Does cardiovascular health mediate hearing ability?

Manson, Jack; Alessio, Helaine M.; Cristell, Mark; Hutchinson, Kathleen M.

doi:10.1249/00005768-199407000-00009

Cited by 20 publications

(16 citation statements)

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“…57 Higher levels of physical activity are also inversely related to a number of purported risk factors for hearing loss, including diabetes, vascular dysfunction, and cardiovascular disease. 18,19,58 Physical activity may improve endothelial function, leading to endothelium-mediated arterial vasodilation and enhanced blood flow to the stria vascularis.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index, Waist Circumference, Physical Activity, and Risk of Hearing Loss in Women

Curhan

Eavey

Wang

et al. 2013

The American Journal of Medicine

135

144

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BACKGROUND Acquired hearing loss is highly prevalent, but prospective data on potentially modifiable risk factors are limited. In cross-sectional studies, higher body mass index (BMI), larger waist circumference, and lower physical activity have been associated with poorer hearing, but these have not been examined prospectively. METHODS We examined the independent associations between BMI, waist circumference and physical activity and self-reported hearing loss in 68,421 women in the Nurses’ Health Study II from 1989 to 2009. Baseline and updated information on BMI, waist circumference and physical activity was obtained from biennial questionnaires. RESULTS After more than 1.1 million person-years of follow-up, 11,286 cases of hearing loss were reported to have occurred. Higher BMI and larger waist circumference were associated with increased risk of hearing loss. Compared with women with BMI <25 kg/m2, the multivariate-adjusted relative risk (RR) for women with BMI ≥ 40 was 1.25 (95% CI 1.14,1.37). Compared with women with waist circumference <71 cm, the multivariate-adjusted RR for waist circumference >88 cm was 1.27 (95% CI 1.17, 1.38). Higher physical activity was inversely related to risk; compared with women in the lowest quintile of physical activity, the multivariate-adjusted RR for women in the highest quintile was 0.83 (95% CI 0.78,0.88). Walking 2 hours per week or more was inversely associated with risk. Simultaneous adjustment for BMI, waist circumference and physical activity slightly attenuated the associations but they remained statistically significant. CONCLUSIONS Higher BMI and larger waist circumference are associated with increased risk and higher physical activity is associated with reduced risk of hearing loss in women. These findings provide evidence that maintaining healthy weight and staying physically active, potentially modifiable lifestyle factors, may help reduce the risk of hearing loss.

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Section: Discussionmentioning

confidence: 99%

Body Mass Index, Waist Circumference, Physical Activity, and Risk of Hearing Loss in Women

Curhan

Eavey

Wang

et al. 2013

The American Journal of Medicine

135

144

View full text Add to dashboard Cite

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“…Several studies have provided evidence that moderate physical exercise enhances hearing sensitivity and resistance to noise-induced hearing loss, due largely to improvements in cardiovascular health Cristell et al, 1998;Hutchinson et al, 1991;Kolkhorst et al, 1998;Manson et al, 1994]. Manson et al [1994] measured the degree of temporary noise-induced hearing loss for three groups of subjects differing only in level of cardiovascular fitness (high fit, moderately fit, and low fit) as measured by VO 2 peak.…”

Section: Physical Exercise/cardiovascular Healthmentioning

confidence: 99%

“…Manson et al [1994] measured the degree of temporary noise-induced hearing loss for three groups of subjects differing only in level of cardiovascular fitness (high fit, moderately fit, and low fit) as measured by VO 2 peak. Those subjects in better cardiovascular health were more resistant to noiseinduced changes in hearing sensitivity than those in the low fit group.…”

Section: Physical Exercise/cardiovascular Healthmentioning

confidence: 99%

Modulation of Presbycusis: Current Status and Future Directions

Willott

Chisolm²,

Lister³

2001

Audiol Neurotol

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Literature and ideas are reviewed concerning the modulation of presbycusis – the influence of variables that can alter the severity and/or time course of presbycusis or counteract its negative aspects. Eleven topics are identified: variables related to biological aging; genetics; noise-induced hearing loss; moderately augmented acoustic environment; neural plasticity and the central auditory system; neural plasticity and hearing aids; socioeconomic and cultural barriers to hearing aid use; lifestyle (diet, exercise, etc.); medical variables; pharmaceutical interventions for presbycusis, and cognitive variables. It is concluded that the field of otogerontology will best be served by a comprehensive, integrative interaction among basic researchers and clinical scientists who will continue to learn how the auditory problems associated with presbycusis can be intentionally modulated in beneficial ways.

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“…Subjects who completed a 20-week-long physical fitness program improved their peak oxygen consumption (VO 2 peak) as well as baseline hearing thresholds (Ismail et al, 1973). Individuals with relatively high cardiovascular fitness levels (VO 2 peak Ͼ40 ml kg −1 min −1 ) had a decreased susceptibility to temporary threshold shift (TTS) at several frequencies following noise exposure (Manson et al, 1994). Results from our laboratory concur with Ismail et al (1973) that, compared to lower fit persons, individuals with high cardiovascular fitness have more acute hearing and are less susceptible to TTS.…”

Section: Introductionmentioning

confidence: 99%

“…Interestingly, acute cardiovascular responses to exercise in combination with noise do not appear to influence the level of hearing sensitivity . Yet chronic cardiovascular adaptations to physical training might attenuate the level of hearing loss from noise exposure, thus preserving hearing sensitivity (Manson et al, 1994).…”

Section: Introductionmentioning

confidence: 99%

Effects of Exercise Training on Hearing Ability

Cristell

Hutchinson

Alessio³

1998

Scandinavian Audiology

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This study was designed to determine whether improvements in both cardiovascular fitness and hearing sensitivity occurred following 2 months of aerobic exercise training. Seventeen moderately-low fit (VO2 peak <32 ml/kg/min) young adults were evaluated for cardiovascular fitness and pure-tone and temporary threshold shifts (TTS) at 2, 3, and 4 kHz before and following 10 min of noise. Subjects exercised for 8 weeks by cycling on a bicycle ergometer at 70% of their peak oxygen consumption (VO2 peak). Average VO2 peak increased 34% (p < 0.05) above pre-exercise training levels. Both pure-tone hearing (2 and 3 kHz) and TTS improved following 2 months of exercise training at the evaluated frequencies (2, 3, and 4 kHz) (p < 0.05). Cardiovascular health as indicated by VO2 peak was associated with hearing sensitivity. Although the mechanisms have not been identified, these results support the existence of a cardiovascular health-hearing synergism.

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Does cardiovascular health mediate hearing ability?

Cited by 20 publications

References 0 publications

Body Mass Index, Waist Circumference, Physical Activity, and Risk of Hearing Loss in Women

Body Mass Index, Waist Circumference, Physical Activity, and Risk of Hearing Loss in Women

Modulation of Presbycusis: Current Status and Future Directions

Effects of Exercise Training on Hearing Ability

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