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The association of obesity with hearing thresholds in women aged 18–40 years

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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

  1. 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)

    PubMed  Google Scholar 

  2. 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)

    Article  PubMed  Google Scholar 

  3. G.A. Gates, J.H. Mills, Presbycusis. Lancet 366, 1111–1120 (2005)

    Article  PubMed  Google Scholar 

  4. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  5. O.A. Sogebi, Assessment of the risk factors for hearing loss in adult Nigerian population. Niger. Med. J. 54, 244–249 (2013)

    Article  PubMed  PubMed Central  Google Scholar 

  6. 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)

    Article  Google Scholar 

  7. 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)

    Article  Google Scholar 

  8. 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)

    PubMed  Google Scholar 

  9. 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

    PubMed  Google Scholar 

  10. 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)

    Article  CAS  PubMed  Google Scholar 

  11. 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)

    Article  PubMed  Google Scholar 

  12. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  13. J.E. Schaffer, Lipotoxicity: when tissues overeat. Curr. Opin. Lipidol. 14, 281–287 (2003)

    Article  CAS  PubMed  Google Scholar 

  14. 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)

    Article  PubMed  Google Scholar 

  15. 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)

    Article  Google Scholar 

  16. 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)

    Article  PubMed  Google Scholar 

  17. 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)

    Article  CAS  PubMed  Google Scholar 

  18. 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)

    Article  CAS  Google Scholar 

  19. 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)

    Google Scholar 

  20. 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)

    Article  CAS  PubMed  Google Scholar 

  21. 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)

    Article  PubMed  Google Scholar 

  22. American Diabetes Association, Diagnosis and classification of diabetes mellitus. Diabetes Care 33(Suppl 1), S62–S69 (2010)

    Article  PubMed Central  Google Scholar 

  23. 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)

    Article  CAS  PubMed  Google Scholar 

  24. 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)

    Article  CAS  PubMed  Google Scholar 

  25. L.A. Campfield, F.J. Smith, The pathogenesis of obesity. Baillieres Best Pract. Res. Clin. Endocrinol. Metab. 13, 13–30 (1999)

    Article  CAS  PubMed  Google Scholar 

  26. 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)

    Article  PubMed  Google Scholar 

  27. 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)

    CAS  PubMed  Google Scholar 

  28. 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)

    Article  CAS  Google Scholar 

  29. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  30. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  31. I. Majumdar, L.D. Mastrandrea, Serum sphingolipids and inflammatory mediators in adolescents at risk for metabolic syndrome. Endocrine 41, 442–449 (2012)

    Article  CAS  PubMed  Google Scholar 

  32. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. 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)

    Article  CAS  PubMed  Google Scholar 

  34. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. 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)

    Article  CAS  PubMed  Google Scholar 

  36. C.A. Maia, C.A. Campos, Diabetes mellitus as etiological factor of hearing loss. Rev. Bras. Otorrinolaringol. (Engl Ed). 71, 208–214 (2005)

    Article  Google Scholar 

  37. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  38. B. Satar, Y. Ozkaptan, H.S. Sürücü, H. Oztürk, Ultrastructural effects of hypercholesterolemia on the cochlea. Otol Neurotol. 22, 786–789 (2001)

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Rıfkı Üçler.

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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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