Abstract
An elevation in hearing thresholds and decrease in hearing sensitivity in adults, particularly due to aging, are quite common. Recent studies have shown that, apart from aging, various other factors also play a role in auditory changes. Studies on the association of hearing loss (HL) with obesity are limited in advanced age cases and present contradictions. In this study, the association between obesity and hearing thresholds in women aged 18–40 years has been assessed. Forty women diagnosed with obesity (mean age, 31.8 years) and 40 healthy non-obese female controls (mean age, 30.5 years) were included in this prospective study. Each subject was tested with low (250, 500, 1000 and 2000 Hz) and high (4000, 6000 and 8000 Hz) frequency audiometry. In the case and control groups, the average hearing thresholds at low frequencies were 16.03 ± 4.72 and 16.15 ± 2.72 (p = 0.885) for the right ear, respectively, and 16.15 ± 5.92 and 14.71 ± 3.18 (p = 0.180) for the left ear, respectively. The average hearing threshold levels at high frequencies were 20.70 ± 10.23 and 15.33 ± 3.87 (p = 0.003), respectively, for the right ear, and 22.91 ± 15.54 and 15.87 ± 4.35 (p = 0.007), respectively, for the left ear with statistical significance. This is the first report on the association of obesity with hearing threshold in women aged 18–40 years. We have demonstrated that obesity may affect hearing function, particularly that related to high frequencies. Hearing loss can be prevented by avoidance or control of obesity and its risk factors. Moreover, an auditory screening of obese cases at an early stage may provide early diagnosis of HL and may also contribute to their awareness in the fight against obesity.
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References
J.R. Pleis, M. Lethbridge-Cejku, Summary health statistics for U.S. adults: National Health Interview Survey, 2006. Vital Health Stat 10 235, 1–153 (2007)
Y. Agrawal, E.A. Platz, J.K. Niparko, Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999-2004. Arch. Intern. Med. 168, 1522–1530 (2008)
G.A. Gates, J.H. Mills, Presbycusis. Lancet 366, 1111–1120 (2005)
J. Shargorodsky, S.G. Curhan, R. Eavey, G.C. Curhan, A prospective study of cardiovascular risk factors and incident hearing loss in men. Laryngoscope 120, 1887–1891 (2010)
O.A. Sogebi, Assessment of the risk factors for hearing loss in adult Nigerian population. Niger. Med. J. 54, 244–249 (2013)
C. Kucur, S.K. Kucur, I. Gozukara, A. Seven, K.B. Yuksel, N. Keskin, F. Oghan, Extended high frequency audiometry in polycystic ovary syndrome. Sci. World J. 2013, 482689 (2013)
J.W. Hong, J.H. Jeon, C.R. Ku, J.H. Noh, H.J. Yoo, D.J. Kim, The prevalence and factors associated with hearing impairment in the Korean adults: the 2010-2012 Korea National Health and Nutrition Examination Survey (observational study). Medicine 94, 611 (2015)
M.A. Musani, A. Rauf, M. Ahsan, F.A. Khan, Frequency and causes of hearing impairment in tertiary care center. J. Pak. Med. Assoc. 61, 141–144 (2011)
A. Arduc, S. Isık, S. Allusoglu, A. Iriz, B.A. Dogan, C. Gocer, M.M. Tuna, D. Berker, S. Guler, Evaluation of hearing functions in patients with euthyroid Hashimoto’s thyroiditis. Endocrine (2015). doi:10.1007/s12020-015-0624-8
D. Berker, H. Karabulut, S. Isik, Y. Tutuncu, U. Ozuguz, G. Erden, Y. Aydin, M. Dagli, S. Guler, Evaluation of hearing loss in patients with Graves’ disease. Endocrine 41, 116–121 (2012)
A.W. Jackson, D.C. Lee, X. Sui, J.R. Morrow Jr, T.S. Church, A.L. Maslow, S.N. Blair, Muscular strength is inversely related to prevalence and incidence of obesity in adult men. Obesity 18, 1988–1995 (2010)
C. Kabrhel, R. Varraso, S.Z. Goldhaber, E.B. Rimm, C.A. Camargo, Prospective study of BMI and the risk of pulmonary embolism in women. Obesity 17, 2040–2046 (2009)
J.E. Schaffer, Lipotoxicity: when tissues overeat. Curr. Opin. Lipidol. 14, 281–287 (2003)
A.K. Lalwani, K. Katz, Y.H. Liu, S. Kim, M. Weitzman, Obesity is associated with sensorineural hearing loss in adolescents. Laryngoscope 123, 3178–3184 (2013)
T.S. Kim, S.W. Park, Y. Kim do, E.B. Kim, J.W. Chung, H.S. So, Visceral adipose tissue is significantly associated with hearing thresholds in adult women. Clin. Endocrinol. 80, 368–375 (2014)
J.H. Hwang, C.C. Wu, C.J. Hsu, T.C. Liu, W.S. Yang, Association of central obesity with the severity and audiometric configurations of age-related hearing impairment. Obesity 17, 1796–1801 (2009)
