Noise Pollution: How Does It Affect Sleep

Medically reviewed | Published: | Evidence level: 1A
Nighttime noise can disturb sleep and affect cardiovascular function. A randomized study of 74 healthy adults published earlier this year strengthens the experimental evidence, although it did not establish how much noise changes an individual's long-term heart attack risk.
📅 Published:
Reviewed by iMedic Medical Editorial Team
📄 Environmental Health

Quick Facts

Traffic Noise Trial
74 healthy adults
WHO Road Noise Guideline
Below 53 dB Lden
WHO Nighttime Road Guideline
Below 45 dB Lnight

How Can Noise Affect the Body During Sleep?

Quick answer: Nighttime noise can disturb sleep and activate stress responses that affect blood vessel function.

The cardiovascular effects of noise extend beyond whether someone finds a sound annoying. In a randomized study published in the European Heart Journal in 2013, 75 healthy volunteers experienced nights with background noise alone or recorded aircraft sounds. Researchers found poorer sleep quality, increased morning adrenaline and evidence of impaired endothelial function—the ability of the blood vessel lining to help vessels widen. [Schmidt and colleagues](https://pubmed.ncbi.nlm.nih.gov/23821397/).

These findings support a biological explanation for the link between environmental noise and cardiovascular health: sound exposure during sleep can stimulate the body's stress system while interfering with normal vascular regulation. However, an overnight change in a laboratory measurement is different from a diagnosed cardiovascular disease. The experiment helps explain a possible mechanism; it cannot establish that one noisy night causes lasting heart damage.

What Does the Recent Traffic Noise Study Show?

Quick answer: A short crossover trial found poorer sleep and reduced blood vessel dilation after nights with recorded road traffic noise.

The study reported by the European Society of Cardiology in February 2026 involved 74 healthy adults. Each experienced a control night and nights with 30 or 60 recorded traffic noise events. Researchers assessed flow-mediated dilation, which measures how an artery widens when blood flow increases. Dilation was lower after the noise-exposure nights, and participants reported worse sleep. [European Society of Cardiology study report](https://www.escardio.org/news/press/press-releases/new-research/).

Having participants experience each condition helps reduce differences between people as an explanation for the results. Nevertheless, this was a short experiment involving healthy volunteers. Its findings support an immediate physiological effect, but cannot quantify lifetime cardiovascular risk or establish whether reducing bedroom noise prevents heart attacks.

What Noise Levels Does WHO Recommend Reducing?

Quick answer: WHO recommends keeping long-term road traffic noise below 53 dB Lden and nighttime exposure below 45 dB Lnight.

WHO's environmental noise guidelines distinguish overall exposure from nighttime exposure because sleep is particularly sensitive to disturbance. Lden is a long-term day-evening-night measure that gives extra weight to evening and nighttime sound; Lnight represents average nighttime exposure. These environmental exposure indicators are different from a single sound reading beside a bed. They guide population protection rather than define a sharp boundary between safety and harm. [WHO environmental noise guidelines](https://iris.who.int/bitstream/handle/10665/279952/9789289053563-eng.pdf).

Reducing exposure requires attention to both the sound source and the building receiving it. WHO identifies approaches including quieter sources, operating-time restrictions, sound barriers, building insulation and planning controls. This makes neighborhood design and housing quality relevant to prevention: residents may have limited control over traffic outside their windows. [WHO guidance on environmental noise interventions](https://cdn.who.int/media/docs/default-source/who-compendium-on-health-and-environment/who_compendium_noise_01042022.pdf).

Frequently Asked Questions

Yes. The 2013 aircraft-noise experiment excluded participants with relevant hearing impairment, yet still detected changes in stress hormones and vascular function. Normal hearing does not rule out these physiological responses. [Aircraft-noise study](https://pubmed.ncbi.nlm.nih.gov/23821397/).

No. WHO's 45 dB recommendation for nighttime road traffic uses a long-term average exposure measure. One passing vehicle or a brief device reading cannot establish whether that recommendation is exceeded. [WHO environmental noise guidelines](https://iris.who.int/bitstream/handle/10665/279952/9789289053563-eng.pdf).

References

  1. Schmidt FP, et al. Effect of nighttime aircraft noise exposure on endothelial function and stress hormone release in healthy adults. European Heart Journal. 2013;34(45):3508–3514. doi:10.1093/eurheartj/eht269.
  2. European Society of Cardiology. New research: Nighttime road traffic noise stresses the heart and blood vessels. February 26, 2026. Reports the Cardiovascular Research study by Omar Hahad and colleagues, doi:10.1093/cvr/cvag028.
  3. World Health Organization Regional Office for Europe. Environmental Noise Guidelines for the European Region. 2018. ISBN: 9789289053563.
  4. World Health Organization. Compendium of WHO and other UN guidance on health and environment. Environmental noise section. 2022 update.