Relationship Between Diet, Tinnitus, and Hearing Difficulties

Dawes, Piers; Cruickshanks, Karen J.; Marsden, Antonia; Moore, David R.; Munro, Kevin J.

doi:10.1097/aud.0000000000000765

Cited by 50 publications

(38 citation statements)

References 66 publications

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“…Moreover, the severity of tinnitus measured with THI and VAS scales correlated with the 25(OH)D level. Literature describes vitamin D intake association with reduced odds of hearing difficulties [ 27 – 29 ] and with tinnitus loudness variation [ 30 ]. Based on a literature review, our study is the first to demonstrate the high prevalence of vitamin D deficiency in patients with tinnitus and its effect on tinnitus parameters.…”

Section: Resultsmentioning

confidence: 99%

“…Due to the unclear pathogenesis, the current tinnitus treatments are diversified, and up to now, there is no effective medication for tinnitus [ 10 ]. Regardless of limited data, the use of supplements in tinnitus treatment is very common [ 11 , 12 ]. Vitamin D deficiency is an emerging global health problem, affecting approximately 30%–80% of children and adults worldwide [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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The role of vitamin D in subjective tinnitus—A case-control study

et al. 2021

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Regarding the high prevalence of vitamin D (25(OH)D) deficiency in the population and its possible association with ear diseases, we aimed to investigate the 25(OH)Dserum level in patients with subjective, nonpulsating tinnitus and its effect on tinnitus severity. The study included 201 tinnitus patients and 99 controls. Patient clinical information, including tinnitus characteristics and severity according to Tinnitus Handicap Inventory (THI), loudness assessed by Visual Analogue Scale (VAS), audiometry, and the blood level of vitamin D, was recorded. The level of 25(OH)D in tinnitus patients was significantly decreased compared with the controls (19.86 ± 7.53 and 27.43 ± 8.85 ng/ml, respectively; P value < 0.0001). More patients in the tinnitus group were deficient in vitamin D, compared with the controls (50.7% vs. 22.2% respectively, p < 0.0001). Tinnitus patients with a lower serum level of 25(OH)D (≤15 ng/dl) were significantly younger, had a higher degree of tinnitus severity measured with THI and VAS scales, had higher triglyceride and TSH levels, and a lower HDL level compared with individuals who had higher 25(OH)D level (>15 ng/dl). There was a strong correlation between the 25(OH)D level and THI. Our findings suggest that a large proportion of tinnitus patients suffers from vitamin D deficiency and that the vitamin D level correlates with tinnitus impact. We recommend a vitamin D assessment for all tinnitus patients.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The role of vitamin D in subjective tinnitus—A case-control study

et al. 2021

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“…It is likely to be the case that some individuals with M-NIHL will show little or no acceleration of the progression of hearing loss following the end of military service, while others will show very marked acceleration. Such individual differences might reflect differences in the underlying physiological damage to the auditory system, genetic makeup, cardiovascular health, lifestyle, and diet [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Exposure to Noise during Military Service on the Subsequent Progression of Hearing Loss

Moore

2021

IJERPH

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This paper reviews and re-analyses data from published studies on the effects of noise exposure on the progression of hearing loss once noise exposure has ceased, focusing particularly on noise exposure during military service. The data are consistent with the idea that such exposure accelerates the progression of hearing loss at frequencies where the hearing loss is absent or mild at the end of military service (hearing threshold levels (HTLs) up to approximately 50 dB HL), but has no effect on or slows the progression of hearing loss at frequencies where the hearing loss exceeds approximately 50 dB. Acceleration appears to occur over a wide frequency range, including 1 kHz. However, each of the studies reviewed has limitations. There is a need for further longitudinal studies of changes in HTLs over a wide range of frequencies and including individuals with a range of HTLs and ages at the end of military service. Longitudinal studies are also needed to establish whether the progression of hearing loss following the end of exposure to high-level sounds depends on the type of noise exposure (steady broadband factory noises versus impulsive sounds).

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“…However, the evidence on the effect of habitual diet on hearing loss is limited [10,11]. High intake of some nutrients, such as β-carotene, β-cryptoxanthin, vitamin B12, folic acid, vitamin D, and magnesium, have been associated with lower risk of hearing loss [12][13][14][15]. As regards macronutrient intake, three studies have focused on the effect of polyunsaturated fatty acids (PUFA).…”

Section: Introductionmentioning

confidence: 99%

Dietary fat intake and risk of disabling hearing impairment: a prospective population-based cohort study

et al. 2021

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Purpose To examine the associations of specific dietary fats with the risk of disabling hearing impairment in the UK Biobank study. Methods This cohort study investigated 105,592 participants (47,308 men and 58,284 women) aged ≥ 40 years. Participants completed a minimum of one valid 24-h recall (Oxford Web-Q). Dietary intake of total fatty acids, polyunsaturated fatty acids (PUFA), saturated fatty acids (SFA), and monounsaturated fatty acids (MUFA) was assessed at baseline. Functional auditory capacity was measured with a digit triplet test (DTT), and disabling hearing impairment was defined as a speech reception threshold in noise > − 3.5 dB in any physical exam performed during the follow-up. Results Over a median follow-up of 3.2 (SD: 2.1) years, 832 men and 872 women developed disabling hearing impairment. After adjustment for potential confounders, including lifestyles, exposure to high-intensity sounds, ototoxic medication and comorbidity, the hazard ratios (HRs), and 95% confidence interval (CI) of disabling hearing function, comparing extreme quintiles of intakes were 0.91 (0.71–1.17) for total fat, 1.09 (0.83–1.44) for PUFA, 0.85 (0.64–1.13) for SFA and 1.01 (0.74–1.36) for MUFA among men. Among women, HRs comparing extreme intakes were 0.98 (0.78–1.24) for total fat, 0.69 (0.53–0.91) for PUFA, 1.26 (0.96–1.65) for SFA, and 0.91 (0.68–1.23) for MUFA. Replacing 5% of energy intake from SFA with an equivalent energy from PUFA was associated with 25% risk reduction (HR: 0.75; 95% CI: 0.74–0.77) among women. Conclusions PUFA intake was associated with decreased risk of disabling hearing function in women, but not in men.

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Relationship Between Diet, Tinnitus, and Hearing Difficulties

Abstract: Supplemental Digital Content is available in the text.

Cited by 50 publications

References 66 publications

The role of vitamin D in subjective tinnitus—A case-control study

The role of vitamin D in subjective tinnitus—A case-control study

The Effect of Exposure to Noise during Military Service on the Subsequent Progression of Hearing Loss

Dietary fat intake and risk of disabling hearing impairment: a prospective population-based cohort study

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