J.H. Hwang, F.Y. Tseng, T.C. Liu, W.S. Yang, No association between plasma adiponectin levels and central auditory function in adults. Metab. Brain Dis. 30, 191–196 (2015)
J.H. Hwang, C.J. Hsu, T.C. Liu, W.S. Yang, Association of plasma adiponectin levels with hearing thresholds in adults. Clin. Endocrinol. 75, 614–620 (2011)
Clinical Guidelines on the Identification, Evaluation, and treatment of overweight and obesity in adults-the evidence report. National Institutes of Health. Obes Res. 6(Suppl 2), 51S–209S (1998)
A.V. Chobanian, G.L. Bakris, H.R. Black, W.C. Cushman, L.A. Green, J.L. Izzo Jr, D.W. Jones, B.J. Materson, S. Oparil, J.T. Wright Jr, E.J. Roccella, National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National High Blood Pressure Education Program Coordinating Committee, The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289, 2560–2572 (2003)
P.S. Jellinger, D.A. Smith, A.E. Mehta, O. Ganda, Y. Handelsman, H.W. Rodbard, M.D. Shepherd, J.A. Seibel, A.A.C.E. Task, Force for Management of Dyslipidemia and Prevention of Atherosclerosis. American Association of Clinical Endocrinologists’ Guidelines for Management of Dyslipidemia and Prevention of Atherosclerosis. Endocr. Pract. 18(Suppl 1), 1–78 (2012)
American Diabetes Association, Diagnosis and classification of diabetes mellitus. Diabetes Care 33(Suppl 1), S62–S69 (2010)
D.R. Matthews, J.P. Hosker, A.S. Rudenski, B.A. Naylor, D.F. Treacher, R.C. Turner, Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28, 412–419 (1985)
J.F. Ascaso, S. Pardo, J.T. Real, R.I. Lorente, A. Priego, R. Carmena, Diagnosing insulin resistance by simple quantitative methods in subjects with normal glucose metabolism. Diabetes Care 26, 3320–3325 (2003)
L.A. Campfield, F.J. Smith, The pathogenesis of obesity. Baillieres Best Pract. Res. Clin. Endocrinol. Metab. 13, 13–30 (1999)
L.C. Hwang, C.H. Bai, C.J. Chen, Prevalence of obesity and metabolic syndrome in Taiwan. J. Formos. Med. Assoc. 105, 626–635 (2006)
O.P. Tandon, F. Khaliq, N. Goel, Auditory evoked potential responses in menopausal women: a normative study. Indian J. Physiol. Pharmacol. 45, 361–366 (2001)
J.H. Hwang, J.C. Chao, H.C. Ho, S.H. Hsiao, Effects of sex, age and hearing asymmetry on the interaural differences of auditory brainstem responses. Audiol. Neurotol. 13, 29–33 (2008)
C.G. Le Prell, C. Spankovich, E. Lobariñas, S.K. Griffiths, Extended high-frequency thresholds in college students: effects of music player use and other recreational noise. J. Am. Acad. Audiol. 24, 725–739 (2013)
D. Sharma, S.K. Munjal, N.K. Panda, Extended high frequency audiometry in secretory otitis media. Indian J. Otolaryngol. Head Neck Surg. 64, 145–149 (2012)
I. Majumdar, L.D. Mastrandrea, Serum sphingolipids and inflammatory mediators in adolescents at risk for metabolic syndrome. Endocrine 41, 442–449 (2012)
J.H. Hwang, C.J. Hsu, W.H. Yu, T.C. Liu, W.S. Yang, Diet-induced obesity exacerbates auditory degeneration via hypoxia, inflammation, and apoptosis signaling pathways in CD/1 mice. PLoS One 8, e60730 (2013)
W.S. Yang, W.J. Lee, T. Funahashi, S. Tanaka, Y. Matsuzawa, C.L. Chao, C.L. Chen, T.Y. Tai, L.M. Chuang, Weight reduction increases plasma levels of an adipose-derived anti-inflammatory protein, adiponectin. J. Clin. Endocrinol. Metab. 86, 3815–3819 (2001)
S.H. Chu, M.K. Lee, K.Y. Ahn, J.A. Im, M.S. Park, D.C. Lee, J.Y. Jeon, J.W. Lee, Chemerin and adiponectin contribute reciprocally to metabolic syndrome. PLoS One 7, e34710 (2012)
K.G. Alberti, P. Zimmet, J. Shaw, Metabolic syndrome—a new worldwide definition. A consensus statement from the International Diabetes Federation. Diabet. Med. 23, 469–480 (2006)
C.A. Maia, C.A. Campos, Diabetes mellitus as etiological factor of hearing loss. Rev. Bras. Otorrinolaringol. (Engl Ed). 71, 208–214 (2005)
S.T. Frisina, F. Mapes, S. Kim, D.R. Frisina, R.D. Frisina, Characterization of hearing loss in aged type II diabetics. Hear. Res. 211, 103–113 (2006)
B. Satar, Y. Ozkaptan, H.S. Sürücü, H. Oztürk, Ultrastructural effects of hypercholesterolemia on the cochlea. Otol Neurotol. 22, 786–789 (2001)
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Üçler, R., Turan, M., Garça, F. et al. The association of obesity with hearing thresholds in women aged 18–40 years. Endocrine 52, 46–53 (2016). https://doi.org/10.1007/s12020-015-0755-y
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DOI: https://doi.org/10.1007/s12020-015-0755-y