Associations between dietary quality, noise, and hearing: Data from the National Health and Nutrition Examination Survey, 1999–2002

Spankovich, Christopher; Prell, Colleen G. Le

doi:10.3109/14992027.2014.921340

Cited by 32 publications

(27 citation statements)

References 99 publications

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“…6 A study using the NHANES data from 1999–2002 found that those with healthier dietary habits were able to detect higher frequency noises. 36 Treatment of IDA will naturally improve anemia and replenish iron stores. IDA is associated with a large number of related morbidities (fatigue, reduced work capacity), which are also likely to improve with treatment.…”

Section: Discussionmentioning

confidence: 99%

Association of Iron Deficiency Anemia With Hearing Loss in US Adults

Schieffer

Chuang

Connor

et al. 2017

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Hearing loss in the US adult population is linked to hospitalization, poorer self-reported health, hypertension, diabetes, and tobacco use. As iron deficiency anemia (IDA) is a common and easily correctable condition, further understanding the association between IDA and all types of hearing loss in a population of United States adults may help open new possibilities for early identification and appropriate treatment. OBJECTIVE To evaluate the association between sensorineural hearing loss (SNHL) and conductive hearing loss (CHL) and IDA in adults aged 21–90 years in the United States. DESIGN The prevalence of IDA and hearing loss (ICD-9 codes 389.1 (SNHL), 389.0 (conductive hearing loss), and 389 (combined hearing loss)) were identified in this retrospective cohort study. IDA was determined by low hemoglobin and ferritin levels for age and sex. Associations between hearing loss and IDA were evaluated using Chi squared test. Logistic regression modeled the risk of hearing loss among those with IDA. SETTING Penn State Health Milton S. Hershey Medical Center, Hershey, PA. PARTICIPANTS Adults 21–90 years of age. MAIN OUTCOME MEASURES Hearing loss RESULTS Out of 305,339 patients in the study population, there was a 1.6% (n=4,807) prevalence of hearing loss and 0.8% (n=2,274) prevalence of IDA. Both SNHL and presence of combined hearing loss was significantly associated with IDA. Logistic regression confirmed increased odds of SNHL (adjusted OR 1.82 [95% CI 1.18–2.66]) and combined hearing loss (adjusted OR 2.41 [95% CI 1.90–3.01]) among adults with IDA, after adjusting for sex. CONCLUSIONS AND RELEVANCE IDA was associated with SNHL and combined hearing loss in a population of adult patients. Further research is needed to better understand the potential links between IDA and hearing loss, and whether screening and treatment of IDA in adults could have clinical implications in patients with hearing loss.

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Section: Discussionmentioning

confidence: 99%

Association of Iron Deficiency Anemia With Hearing Loss in US Adults

Schieffer

Chuang

Connor

et al. 2017

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

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“…Analysis of the cross-sectional National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2002 revealed a statistically significant association between overall dietary quality and hearing, with better high-frequency PTAs reliably associated with better diets after adjusting for other risk factors [Spankovich and Le Prell, 2013]. Furthermore, this effect had a statistically significant interaction with noise, with previous noise exposure being associated with more severe hearing loss as a function of poorer diet, after adjusting for other risk factors [Spankovich and Le Prell, 2014]. Choi et al [2014] used a different analytic approach, including nutrient-specific analysis.…”

Section: Discussionmentioning

confidence: 99%

Dietary Supplement Comprised of β-Carotene, Vitamin C, Vitamin E, and Magnesium: Failure to Prevent Music-Induced Temporary Threshold Shift

Prell

Fulbright

Spankovich

et al. 2016

Audiol Neurotol Extra

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This study examined potential prevention of music-induced temporary threshold shift (TTS) in normal-hearing participants. A dietary supplement composed of β-carotene, vitamins C and E, and magnesium was assessed using a randomized, placebo-controlled, double-blind study design. Dosing began 3 days prior to the music exposure with the final dose consumed approximately 30-min pre-exposure. Post-exposure TTS was measured, with no significant difference as a function of treatment. Distortion product otoacoustic emission amplitudes were suppressed after music exposure in both groups, with no significant difference as a function of treatment. Tinnitus was more likely to be reported by the treatment group, but there were no group differences in perceived loudness or bothersomeness. Taken together, this supplement had no effect on noise-induced changes in hearing. Recommendations for future clinical trials are discussed.

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“…A cross-sectional study of human adults correlating hearing and self-reported diet suggested an association between higher carbohydrate, vitamin C, vitamin E, riboflavin, magnesium, and lycopene ingestion with lower pure-tone thresholds and larger optoacoustic emissions, 63 while another cross-sectional investigation of the relationship between hearing thresholds and the Healthy Eating Index (an overall assessment of an individual's compliance with general dietary recommendations) suggested that overall healthier eating was associated with improved high-frequency thresholds. 64 Further illustrating the complex interplay of factors influencing hearing, it was demonstrated that individuals who had a significant noise exposure history experienced a greater hearing benefit from healthier eating than those without. 64 The discovery of cochlear synaptopathy has prompted investigation of a separate pathway of therapeutics.…”

Section: Future Directionsmentioning

confidence: 99%

“…64 Further illustrating the complex interplay of factors influencing hearing, it was demonstrated that individuals who had a significant noise exposure history experienced a greater hearing benefit from healthier eating than those without. 64 The discovery of cochlear synaptopathy has prompted investigation of a separate pathway of therapeutics. Neurotrophins which have demonstrated the ability to neuronal survival and dendritic sprouting have been of particular interest.…”

Section: Future Directionsmentioning

confidence: 99%