Sarah Omlin

Bio: Sarah Omlin is an academic researcher from ETH Zurich. The author has contributed to research in topics: Polysomnography & Sleep Stages. The author has an hindex of 3, co-authored 6 publications receiving 68 citations.

Effects of noise from non-traffic-related ambient sources on sleep: Review of the literature of 1990-2010

Abstract: This article reviews the literature about the effects of specific non-traffic-related ambient noise sources on sleep that appeared in the last two decades. Although everybody is faced with noise of non-traffic and non-industry origin (e.g. sounds made by neighbors, talk, laughter, music, slamming doors, structural equipment, ventilation, heat pumps, noise from animals, barking dogs, outdoor events etc.), little scientific knowledge exists about its effects on sleep. The findings of the present extensive literature search and review are as follows: Only a small number of surveys, laboratory and field studies about mainly neighborhood, leisure and animal noise have been carried out. Most of them indicate that ambient noise has some effect on human sleep. However, a quantitative meta-analysis and comparison is not possible due to the small number of studies available and at times large differences in quality.

Awakening effects of church bell noise: geographical extrapolation of the results of a polysomnographic field study 1.

Abstract: Based on a previously published exposure-effect model of Electroencephalography (EEG)-awakening reactions (AWR) due to nightly church bell noise events, as well as on geocoded building and population data, we estimated the total number of the church bell noise induced awakenings on the population of the Canton of Zurich, in Switzerland. The calculated mean number of EEG awakenings per person in the studied region, triggered by church bell ringing, varied between 0 and about 5.5 per night. The results suggest that up to 120-150 m distance from churches, on average more than one additional EEG awakening occurs per night per person. An estimated 2.5-3.5 percent of the population in the Canton of Zurich experiences at least one additional awakening per night due to church bell noise. To provide a simple decision support tool for authorities that consider limiting bell ringing in the night in some form, we simulated different scenarios to estimate the effects of different sound attenuation measures at the belfry as well as the effects of different lengths and positions of nocturnal bell ringing suspension periods. The number of awakenings could be reduced by more than 99 percent by, for example, suspending church bell ringing between midnight and 06 h in the morning. A reduction of the number of AWRs of about 75 percent could be achieved by reducing the sound-pressure levels of bells by 5 dB.

WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Effects on Sleep.

Abstract: To evaluate the quality of available evidence on the effects of environmental noise exposure on sleep a systematic review was conducted. The databases PSYCINFO, PubMed, Science Direct, Scopus, Web of Science and the TNO Repository were searched for non-laboratory studies on the effects of environmental noise on sleep with measured or predicted noise levels and published in or after the year 2000. The quality of the evidence was assessed using GRADE criteria. Seventy four studies predominately conducted between 2000 and 2015 were included in the review. A meta-analysis of surveys linking road, rail, and aircraft noise exposure to self-reports of sleep disturbance was conducted. The odds ratio for the percent highly sleep disturbed for a 10 dB increase in Lnight was significant for aircraft (1.94; 95% CI 1.61–2.3), road (2.13; 95% CI 1.82–2.48), and rail (3.06; 95% CI 2.38–3.93) noise when the question referred to noise, but non-significant for aircraft (1.17; 95% CI 0.54–2.53), road (1.09; 95% CI 0.94–1.27), and rail (1.27; 95% CI 0.89–1.81) noise when the question did not refer to noise. A pooled analysis of polysomnographic studies on the acute effects of transportation noise on sleep was also conducted and the unadjusted odds ratio for the probability of awakening for a 10 dBA increase in the indoor Lmax was significant for aircraft (1.35; 95% CI 1.22–1.50), road (1.36; 95% CI 1.19–1.55), and rail (1.35; 95% CI 1.21–1.52) noise. Due to a limited number of studies and the use of different outcome measures, a narrative review only was conducted for motility, cardiac and blood pressure outcomes, and for children’s sleep. The effect of wind turbine and hospital noise on sleep was also assessed. Based on the available evidence, transportation noise affects objectively measured sleep physiology and subjectively assessed sleep disturbance in adults. For other outcome measures and noise sources the examined evidence was conflicting or only emerging. According to GRADE criteria, the quality of the evidence was moderate for cortical awakenings and self-reported sleep disturbance (for questions that referred to noise) induced by traffic noise, low for motility measures of traffic noise induced sleep disturbance, and very low for all other noise sources and investigated sleep outcomes.

Urban and transport planning, environmental exposures and health-new concepts, methods and tools to improve health in cities

Abstract: The majority of people live in cities and urbanization is continuing worldwide. Cities have long been known to be society’s predominant engine of innovation and wealth creation, yet they are also a main source of pollution and disease. We conducted a review around the topic urban and transport planning, environmental exposures and health and describe the findings. Within cities there is considerable variation in the levels of environmental exposures such as air pollution, noise, temperature and green space. Emerging evidence suggests that urban and transport planning indicators such as road network, distance to major roads, and traffic density, household density, industry and natural and green space explain a large proportion of the variability. Personal behavior including mobility adds further variability to personal exposures, determines variability in green space and UV exposure, and can provide increased levels of physical activity. Air pollution, noise and temperature have been associated with adverse health effects including increased morbidity and premature mortality, UV and green space with both positive and negative health effects and physical activity with many health benefits. In many cities there is still scope for further improvement in environmental quality through targeted policies. Making cities ‘green and healthy’ goes far beyond simply reducing CO2 emissions. Environmental factors are highly modifiable, and environmental interventions at the community level, such as urban and transport planning, have been shown to be promising and more cost effective than interventions at the individual level. However, the urban environment is a complex interlinked system. Decision-makers need not only better data on the complexity of factors in environmental and developmental processes affecting human health, but also enhanced understanding of the linkages to be able to know at which level to target their actions. New research tools, methods and paradigms such as geographical information systems, smartphones, and other GPS devices, small sensors to measure environmental exposures, remote sensing and the exposome paradigm together with citizens observatories and science and health impact assessment can now provide this information. While in cities there are often silos of urban planning, mobility and transport, parks and green space, environmental department, (public) health department that do not work together well enough, multi-sectorial approaches are needed to tackle the environmental problems. The city of the future needs to be a green city, a social city, an active city, a healthy city.

Effects of environmental noise on sleep

Abstract: This paper summarizes the findings from the past 3 year's research on the effects of environmental noise on sleep and identifies key future research goals. The past 3 years have seen continued interest in both short term effects of noise on sleep (arousals, awakenings), as well as epidemiological studies focusing on long term health impacts of nocturnal noise exposure. This research corroborated findings that noise events induce arousals at relatively low exposure levels, and independent of the noise source (air, road, and rail traffic, neighbors, church bells) and the environment (home, laboratory, hospital). New epidemiological studies support already existing evidence that night-time noise is likely associated with cardiovascular disease and stroke in the elderly. These studies collectively also suggest that nocturnal noise exposure may be more relevant for the genesis of cardiovascular disease than daytime noise exposure. Relative to noise policy, new effect-oriented noise protection concepts, and rating methods based on limiting awakening reactions were introduced. The publications of WHO's ''Night Noise Guidelines for Europe'' and ''Burden of Disease from Environmental Noise'' both stress the importance of nocturnal noise exposure for health and well-being. However, studies demonstrating a causal pathway that directly link noise (at ecological levels) and disturbed sleep with cardiovascular disease and/or other long term health outcomes are still missing. These studies, as well as the quantification of the impact of emerging noise sources (e.g., high speed rail, wind turbines) have been identified as the most relevant issues that should be addressed in the field on the effects of noise on sleep in the near future.