduction of the inhibition in the thalamic sensory relay nuclei. As a<br />
consequence of the latter effect, subsequent sound-induced activation may pass the<br />
thalamus and may be subject to more elaborate processing than initial sound. It can<br />
be speculated that sound in this way also reduces the threshold <strong>for</strong> somatosensory<br />
in<strong>for</strong>mation that initiates body movements so that more body movements are<br />
observed when exposed to sound. The occurrence of habituation of cortical responses<br />
suggests an active role played by a part of the brain that blocks or at least limits<br />
the impact of the activated ascending pathways.<br />
NIGHT NOISE GUIDELINES FOR EUROPE